Region X
Division of Bukidnon
QUEZON II - DISTRICT Date: April 1, 2015
TOTAL 575.94
1. I HEREBY CERTIFY that this report covers all sales, etc. for the period S.Y. 2014-2015. The amount
( ____________Five hundred seventy five _and 94/100_________) (Php 575.94) covering the sales for the
period will be deposited with the District Supervisor noot later than 6th day of the May 2015. The book,
etc. listed under column "QUANTITY: No. of Books Looses after physical checking and inventory.
MERLINDA B. BUNO
PSDS
Department of Education
Region X
Division of Bukidnon
Quezon II and III District
5/22/2018
UNIT PRICE
30.00
283.00
265.00
80.00
1,560.00
1,615.00
1,750.00
28.00
192.00
18.50
12.45
33.00
1,325.00
80.00
33.00
9.00
35.00
1,060.00
1,175.00
22.00
26.00
55.00
562.00
−
−
31.65
64.90
79.80
15.50
17.55
15.55
15.50
17.55
15.85
15.85
19.60
36.45
34.50
−
−
−
−
2,670.00
167.00
191.00
695.00
1,307.00
−
3,298.00
140.50
160.00
126.50
138.00
149.00
79.00
97.00
96.00
145.00
150.00
150.00
75.00
80.00
550.00
1,275.35
61.08
204.90
204.90
153.00
153.00
153.00
153.00
99.00
246.00
246.00
108.50
3,351.00
360.00
1,465.00
1,480.00
850.00
480.00
1,250.00
1,995.00
1,195.00
1,250.00
90.00
195.00
150.00
168.00
5,390.00
7,788.00
4,000.00
2,284.00
1,449.00
750.00
997.50
997.50
750.00
21,654.96
750.00
495.00
499.16
499.16
499.16
499.16
499.16
499.16
1,248.75
1,248.75
1,995.00
1,248.78
480.00
3,995.00
160.00
680.00
147.00
1,800.00
84.50
180.00
902.29
168.00
300.00
350.00
635.00
1,075.00
1,075.50
481.45
675.00
61.10
64.35
77.35
1,160.00
805.00
71.47
71.96
150.00
140.00
715.00
1,495.00
84.00
42.00
550.00
72.00
96.00
107.00
118.00
150.00
75.00
60.00
230.00
140.00
82.00
152.00
73.90
70.12
34.35
81.40
80.00
72.00
55.50
754.00
55.50
51.00
28.50
180.00
3,907.75
79.20
89.30
250.00
300.00
150.00
120.00
87.20
94.90
150.00
65.80
61.30
61.30
51.00
75.00
64.00
78.00
61.00
86.75
61.30
86.75
75.30
93.50
61.30
86.75
61.30
86.75
61.30
86.75
65.80
86.75
70.45
70.45
93.60
89.85
100.40
94.70
107.55
55,000.00
39,990.00
14,595.00
6,560.00
2,100.00
10,000.00
6,400.00
33.50
86.75
93.60
51.00
75.00
64.00
78.00
51.00
75.00
64.00
78.00
51.00
75.00
51.00
75.00
82.60
82.60
102.00
100.40
1,294.30
94.90
107.55
89.85
100.40
75.30
93.60
75.30
66.25
65.80
86.75
154.75
74.90
267.45
67.10
64.45
122.80
159.00
188.85
77.75
66.25
75.30
93.60
75.30
93.60
70.45
66.25
11,600.00
1,535.00
1,530.00
1,495.00
1,485.00
1,455.00
1,415.00
1,415.00
1,415.00
1,415.00
1,440.00
450.00
3,850.00
3,850.00
164.35
149.70
153.00
188.85
85.00
70.45
100.40
92.30
82.60
103.83
77.75
77.75
100.40
82.60
82.60
100.40
70.45
70.45
93.60
77.75
70.40
100.40
185.70
185.70
70.45
70.45
93.60
94.70
89.85
107.55
158.15
158.15
143.20
166.35
82.60
90.15
89.85
100.40
94.70
107.55
198.25
199.08
4,580.00
495.00
19,500.00
44.00
73.88
26.69
21.38
46.49
36.53
30.25
26.43
30.37
27.16
35.95
30.49
43.98
42.88
52.10
51.97
41.13
48.73
41.73
48.79
45.08
38.94
37.33
35.82
35.71
68.36
37.24
37.14
78.54
38.68
44.85
48.92
45.36
49.72
38.98
52.11
44.56
47.23
54.52
48.39
37.52
46.59
34.47
48.23
35.13
35.74
25.26
24.54
41.84
38.66
50.93
52.11
41.20
49.72
38.98
52.11
44.56
30.41
30.08
48.92
30.25
30.37
35.95
38.90
17,537.00
450.00
450.00
450.00
450.00
520.00
520.00
9,360.00
122.00
148.90
166.11
74.90
68.75
277.10
231.05
255.10
1,195.00
230.00
230.10
230.10
230.10
19,500.00
34.95
38.86
45.10
41.98
43.04
39.81
37.47
47.45
47.45
34.90
33.36
30.19
50.93
40.34
48.18
45.61
41.35
52.92
45.89
50.93
49.34
31.80
41.48
49.13
41.04
47.29
30.97
41.27
35.49
40.03
40.03
40.34
38.67
37.72
46.96
35.43
33.37
30.37
129.80
66.00
30.00
161.20
152.20
152.20
179.50
189.75
189.75
107.40
123.60
136.30
118.00
45,000.00
66.16
70.37
110.00
115.00
112.50
185.00
185.00
205.00
2,980.00
198.00
2,980.00
201.00
2,980.00
205.00
2,980.00
3,995.00
1,320.00
3,995.00
1,320.00
3,995.00
3,995.00
185.00
185.00
7,800.00
14,600.00
unit 21'', 1 unit Panasonic DVD Player, 108 CD tapes
45.59
27.28
43.61
27.32
42.35
32.70
42.43
32.56
49.45
39.72
255.00
270.00
250.00
240.00
235.00
12,000.00
150.00
2,995.00
2,995.00
2,995.00
2,995.00
1,495.00
5,000.00
5,000.00
5,000.00
5,000.00
19,200.00
94.95
109.95
119. 95
149.95
33.84
33.34
38.82
35.29
37.00
31.75
36.51
27.39
23.39
32.57
30.23
29.38
34.82
31.38
31.38
37.12
49.21
53.75
62.09
64.86
64.86
56.47
58.43
56.47
53.50
64.86
62.09
64.60
64.86
64.86
64.83
70.85
53.75
68.75
68.75
72.40
56.00
54.76
60.00
51.84
59.28
42.63
240.00
240.00
240.00
2,995.00
41.49
32.93
34,500.00
13,500.00
17,350.00
10,800.00
195.00
5,000.00
1,884.00
368.50
369.70
290.00
477.35
477.35
525.00
451.00
195.00
6,500.00
9,900.00
9,900.00
195.00
1,884.00
5,000.00
399.50
441.50
401. 70
499.96
420.00
458.40
19,800.00
2,995.00
2,995.00
2,995.00
2,995.00
2,995.00
2,995.00
280.00
280.00
280.00
399.50
441.50
401.70
499.96
420.40
458.40
278.00
305.25
596.30
134.75
4,774.00
1,884.30
4,500.00
366.00
390.25
387.50
398.50
398.50
692.25
168.50
39.42
39.42
33.77
34.16
29.91
26.41
41.25
37.59
35.98
29.74
45.70
44.30
39.55
45.33
29.46
44.36
27.73
47.67
27.98
47.79
30.64
35.90
35.90
30.91
33.10
33.10
43.40
43.40
36.27
39.42
39.42
39.40
45.00
43.60
44.05
29.17
29.17
53.20
48.45
34.50
29.34
30.61
34.41
36.10
37.79
48.78
57.02
57.02
57.02
57.02
57.02
876.42
507.13
236.90
348.15
317.18
40.64
36.04
25.12
41.16
33.00
36.68
30.75
41.16
30.75
36.68
33.00
26.30
41.69
22.50
8.88
17.30
31.42
36.54
28.61
19.24
28.28
25.32
22.08
37.45
40.67
46.16
23.39
37.35
32.93
27.78
47.22
29.49
44.65
22.68
23.17
1,588.90
102.70
0.47
298.80
108.10
108.30
346.88
1,588.90
1,745.00
33.01
23.18
33.01
23.18
33.01
23.18
23.18
23.18
23.18
14.48
31.54
25.84
27.52
27.91
18.18
25.83
31.43
48.7
44.28
33.29
53.26
28.35
13.34
30.33
25.54
27.08
31.08
22.08
35.68
17.1
22.52
11.26
21.44
14.65
ically checked the properly listed herein ___________________
ict of Quezon II covered by valid receipts. I personally
e purchased or account for them when requested by
under the charge of teachers and other employees
es responsible to me , I am thereby accepting full
.
Department of Education
Region X
Division of Bukidnon
Quezon II District
physically checked the properly listed herein ___________________ pages and that the
overed by valid receipts. I personally assume money responsibility for this property to
higher authorities. I know that in accepting receipt under the charge of teachers and
by accepting full responsibility for all property therein and I am liable for all shortages
asiring in the future.
LYDIA B. JUBAN, Ph. D.
PSDS
1-Apr-16
1-Apr-16
1-Apr-16
Prepared by:
Disposal Approved:
CHARYL DEE P. GINETE
District Property Custodian JESNAR DEMS S. TORRES, Ph. D.
Schools Division Superintendent- OIC
Certified Correct:
m___________ Donated
________ Sold at Private Sale
_______ Sold at Public Auction
_____ Transferred without cost to
I hereby request inspection and disposition I Certify that I have inspected each and every I certify that I have witnessed the disposition
pursuant to section 79 PD1445, of the property article enumerated in this report and that the of the articles enumerated on this report this day
enumerated above. disposition made thereof was, in my judgement the day of May 2, 2015
best for the public interest.
Requested by: Request for Inspection Approved by:
CHARYL DEE P. GINETE LYDIA B. JUBAN, Ph. D. RENIE YHANZY MAGTULIS MERLINDA L. APOLINARES
Property Custodian Public Schools District Supervisor PTA President. Member, Disposal Committee
Department of Education
Region X
Division of Bukidnon
Quezon II District
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
Name of Recipients :
Prepared by:
Teacher
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
Name of Recipients :
Prepared by:
Teacher
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
Name of Recipients :
Prepared by:
GENALYN DACULIS
Teacher
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
Name of Recipients :
Prepared by:
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
Name of Recipients :
Prepared by:
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
1 30 English Expressways 1 TX
Name of Recipients :
Prepared by:
Teacher
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
Name of Recipients :
Prepared by:
Teacher
Acknowledgement of Donation
Quezon II District donates the following unserviceable textboos/ manuals
but still usuable as reference materials for school reading Center to (name of Teacher)__
for barangay ______________ Quezon,Bukidnon this 25th day of March 2016.
Name of Recipients :
Prepared by:
Teacher
29,760,000.00
Department of Education
Region X
Division of Bukidnon
QUEZON II DISTRICT
# of No. of # of Floor
Building
Classroom Teachers Pupils Area
1.SALAWAGAN ES
Army Type( office) 1 0
Mini Fortich 2 2 65
BLSB 1 13 12 378
Chinese Building 2 2 66
NALGU 1 2 2 62
NALGU 2 1 1 35
NALGU 3 2 1 36
ESF 3 3 32
BLSB 2 3 3 188
BLSB 3 3 3 208
Marcos Type 3 1 28
Home Economics Bldg. 1
LSB 1 1 1 46
DPWH 1 1 34
LSB 2 1
Steel Tek 1 1 34
Academic Building 1 1 45
Academic Building 1 1 33
2. LAGILIS ES
Academic 1 1 28
Academic 2 1 85
Academic 2 2 109
Multi Purpose
School Office
Stage
3. MALAOMAO ES
NALGU 1 1 38
NALGU 2 2 77
BLSB 2 2 112
PTA Bldg. 2 2 43
4. PAG-ASA ES
Academic 2 1 56
Academic 1 1 54
Academic 1 1 54
Academic 1 1 70
Academic 2 1 40
Academic 1 1 37
Academic 1 1 42
5. MIBANTANG ES
Marcos Pre-Fab 3 3 115
DPWH 1 1 33
NALGU 1 1 33
LSB 3 3 130
BLSB 4 3 132
NALGU 1
6. BAGONG LIPUNAN ES
BLSB 2 1 45
PTA Bldg. 2 2 52
7. LINABO ES
PTA Bldg.
LSB
NALGU 3 3 100
NALGU 3 3 107
8. DELAPA ES
NALGU 7 7 307
NALGU 5 5 223
NALGU 1 1 32
LSB 1 1 30
STEEL TEK 1 1 47
SCHOOL OFFICE 1
Shared CRs
9. CAWAYAN ES
PTA Bldg. (cottage)
Academic 1 1 49
Academic 1 1 31
Academic 1 1 41
Academic 1 1 36
Academic 1 1 49
PTA Bldg. (cottage)
10. STA. FELOMINA ES
Academic 6 3 97
11. MENONGAN ES
LSB Academic 3 2 70
LSB Academic 1 1 35
LSB Academic 1 1 34
Steel Tek, Academic 1 1 54
Steel Tek, Academic 1 1 44
Multi- Purpose
Stage
National Academic 3 3 137
LSB Academic 1 1 49
12. KIBURIAO ES
Mini Fortich
Army Type( office)
Marcos Type ( 3 rooms) 3 3 153
PTA Bldg. 1 1 33
BLSB 1 1 35
BLSB 1 1 36
BLSB 1 1 33
BLSB (shop)
PTA (HE)
PTA
NALGU
PSB
FAC
13. MINSAMONGAN ES
BLSB
Stage
CLAF
PTA
Toilet
FAC
14. STA. CRUZ ES
Army Type 2 2 58
BLSB 3 3 95
BLSB 3 3 103
BLSB 3 3 122
LSB 1 1 45
Home Economics Bldg. 1
LSB (office)
15. CEBOLE ES
Pre-Fab 3 3 110
NALGU 1 1 34
PTA 1 1 31
Steel Tek 2 2 59
16. PINILAYAN ES
MPFB- Academic 1 1 38
BLSB- Academic 1 1 45
LSBB- Academic 1 1 46
LCLC- Pre Fab 1 1 49
Steel Tek 1 1 19
LSB 1 1 38
17. PUNTIAN ES
Academic 19 14 488
Muti-Purpose
NALGU 1
LSB 1
Steel Tek 1
School Office
18. KIPOLOT ES
Academic
Academic
Academic
Academic
Academic
Academic
19. PALACAPAO ES
Academic (PTA) 1 1 49
Academic (BLSB) 3 3 120
Academic 3 3 119
Academic 2 1 53
Steel Tek
20. GAMOT ES
Academic 5 5 197
21. LIPA ES
Academic 1 1 28
Academic 2 1 85
Academic 2 2 109
Multi Purpose
School Office
Stage
Department of Education
Region X
Division of Bukidnon
QUEZON II DISTRICT
6. BAGONG LIPUNAN ES
Children's Desk 12
Chalk Board2 6
Teacher's table 3
