Republic of the Philippines

City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDRO
Zone 3, San Isidro, Naga City, 4400

DV No.: 2024-04-002
DISBURSEMENT VOUCHER Date: July 03, 2024
Barangay: San Isidro Ctiy/ Municipality: City of Naga
Tel. No.: Province: Camarines Sur
Payee/Office: Sachiemaezaki Consumer Employee No.:
Goods Trading
Address: Naga City TIN No.:
PARTICULARS

Payment for the supplier for supplies during KK ASSEMBLY Php 10,000.00
Febuary 11,2024 3% 300
1% 100

TOTAL Php 9,600.00

Amount in Words: NINE THOUSAND SIX HUNDRED PESOS
A. Certified as to B. Certified as to availability of funds for C. Certified as to validity,
existence of Appropriation for the purpose, and completeness and propriety propriety and legality of claim and
Obligation. of supporting documents. approved for payment.

ALYSSA M. LABRADOR ANTONY M. ESTEVA CHRISTOPHER KEN L. MENDOZA

Chairman Committee on Appropriations SK Treasurer SK Chairperson
Date: _________________ Date: ______________________ Date: _________________

D. Received Payment Check No.: ___________________

Bank Name: ___________________ Date: __________

Signature over Printed Name OR No.: __________________________________

E. Accounting Entries
Account Titles Account Code Debit Credit
Other supply & material expen 5-02-02-020
Due to BIR 20201-010

City Accountant

Date
 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF SAN ISIDRO
Zone 3, San Isidro, Naga City, 4400

City/ Municipality: City of Naga

PURCHASE ORDER Province: Camarines Sur
Tel No.:
Supplier: CTO NAGA PO No.: 2024-04-001
Address: NAGA CITY Date: April 30, 2024
TIN : Mode of Procurement: Bidding
Negotiated Over the Counter
Gentlemen
Please deliver to this Office the following articles subject to the terms and conditions
contained herein:

ty
Place of Delivery: San Isidro, Naga City Delivery Term: 1
Date of Delivery: June __2024 Payment Term: 1

Quantity Particulars Unit Unit Cost Amount

1 Accountable Forms 51-A STUBS 125.00 125.00

TOTAL IN WORDS: ONE HUNDRED TWENTY FIVE PESOS ONLY ₱ 125.00

In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10)
of one percent for everyday of delay shall be imposed.

Very truly yours,

CHRISTOPHER KEN L. MENDOZA

SK Chairperson
Date:

Conforme: Existence of Available Appropriations of

CTO NAGA
Signature over Printed Name ALYSSA LABRADOR
Chairman, Committee on Appropriations

Date Date:
 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY BALATAS
Zone 3, San Isidro, Naga City, 4400

ABSTRACT OF CANVASS
ABSTRACT QUOATATIONS OF PRICES FOR VARIOUS MATERIALS CALLED FOR ON
REQUISITION OF MATERIALS OFFERED BY DIFFERENT DEALERS

AWARDED
Quantity Unit ARTICLES & DESCRIPTION DEALER 1 DEALER 2 DEALER 3
TO
s

COMMITTEE ON AWARDS MEMBER

We hereby certify to the correctness of the foregoing abstract of canvass

ISMAEL M. RABUZA JR. RON MARK B. PAJARON

BAC CHAIRMAN BAC Co-Chairman

LOUIE JAY B. BELASON ANGEL MAE R. LORILLA

BAC Secretary BAC Member

LOUISE CLARK B. FUENTES

BAC Member

Approved by:

CHRISTOPHER KEN L. MENDOZA

SK Chairperson
 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDRO
Zone 3, San Isidro, Naga City, 4400

INSPECTION AND City/Municipality: NAGA CITY

Province: CAMARINES SUR
ACCEPTANCE REPORT Tel. No.:
Supplier: Invoice No.: IAR No.: Date:
PO No.: Invoice Date: RIS No.: Date:

Quantity Description Unit

INSPECTION ACCEPTANCE
Date Inspected: Date Received:
Inspected, verified and found OK Complete
as to quantity and specifications
Partial (Pls. Specify quantity received)

ANTONY M. ESTEVA
Authorized Inspector SK Treasurer
 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDRO
Zone 3, San Isidro, Naga City, 4400

City/Municipality: NAGA CITY

INVENTORY CUSTODIAN SLIP Province: CAMARINES SUR
ICS No.:

Quantity Unit Description Estimated Useful Life

Received by: Issued by:

Signature over Printed Name Signature over Printed Name

Position/Office Position/Office

Date Date
 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDRO
Zone 3, San Isidro, Naga City, 4400

REPORT OF WASTE MATERIALS

RECORD OF SALES
QUANTITY UNIT DESCRIPTION
O.R. No. Amount

MARK CHRISTIAN S. CANO

Supply Officer

1st INDORSEMENT

Respectfully forwarded to the office of the Property Inspector for inspection.

CHRISTOPHER KEN L. MENDOZA

Head of Office

CERTIFICATION OF INSPECTION

I HEREBY CERTIFY that this property was disposed of as follows:

Items _________________/__________________ Destroyed

Items ___________________________________ Sold at Public Auction
Items ___________________________________ Sold at Private Sale
Items ___________________________________ Transferred w/out cost to

Continued in service
Items ________________________________________

CHRISTOPHER KEN L. MENDOZA

Property Inspector

Witness to disposition:

ANTONY M. ESTEVA
SK Treasurer
 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDRO
Zone 3, Kayangga St., Balatas, Naga City, 4400

TO WHOM IT MAY CONCERN

I here by certify that the Repair and replacement of Parts of Mini dumptruck
which repairs were made is theproperty of Barangay Balatas , Naga City that repair were
necessary on the account of FAIR, WEAR & TEAR. That due care and diligence were
exercised in the use and handling of the same and that the repair ware not necessitated by
reason of carelessness and neglect on the part of any officer or employee of Barangay
Balatas, Naga City.

JOSEPH S. IBASCO, JR.

SK Chairperson
 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDRO
Zone 3, San Isidro, Naga City, 4400

PRE-REPAIR INSPECTION REPORT

DESCRIPTION OF THE PROPERTY
TYPE: Brand/Model:
Plate No.: Plate/Serial/Engine No.:
Property No.:
Job Order No.: Date of Repair:
Accredied Repair Shop:
FINDINGS

NATURE AND SCOPE OF WORK DONE PARTS SUPPLIED/REPLACED

Qty Unit Description Amount Qty Unit Description Amount

INSPECTED BY:

Property Inspector/ Date ICU Representative/ Date

 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDRO
Zone 3, San Isidro, Naga City, 4400

POST-REPAIR INSPECTION REPORT

DESCRIPTION OF THE PROPERTY
TYPE: Brand/Model:
Plate No.: Plate/Serial/Engine No.:
Property No.:
Job Order No.: Date of Repair:
Accredied Repair Shop:
FINDINGS

NATURE AND SCOPE OF WORK DONE PARTS SUPPLIED/REPLACED

Qty Unit Description Amount Qty Unit Description Amount

INSPECTED BY:

Property Inspector/ Date ICU Representative/ Date

 Republic of the Philippines
City of Naga
OFFICE OF THE SANGGUNIANG KABATAAN OF BARANGAY SAN ISIDR
Zone 3, San Isidro, Naga City, 4400

PROGRAM OF WORKS
s

BARANGAY SAN ISIDRO

4400

ORKS