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Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

: 101

Amount

: Php640.00

Payee

: HAZRIN D. ALANGCA

Payee Office/Address

: Kidapawan City

Particulars

: To obligate payment of per diem while out to attend the CY 2015


Inter District Sportsfest/Tournament at DPWH Regional Office XII
Koronadal City from December 7-12, 2015

Projects/Office

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )
:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

ERNESTO C. CAMPOSANO
Engineer III
Chief, Construction Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

: 101

Amount

: Php16,420.00

Payee

: NORMA H. MARCELINO

Payee Office/Address

: Kidapawan City

Particulars

: To obligate cash advance while out on official business to attend


the 2nd DPWH Employees Union Convention at Legaspi City

Projects/Office

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )

:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

JENNIFER C. VARIAS
Administrative Officer V
Chief, Administrative Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for tyhe issuance of an Obligation Request for the following:
Fund

: 101

Amount

: Php1,932.50

Payee

: LAND TRANSPORTATION OFFICE

Payee Office/Address

: Kidapawan City

Particulars

: To obligate understated amount of registration fee of service


vehicles (SAB-978 & SCA-640) for CY 2002

Projects/Office

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )

:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

JENNIFER C. VARIAS
Administrative Officer V
Chief, Administrative Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

Amount

: Php3,520.00

Payee

Payee Office/Address

: Kidapawan City

Particulars

: To obligate Cash Advance to participate CY- 2015 Inter-District


Sportsfest/ Tournament & Competition at Regional Office Koronadal
City from December 8 to 12, 2015

Projects/Office

HAZRIN D. ALANGCA

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )
:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

ERNESTO C. CAMPOSANO
Engineer III
Chief, Construction Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

Amount

: Php3,520.00

Payee

Payee Office/Address

: Kidapawan City

Particulars

: To obligate Cash Advance to participate CY- 2015 Inter-District


Sportsfest/ Tournament & Competition at Regional Office Koronadal
City from December 8 to 12, 2015

Projects/Office

JOSE R. GAURAN, JR., MPA, Meng

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )
:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

JOSE R. GAURAN, JR., MPA, Meng


Engineer III
Chief, Planning & Design Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

Amount

: Php3,520.00

Payee

Payee Office/Address

: Kidapawan City

Particulars

: To obligate Cash Advance to participate CY- 2015 Inter-District


Sportsfest/ Tournament & Competition at Regional Office Koronadal
City from December 8 to 12, 2015

Projects/Office

WEALTHO M. MERILLANA

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )
:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

WEALTHO M. MERILLANA
Engineer III
Chief, Quality Assurance Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

Amount

: Php3,520.00

Payee

Payee Office/Address

: Kidapawan City

Particulars

: To obligate Cash Advance to participate CY- 2015 Inter-District


Sportsfest/ Tournament & Competition at Regional Office Koronadal
City from December 8 to 12, 2015

Projects/Office

ERNESTO C. CAMPOSANO

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )
:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

ERNESTO C. CAMPOSANO

Engineer III
Chief, Construction Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

Amount

: Php3,520.00

Payee

: SITTIE

Payee Office/Address

: Kidapawan City

Particulars

: To obligate Cash Advance to participate CY- 2015 Inter-District


Sportsfest/ Tournament & Competition at Regional Office Koronadal
City from December 8 to 12, 2015

Projects/Office

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )
:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

SITTIE AISA M. BOLOTO, CPA


Accountant III
Chief, Financial Management Section

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st District Engineering Office
Lanao, Kidapawan City

MEMORANDUM
FOR

: Budget Officer
Budget Section, FMS

SUBJECT

: OBLIGATION REQUEST

DATE

This is to request for the issuance of an Obligation Request for the following:
Fund

Amount

: Php3,520.00

Payee

: MR. ELPIDIO A. BIROG

Payee Office/Address

: Kidapawan City

Particulars

: To obligate Cash Advance to participate CY- 2015 Inter-District


Sportsfest/ Tournament & Competition at Regional Office Koronadal
City from December 8 to 12, 2015

Projects/Office

Source of Funds/Loan Number (if known)


:
SARO/SAA Number (if known )
:
I certify that the charges appropriation/allotment are necessary, lawful and under my direct supervis
I also certify that the supporting documents are valid, proper and legal. Your attention to this matter would
appreciated.

ELPIDIO A. BIROG
District Engineer

end the CY 2015


gional Office XII

my direct supervision.
o this matter would be

siness to attend

my direct supervision.
o this matter would be

ee of service

my direct supervision.
o this matter would be

5 Inter-District
al Office Koronadal

my direct supervision.
o this matter would be

5 Inter-District
al Office Koronadal

my direct supervision.
o this matter would be

5 Inter-District
al Office Koronadal

my direct supervision.
o this matter would be

5 Inter-District
al Office Koronadal

my direct supervision.
o this matter would be

5 Inter-District
al Office Koronadal

my direct supervision.
o this matter would be

5 Inter-District
al Office Koronadal

my direct supervision.
o this matter would be

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Payee

HAZRIN D. ALANGCA

Address

Kidapawan City

Commercial Check

No.

ADA

Others

TIN/Employee No.

OR/BUR No.
Responsibility Center

Office/Unit/Project:

Code:

EXPLANATION
AMOUNT
To liquidate Cash Advance and payment of per diem while out on official business to participate in the
CY-2015 Inter-District Sportsfest/Tournament and Competition at Regional Office Koronadal City
from December 7-12, 2015, per supporting papers hereto attached in the amount of: - - - - - - - 4,160.00
Less: Cash Advance - - - - - - - - - - (3,520.00)
Supporting papers:
1. Approved Memorandum
2. Itinerary of Travel
3. Appendix B
4. Cert. Of Appearance

NET AMOUNT DUE - - - -

*** SIX HUNDRED FORTY PESOS ONLY***


A. Certified:

Total
B. Approved for Payment:

640.00

Php640.00

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. BOLOTO, CPA


Chief,Financial & Management Section
Head, Accounting Unit/Authorized Representative

Date

Signature
Printed
Name
Position

ELPIDIO A. BIROG
District Engineer
Agency Head/Authorized Represetative

Date

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Prepared by:

Amount

Account
Code

Debit

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

SITTIE AISA M. BOLOTO, CPA

Accountant II

Accocuntant III
Chief, Financial & Management Section

Credit

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Commercial Check

ADA

Others

TIN/Employee No.

NORMA H. MARCELINO

Payee

No.

OR/BUR No.
Responsibility Center

Kidapawan City

Address

Office/Unit/Project:

Code:

EXPLANATION
AMOUNT
To liquidate cash advance while out on official business to attend 2nd DPWH Employees Union
Convention at Legaspi City from February 17-20, 2016, per supporting documents hereto attached in
the amount of: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Php1,544.40
SupSupporting papers:
1. Approved Memorandum
2. Itinerary of Travel
3. Appendix B
4. Cert. Of Appearance
5. e-Plane Ticket
6. Reimb. Expense Receipt (RER)
7. Copy of previous claim

*** ONE THOUSAND FIVE HUNDRED FORTY FOUR PESOS & 40/100***\

Total
B. Approved for Payment:

A. Certified:

1,544.40

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. BOLOTO, CPA


Chief,Financial & Management Section
Head, Accounting Unit/Authorized Representative

Date

Signature
Printed
Name
Position

ELPIDIO A. BIROG
District Engineer
Agency Head/Authorized Represetative

Date

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Prepared by:

Amount

Account
Code

Debit

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

Accountant II

SITTIE AISA M. BOLOTO, CPA


Accocuntant III
Chief, Financial & Management Section

Credit

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Payee

MYLYN M. TAGULOB

Address

Kidapawan City

Commercial Check

No.

ADA

Others

TIN/Employee No.

