BIR Form No.

Republika ng Pilipinas
Certificate of Creditable Tax
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Withheld At Source 2307
March 2003 (ENCS)

1 For the Period

From 10 01 19 To 10 31 (MM/DD/YY) ###

Part I Payee Information19
2 Taxpayer
Identification Number 247 220 837 006

3 Payee's Name CONVERGE

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address Zip Code Zip Code
TARLAC CITY 2300
5 Foreign Address Zip Code Zip Code

Payor Information
6 Taxpayer
Identification Number 000 863 958 366

7 Payor's Name DEPED TARLAC CITY SCHOOLS DIVISION

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address Zip Code Zip Code
JUAN LUNA STREET, TARLAC CITY 2300

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Tax 2% - ###

Total
Money Payments Subject to Withholding
of Business Tax (Government & Private)
₱ 2,000.00 ₱ 35.71

Total 35.71###
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct,
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
ROGELIO G. SANTOS, JR. 10 PRINCIPAL I
Payor/Payor's Authorized Representative Title/Position of Signatory
(Signature Over Printed Name)
Conforme:

Payee/Payee's Authorized Representative Date Signed

 PURCHASE REQUEST
Department of Education, Tarlac City Schools Division
Department: DepEd Division Agency
Section: SAN FRANCISCO ELEMENTARY SCHOOL

Item. No. Item/ Description Unit Qty. Unit Cost Total Cost
1 FOLDER WITH TAB,LEGAL RM 1 ₱ 321.36 321.36
2 BROOM PACK 20 ₱ 136.24 2,724.80
3 RAGS PC 6 ₱ 53.82 322.92
4 TOILET TISSUE PAPER BNDL 3 ₱ 85.80 257.40
5 FASTENER PACK 2 ₱ 83.41 166.82
6 SCOURING PAD BOX 6 ₱ 107.12 642.72
7 INSECTICIDE PACK 3 ₱ 139.36 418.08
8 AIR FRESHENER CAN 3 ₱ 86.06 258.18
9 STAPLER CAN 17 ₱ 155.48 2,643.16
10
11
12
13
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
26 -
27 - - - - -
28 - - - - -
29 - - - - -
30 - - - - -
31 - - - - -
32 - - - - -
33 - - - - -
34 - - - - -
35 - - - - -
36 - - - - -
37 - - - - -
38 - - - - -
39 - - - - -
40 - - - - -
41 - - - - -
42 - - - - -
43 - - - - -
44 - - - - -
45 - - - - -
46 - - - - -
47 - - - - -
48 - - - - -
49 - - - - -
50 - - - - -
51 - - - - -
52 - - - - -
53 - - - - -
54 - - - - -
55 - - - - -
56 - - - - -
57 - - - - -
58 - - - - -
59 - - - - -
60 - - - - -

TOTAL: ₱ 7,755.44
Signature
Printed Name ROGELIO G. SANTOS, JR.
Designation Principal
Funds Available:
RONEL F. DAGUIO
ADAS-III
 REQUISITION AND ISSUE SLIP
Department of Education, Tarlac City Schools Division
Agency
Division DepED - Tarlac City Division Responsibiity Center Code: RIS No.
Office SAN FRANCISCO ELEMENTARY SCHOOL SAI No.
Requisition Issuance
Stock No. Unit Description Quantity Quantity Remarks
1 Ream Folder with tab, legal 1 1
2 Pack Broom 20 20
3 piece Rags 6 6
4 Bndl Toilet tissue paper 3 3
5 Pck Fastener 2 2
6 Box Scouring pad 6 6
7 Pck Insecticide 3 3
8 Can Air freshener 3 3
9 Can Stapler 17 17
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27 - - -
28 - - -
29 - - -
30 - - -
31 - - -
32 - - -
33 - - -
34 - - -
35 - - -
36 - - -
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38 - - -
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48 - - -
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52 - - -
53 - - -
54 - - -
55 - - -
56 - - -
57 - - -
58 - - -
59 - - -
60 - - -
Purpose:
To be use in : SAN FRANCISCO ELEMENTARY SCHOOL
Requested by: Approved by: Issued by: Received by:
 Requested by: Approved by: Issued by: Received by:

Signature
Printed Name KEVIN D. MANALO ROGELIO G. SANTOS,JR RELY D. ESTEBAN KEVIN D. MANALO
Designation BAC CHAIRMAN Principal Property Custodian BAC CHAIRMAN
Date
 INSPECTION AND ACCEPTANCE REPORT
Department of Education, Tarlac City Schools Division
Agency

Supplier: DepEd Division IAR:

