Professional Documents
Culture Documents
Please quote your lowest price on the item/s listed below, subject to the General Condition on the
Philippine Bidding Documents on Goods, stating the shortest time of delivery and submit your quotation duly
signed by your representative not later than ________________________.
VIGILUS D. CREDO
NOTE: BAC Chairman
1. ALL ENTRIES MUST BE TYPEWRITTEN
2. DELIVERY PERIOD WITHIN SEVEN (7) CALENDAR DAYS
3. WARRANTY SHALL BE FOR A PERIOD OF THREE (3) MONTHS FOR SUPPLIES & MATERIALS, ONE (1) YEAR FOR
EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF THIRTY (30) CALENDAR DAYS
5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION, IF AVAILABLE.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT BEING OFFERED.
ITEM
ITEM & DESCRIPTION QTY. Unit Unit Price TOTAL
NO.
1 Morocco Folder (blue, short) 48 pcs
2 US Bondpaper short 5 reams
3 Folder Long White (Thick) 100 pcs
4 Paper Fastener Plastic 3 boxes
5 Ink 704 Black 5 pcs
6 Expanded Folder Long (thick) 48 pcs
7 Paste (redstone) 2 pcs
8 Paper Clips (small) plastic 2 boxes
9 Paper clips (big) plastic 2 boxes
10 Ballpen (pilot-red, blue & black) 12 pcs
11 Sign Pen (red & black) my gel 6 pcs
12 Logbook (500 leaves) 5 pcs
13 Scotch Tape 1" BC 3 rolls
14 Stabilo Boss (Orange & Yellow) 6 pcs
15 Correction Pen 2 pcs
16 Rubber Bands (Big) 1 box
17 Alcohol (big) 70% 6 pcs
18 Albatross (big) 6 pcs
19 Zonrox 1 gal
20 Powder Soap (big) 1 pack
21 Freshener (Car) 2 cans
22 Toilet paper 18 pcs
23 Gasul (content) 1 tank
Printed Name/Signature
Date
PURCHASE REQUEST
Tampilisan, Zamboanga del Norte
LGU
PR No.: Date:
Department: COA SAI No.: Date:
Section: OR No. Date:
11,729.00
Date
(In case of Negotiated Purchase pursuant toSection 369 (a) of RA 7160, this portion must
be accomplished).
Certified Correct:
No.:
OBLIGATION REQUEST
PAYEE CLICK HAUS COMPUTER SALES & SERVICES
OFFICE
ADDRESS Baybay, Liloy Zamboanga del Norte
Responsibilit ACCOUNT
PARTICULARS F.P.P AMOUNT
y Center CODE
Office Supplies Php 10,855.00
No.:
OBLIGATION REQUEST
PAYEE CLICK HAUS COMPUTER SALES & SERVICES
OFFICE
ADDRESS Baybay, Liloy Zamboanga del Norte
Responsibilit ACCOUNT
PARTICULARS F.P.P AMOUNT
y Center CODE
Office Supplies Php 10,855.00
Signature Signature
Printed Date: Printed Date:
SHERRY LOU P. DAPROSA OLIVIA G. EBORDE
Name Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
C D
Signature Check No.: Bank Name: Date:
Printed Date: Signature
ANGELES R. CARLOTO II
Name Printed Date:
NamHAUS COMPUTER SALES & SERVICES
CLICK
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
10,855.00
INSPECTION ACCEPTANCE
Date Received:
Inspected, verified and found OK X Complete
as to quantity and specifications. Partial
LUCITO P. CERNA
Municipal Agriculturist
X
MARY JANE K. CALUMBA
CYNTHIA D. ABIL Property Custodian/ GSO Designate
RCO II
R e q ui s i t i o n Issuance
Stock No. Unit Description Quantity Quantity Remarks
pcs Morocco Folder (blue, short) 48 48
reams US Bondpaper short 5 5
pcs Folder Long White (Thick) 100 100
boxes Paper Fastener Plastic 3 3
pcs Ink 704 Black 5 5
pcs Expanded Folder Long (thick) 48 48
pcs Paste (redstone) 2 2
boxes Paper Clips (small) plastic 2 2
boxes Paper clips (big) plastic 2 2
pcs Ballpen (pilot-red, blue & black) 12 12
pcs Sign Pen (red & black) my gel 6 6
pcs Logbook (500 leaves) 5 5
rolls Scotch Tape 1" BC 3 3
pcs Stabilo Boss (Orange & Yellow) 6 6
pcs Correction Pen 2 2
box Rubber Bands (Big) 1 1
pcs Alcohol (big) 70% 6 6
pcs Albatross (big) 6 6
gal Zonrox 1 1
pack Powder Soap (big) 1 1
cans Freshener (Car) 2 2
pcs Toilet paper 18 18
tank Gasul (content) 1 1
Signature:
Printed Name: MERIAM B. IBA-OC ANGELES R. CARLOTO II MARY JANE K. CALUMBA MERIAM B. IBA-OC
Designation: State Auditor III Municipal Mayor RCC-II State Auditor III
Date: