MAINTENANCE AND OTHER OPERATING EXPENCES (MOOE)
DIVISION: PANGASINAN II
DISTRICT: SISON
SCHOOL: DON AMADEO PEREZ NHS
LOCATION: BINMECKEG SISON PANGASINAN
SUBJECT: PVC PANEL INSTALLATION
MODE OF PROCUREMENT: THRU MOOE
PLANS AND PROGRAM OF WORK
QUANTITY UNIT DESCRIPTION OF WORK/ PARTICULARS UNIT COST TOTAL COST
15 PCS GK NARRA 10X2.975 PVC PANELS 441 6615
7 PCS GK NARRA END CORNER 179 1253
4 PCS TOX SCREW 29.75 119
60 PCS G SCREW 0.75 45
15 PCS B REVITS 0.45 6.75
8,038.75
Prepared by: Approved:
BRYAN M. DE VERA EDUARDO C. OCAMPO
Property Custodian/Supply Officer PRINCIPAL III
2,813.56
JOB ORDER
DON AMADEO PEREZ NHS
Entity Name
Supplier : HOME IDEAS SUPERSTORE JOB ORDER. No. : 01
Address : ROSARIO, LA UNION Date : _______________________________
TIN : ________________________________________________ Mode of Procurement : _________________
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : ___________________________________ Delivery Term : ________________________
Date of Delivery : ____________________________________ Payment Term : ________________________
Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 PCS GK NARRA 10X2.975 PVC PANELS 15 441 6615
2 PCS GK NARRA END CORNER 7 179 1253
3 PCS TOX SCREW 4 29.75 119
4 PCS G SCREW 60 0.75 45
5 PCS B REVITS 15 0.45 6.75
6 0 0 0 0 0
8,038.75
(Total Amount in Words) Twenty Thousand One Hundred Fifty Five
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for
every day of delay shall be imposed on the undelivered item/s.
Conforme: Very truly yours,
__________________________ SONIA F. MAMARIL,PhD
Signature over Printed Name of Supplier
Signature over Printed Name of Authorized Official
___________________________ Principal III
Date Designation
Fund Cluster : ___________________________________ ORS/BURS No. : ______________________
Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
MAUREEN M. TORRES
Signature over Printed Name of Chief Accountant/Head of
Accounting Division/Unit
153
JOB REQUEST
Entity Name: DON AMADEO PEREZ NHS Fund Cluster:07
Office/Section : _____________ JR No.: ______________ Date: ____________
_________________________ Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 PCS GK NARRA 10X2.975 PV 15 441 6615
2 PCS GK NARRA END CORNER 7 179 1253
3 PCS TOX SCREW 4 29.75 119
4 PCS G SCREW 60 0.75 45
5 PCS B REVITS 15 0.45 6.75
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
8,038.75
Purpose: FOR REWIRING OF THE SERVICE DROP
_______________________________________________________________
_______________________________________________________________
Requested by: Approved by:
Signature :
Printed Name : ABRAHAM R. MULATO SONIA F. MAMARIL
Designation : Property Costudion PRINCIPAL III
151