P. O. NO: Invoice No: ______
Requisitioning Office SAN FRANCISCO ELEMENTARY SCHOOL
Item No. Description Unit Quantity
1 FOLDER WITH TAB,LEGAL RM 1
2 BROOM PACK 20
3 Asturias
RAGS ES. School PC 6
4 TOILET TISSUE PAPER BNDL 3
5 FASTENER PACK 2
6 SCOURING PAD BOX 6
7 INSECTICIDE PACK 3
8 AIR FRESHENER CAN 3
9 STAPLER CAN 17
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27 - - -
28 - - -
29 - - -
30 - - -
31 - - -
32 - - -
33 - - -
34 - - -
35 - - -
36 - - -
37 - - -
38 - - -
39 - - -
40 - - -
41 - - -
42 - - -
43 - - -
44 - - -
45 - - -
46 - - -
47 - - -
48 - - -
49 - - -
50 - - -
51 - - -
52 - - -
53 - - -
54 - - -
55 - - -
56 - - -
57 - - -
58 - - -
59 - - -
60 - -
INSPECTION ACCEPTANCE
Date Inspected: Date Received:
Inspected, verified and found in order as to Complete
quantity and specifications.
Partial (Pls. specify)

ANGELA KARMA CUNANAN RELY D. ESTEBAN

Inspection Member Property Custodian
 PURCHASE ORDER
Department of Education, Tarlac City Schools Division
Agency
Supplier: P.O. No:
Address: Date:
TIN: Mode of Procurement:
Gentlemen: Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of delivery SAN FRANCISCO ELEMENTARY SCHOOL Delivery term:
Date of delivery: Payment term:
Item. No. Item/ Description Unit Qty. Unit Cost Total Cost
1 a4 bond paper ream 10.00 190.00 1,900.00
2 form 48 pads 6.00 60.00 360.00
3 form 49
4 form 50
5 form 51
6 form 52
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27 - - - - -
28 - - - - -
29 - - - - -
30 - - - - -
31 - - - - -
32 - - - - -
33 - - - - -
34 - - - - -
35 - - - - -
36 - - - - -
37 - - - - -
38 - - - - -
39 - - - - -
40 - - - - -
41 - - - - -
42 - - - - -
43 - - - - -
44 - - - - -
45 - - - - -
46 - - - - -
47 - - - - -
48 - - - - -
49 - - - - -
50 - - - - -
51 - - - - -
52 - - - - -
53 - - - - -
54 - - - - -
55 - - - - -
56 - - - - -
57 - - - - -
58 - - - - -
59 - - - - -
60 - - - - -
Total ₱1,900.00
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.
 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.
Very truly yours,
Conforme:
Signature over Printed Name of Supplier DANILO D. CASINO
Date School Head
_________________________
 BIR Form No.
Certificate of Final Tax
2306
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas Withheld At Source September 2005 (ENCS)
1 For the Period
1/7/2019 07/31/2019
From (MM/DD/YY) To (MM/DD/YY)
Income
Part
Recipient/Payee
I Information Withholding Agent/Payor Information
2 TIN 3 TIN
863 958 366 000

4 Payee's Name (For Non-Individuals ) 5 Payor's Name (For Non- Individuals)

EDDIE BOY DIGITAL PHOTO STUDIO DEPED TARLAC CITY DIVISION

6 Payee's Name (Last Name, First Name, Middle Name) For Individua7 Payor's Name (Last Name, First Name, Middle Name) For Individuals

8 Registered Address 9 Registered Address

TARLAC CITY JUAN LUNA ST. STO CRISTO, TARLAC CITY

8A Zip 2300 9A Zip 2300

Code Code
10 Foreign Address 10A Zip Code 10B ICR No. (For Alien Income Recipient Only)

Payment and
Part
TaxII Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld
TAX MATERIALS AT 3 Php 21,000.00 Php 630.00

Total Php 630.00

We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by us, and to the best of our knowledge and belief, is true and
correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
ROGELIO G. SANTOS, JR.
Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
Signature Over Printed Name

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

CONFORME:

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
Signature Over Printed Name
 Tax Agent Accreditation No./Attorney's Roll No. (if applicable)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information
herein stated are reported under BIR Form No. 1600 which
have been filed with the Bureau of Internal Revenue.
ROGELIO G. SANTOS, JR.
Payor/Payor's Authorized Representative/Accredited Tax Agent
Signature Over Printed Name
TIN of Signatory Title/Position of Signatory
Tax Agent Accreditation No./Attorney's Roll No. (if applicable)
Date of Issuance Date of Expiry
Date of Issuance Date of Expiry
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage
Tax/Value Added Tax Returns (BIR Form 2551M/2550M/Q), since I have only one payor from
whom I earn my income; that, in accordance with RR 14-2003, I have availed of the Optional
Registration under the 3% Final Percentage Tax Wthholding/10% Final VAT Withholding in lieu
of the 3% Percentage Tax/10% VAT in order to be entitled to the privileges accorded by the
Substituted Percentage Tax Return/Substituted VAT Return System prescribed in the aforesaid
Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3%
Final Percentage Tax/10% Final VAT from my sale of goods and/or services.
Payee/Payee's Authorized Representative/Accredited Tax Agent Title/Position of Signatory
Signature Over Printed Name
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) TIN of Signatory
Date of Issuance Date of Expiry