Template MOOE
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7/25/2019 Template MOOE
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Republic of the PhilippinesDepartment of Education
Region VIIIDivision of Northern Samar
Catarman I DistrictLIBER! ELE"EN#R! SC$%%L
INSPECTION AND ACCEPTANCEProvince&Cit'&"unicipalit' of Catarman
Supplier(((((((((((((((((((((((( #R No) ((((((((((((((((((((( P% No)(((((((((((((((((((((((((Date*((((((((((((((((Invoice*((((((((((( Re+uesting %,ce&Dept)* DepEd Division of Northern Samar
ItemNo)
-nit DESCRIPI%N .uantit'
INSPECI%NDate Inspected* (((((((((((((((((((( / 0Inspected1 veri2ed and found %3 #s to +uantit' and speci2cation
((((((((((((((((((((((((((((((( Inspector
#CCEP#NCEDate Received * (((((((((((((((((((((((( / 0 Complete/ 0 Partial
(((((((((((((((((((((((((((( Propert' Custodian
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Republic of the PhilippinesDepartment of Education
Region VIIIDivision of Northern Samar
Catarman I DistrictLIBER! ELE"EN#R! SC$%%L
# C 3 N % L E D " E N R E C E I P
% $%" I "#! C%NCERN*
Received from ROSELLER C. DEMOLAR1 $ead eacher of Libert' Elementar'School1 the amount of Php(((((((((((((((((((((((((((((((((((((((((
Pa'ment for* ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((
Purpose* ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((
((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((( Pa'ee
itness*
((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((( Propert' Custodian&eachers Club %rg) #uditor
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of Northern Samar
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Catarman I DistrictLIBER! ELE"EN#R! SC$%%L
PURCHASE REQUESTPurchase Re+uest No)(((((( Date*
(((((((((((((((((((
Stoc4 No)
-nit Item Description .uantit'
-nit Cost otal
Php Php
%#L Php
Purpose*
Re+uested b'* #pproved b'*
Signature*
Printed Name* ROSELLER C. DEMOLAR
Designation* $ead eacher II
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of Northern Samar
Catarman I DistrictLIBER! ELE"EN#R! SC$%%L
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REQUISITION AND ISSUE SLIP
Division*
Northern Samar Responsibilit'Center*
RISNo)*
School*
Libert' ES1 Paticua ES1 SanPascual ES
Code* Date*
S#I No)((((((((((((((((((((((((((((((( Date(((((((((((((((((((((((((((
S%C3
N%)
-NI DESCRIPI%N .-#NI !
RE"#R3 S
RECEIVED(SIGNATURE OVPRINTTED NAM
Purpose*
REQUESTED BY: APPROVED BY: RECEIVED BY:
SIN#-RE*
N#"E* ROSELLER C. DEMOLAR
DESIN#I%N* $ead eacher II
D#E*
Ofcial Rci!" Purchase Re+uest Re+uisition and Issue Slip Inspection and #cceptance Notice of Bidders 7 S%RES #c4no6ledgement Receipt pictorials
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C#$"%ac" #& S%'ic $ i$ "%*+ "# *a"%ial+ Contract of Service Pa'roll Billing Statement #c4no6ledgement Receipt Purchase Re+uest Re+uisition and Issue Slip Inspection and #cceptance Notice of Bidders 7 PERS%NS #c4no6ledgement Receipt Certi2cation pictorials
C#$"%ac" #& S%'ic La,#% Contract of Service Pa'roll Billing Statement #c4no6ledgement Receipt Pictorials $EN $ILE #=ER
RER Ma"%ial+ Bl# -///.// Billing Statement #c4no6ledgement Receipt Purchase Re+uest Re+uisition and Issue Slip Inspection and #cceptance Notice of Bidders #c4no6ledgement Receipt Certi2cation pictorials
RER S%'ic+ Billing Statement #c4no6ledgement Receipt pictorials
0#, C#$"%ac" (0a$i"#%ial S%'ic+) #pproved ob Contract b' SDS months Pa'roll DR