Teacher's chair 3
Book Shelves 2
Arm Chair 30
7. LINABO ES
Arm Chair 20
Desk 52
Chalk Board 4
Book shelf 1
Teachers' chair 4
Teachers' table 4
8. DELAPA ES
Teacher Tables 15 2 needs repair
Teacher's chair 10
Pupils Chair wood 74
Pupils Chair plastic 38
Book Shelf 1
Desk 91
Arm Chair 206
Black board 18
9. CAWAYAN ES
Chalk board 6
Pupils' Desk 74 46 needs repair
Wooden Chair 3
10. STA. FELOMINA ES
Academic 6
11. MENONGAN ES
chairs 128
tables 54
cabinet 6
teachers' table 8
Chalk board 5
Arm Chair 45
Monoblock chairs 4
book shelves 4
Teachers' chair 2
Desk 20
12. KIBURIAO ES
13. MINSAMONGAN ES
16. LIPA ES
17. PINILAYAN ES
18. PUNTIAN ES
chairs 279
Monoblock chairs 2
Teachers' table 4 5 1
Teachers' chair 1 5
Desk 56 22 needs repair
Pupils' table 110
Wooden Chair 2 2
Chalk board 8 8
cabinet 3 12
Book shelves 9
Bulletin board 4
Plastic chair (kinder) 70
Arm Chair 88
TV 2
DVD 1
19. KIPOLOT ES
20. PALACAPAO ES
21. GAMOT ES
22. LIPA ES
Department of Education
Region X
Division of Bukidnon
QUEZON II DISTRICT
LOST R
S.Y. ____2
Name of School Name of Teacher Book Title
Linabo ES Ronelyn Eves Kasaysayang Pilipino 5
Salawagan ES Apolinares English Expressways 1
Cantago Pagdiriwang sa Wikang Pilipino
Sulpot ESP: Sinugbuanong Binisaya 2
Math For Everyday Use 2
Salan Landas sa Wika at Pagbasa 1
Kiburiao ES Erlinda Y. Postrano Landas sa Wika at Pagbasa 6
Dilapa ES Maribeth A. Sulit Landas sa Wika at Pagbasa 1
Matapat na Pilipino 1
Nida S. Hiponia Growing with Science and Health
Presila V. Porras Hiyas sa Wika 4
Razel N. Mariquit Ang Bagong Batang Pinoy 2
Pagdiriwang sa Wikang Pilipino
Meliza G. Ariate Ang Bagong Batang Pinoy 2
Let's Begin Reading in English
Pagdiriwang sa Wikang Pilipino
Department of Education
Region X
Division of Bukidnon
District of Quezon II
LOST REPORT
S.Y. ____2014-2015__
Book Title Quantity No. of Years Unit Price
Kasaysayang Pilipino 5 2 4 9.56
English Expressways 1 1 3 14.39
Pagdiriwang sa Wikang Pilipino 2 2 3 13.51
ESP: Sinugbuanong Binisaya 2 1 1 24.60
Math For Everyday Use 2 7 3 13.24
Landas sa Wika at Pagbasa 1 4 3 14.39
Landas sa Wika at Pagbasa 6 1 3 17.36
Landas sa Wika at Pagbasa 1 5 4 14.36
Matapat na Pilipino 1 7 3 18.13
Growing with Science and Health 3 5 3 16.5
Hiyas sa Wika 4 3 3 16.98
Ang Bagong Batang Pinoy 2 5 2 24.41
Pagdiriwang sa Wikang Pilipino 2 1 3 13.5
Ang Bagong Batang Pinoy 2 1 2 24.41
Let's Begin Reading in English 2 1 32.93
Pagdiriwang sa Wikang Pilipino 2 2 3 13.5
Unit Price Total
9.56 19.12
14.39 14.39
13.51 27.02
24.60 24.60
13.24 92.68 117.28
14.39 57.56
17.36 17.36
14.36 #REF!
18.13 #REF! #REF!
16.5 71.8
16.98 126.91 198.71
24.41 82.5
13.5 50.94
24.41 122.05
32.93 13.5 135.55
13.5 24.41
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________
CERTIFICATION
ce in the amount of One hundred twenty two and64/100 pesos only Remittance in the amount of One hundred
s received on____________________________________. (P122.64) as received on_________________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________ OR Number__________________
CERTIFICATION
mittance in the amount of Ninety two and 54/100 pesos only. Remittance in the amount of Ninety
received on____________________________________. (P92.54) as received on_________________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________ OR Number__________________
CERTIFICATION
Remittance in the amount of Forty six and 87/100 Remittance in the amount of
received on____________________________________. (P46.87) as received on_________________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________ OR Number__________________
CERTIFICATION
mittance in the amount of Eighty three and 73/100 pesos only Remittance in the amount of Eighty t
received on____________________________________. (P 83.73) as received on_________________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________
CERTIFICATION
Remittance in the amount of One hundred nineteen and 38/100 pesos only
(P 119.38) as received on____________________________________.
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________ OR Number__________________
CERTIFICATION
OR Number_____________________________
CERTIFICATION
e in the amount of One hundred twenty two and64/100 pesos only Remittance in the amount of One hun
eceived on____________________________________. (P122.64) as received on_____________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
R Number_____________________________
CERTIFICATION
ittance in the amount of Ninety two and 54/100 pesos only. Remittance in the amount of N
eceived on____________________________________. (P92.54) as received on______________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
R Number_____________________________ OR Number______________
CERTIFICATION
Remittance in the amount of Forty six and 87/100 Remittance in the amou
eceived on____________________________________. (P46.87) as received on______________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
R Number_____________________________ OR Number______________
CERTIFICATION
ittance in the amount of Eighty three and 73/100 pesos only Remittance in the amount of Eig
eceived on____________________________________. (P 83.73) as received on_____________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________
CERTIFICATION
Remittance in the amount of One hundred nineteen and 38/100 pesos only
(P 119.38) as received on____________________________________.
Department of Education
Region X
Division of Bukidnon
District of Quezon II
R Number_____________________________ OR Number______________
CERTIFICATION
OR Number_____________________________
CERTIFICATION
e in the amount of One hundred twenty two and64/100 pesos only Remittance in the amount of One hund
received on____________________________________. (P122.64) as received on______________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________ OR Number_______________
CERTIFICATION
mittance in the amount of Ninety two and 54/100 pesos only. Remittance in the amount of Nin
received on____________________________________. (P92.54) as received on______________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
R Number_____________________________ OR Number_______________
CERTIFICATION
Remittance in the amount of Forty six and 87/100 Remittance in the amoun
received on____________________________________. (P46.87) as received on______________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
R Number_____________________________ OR Number_______________
CERTIFICATION
mittance in the amount of Eighty three and 73/100 pesos only Remittance in the amount of Eigh
received on____________________________________. (P 83.73) as received on______________
Department of Education
Region X
Division of Bukidnon
District of Quezon II
OR Number_____________________________
CERTIFICATION
Remittance in the amount of One hundred nineteen and 38/100 pesos only
(P 119.38) as received on____________________________________.
Department of Education
Region X
Division of Bukidnon
District of Quezon II
R Number_____________________________ OR Number_______________
CERTIFICATION
OR Number_____________________________
CERTIFICATION
R Number_____________________________
CERTIFICATION
TOTAL Php 0
R Number_____________________________
CERTIFICATION
TOTAL Php 0
R Number_____________________________
CERTIFICATION
TOTAL Php 0
OR Number_____________________________
CERTIFICATION
Remittance in the amount of One hundred nineteen and 38/100 pesos only
(P 119.38) as received on____________________________________.
Department of Education
Region X
Division of Bukidnon
District of Quezon II
TOTAL Php 0
R Number_____________________________
CERTIFICATION