OR/BUR No.
Responsibility Center

Office/Unit/Project:

Code:

EXPLANATION
AMOUNT
To payment of 113.145 working days Terminal Leave with pay from from June 29, 2013 to
2013 to December 13, 2013, per supporting papers hereto attached in the amount of: - - - - - ###
Supporting documents:
1. Indorsement
2. Approved Application for Leave
3. Computation of Terminal Leave
Money Value
4. Breakdown of leave applied
5. Summary of leave earned
6. Certification of no pending case
7. Clearance from Money and Property
Accountability
8. Certified copies of leave credits
9. Copy of Resignation Letter and Memorandum

***ONE HUNDRED FORTY FIVE THOUSAND THREE HUNDRED NINETY ONE PESOS & 58/100***
A. Certified:
B. Approved for Payment:

145,391.58

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. BOLOTO, CPA


Accountant III, Chief, FMS
Head, Accounting Unit/Authorized Representative

Signature
Printed
Name
Position

MAMINTAL T. TAHA, MPS


OIC- District Engineer
Agency Head/Authorized Represetative

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Prepared by:

Amount

Account
Code

Debit

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA


Accountant II

SITTIE AISA M. BOLOTO, CPA


Accountant III
Chief, Financial & Management Section

Credit

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Commercial Check

ADA

Others

TIN/Employee No.

MERLYN P. BORLAGDAN

Payee

No.

OR/BUR No.
Responsibility Center

LANAO, KIDAPAWAN CITY

Address

Office/Unit/Project:

Code:

EXPLANATION

AMOUNT

To withdraw cash from Account 101-TRUST FUND for payment of BAC Overtime for the
month of December, 2013, in the amount of: - - - - - - - - - - - - - - - - - - - - - - - - - - - ###

6,332.93

PEACHY NATIVIDAD E. CHATTO, ET AL

Total
B. Approved for Payment:

6,332.93

***SIX THOUSAND THREE HUNDRED THIRTY TWO PESOS & 93/100***

A. Certified:
Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. MACAUYAG, CPA


Chief, Fin'l. & Mgt. Section
Head, Accounting Unit/Authorized Representative

Signature
Printed
Name
Position

MAMINTAL T. TAHA, MPS


OIC- District Engineer
Agency Head/Authorized Represetative

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Prepared by:

Amount

Account
Code

Debit

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

SITTIE AISA M. MACAUYAG, CPA

Credit

Accountant III

Accountant II

Chief, Financial & Management Section

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Commercial Check

ADA

Others

TIN/Employee No.

FE P. BOLODO

Payee

No.

OR/BUR No.
Responsibility Center

Kidapawan City

Address

Office/Unit/Project:

Code:

EXPLANATION

AMOUNT

To payment of Sixty (60) calendar days Maternity Leave Benefit covering the period December 16, 2013
to February 13, 2014, per supporting paper hereto attached in the amount of: - - - - - - - - - - - - - 26,824.84
Supporting papers:
1. Approved application for leave
2. Medical Certificate
3. Clerance from Money & Property
Accountability
4. Marriage Contract
5. Copy of DV No.

Computation:
December 16-31, 2013
January 1-31, 2013 =
February 1-13, 2013

###
###
###

53,756.00

Previous collection under DV No.


###
BIR ( 2 mos.)
=
6,668.12
GSIS - 9% (2 mos)
= 4,838.04
HDMF-Cont( 2 mos) =
1,076.00
Medicare (2 mos.)
=
650.00
DPWH-Coop
=
260.00
NET AMOUNT DUE - - - - - - - - - -

26,931.16
26,824.84

LESS:

**TWENTY SIX THOUSAND EIGHT HUNDRED TWENTY FOUR & 84/100***


A. Certified:

26,824.84

B. Approved for Payment:

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. MACAUYAG, CPA


Accountant III
Head, Accounting Unit/Authorized Representative

Signature
Printed
Name
Position

MAMINTAL T. TAHA, MPS


OIC - Assistant District Engineer
"For & in the absence of the OIC-District Engineer"

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Account
Code

Amount
Debit

Credit

Prepared by:

Certified Correct:

SITTIE AISA M. MACAUYAG, CPA

ELDONELLE D. TORREDA, CPA, CISA

Accountant III

Accountant II

Chief, Financial & Management Section

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Payee

ROBERT M. DELMO

Address

Kidapawan City

Commercial Check

No.

ADA

Others

TIN/Employee No.

OR/BUR No.
Responsibility Center

Office/Unit/Project:

Code:

EXPLANATION

AMOUNT

To payment of Forty (40) days Monetization of leave credits for CY 2013, per support document
hereto attached in the amount of: P15,693.00 x 0.0478087 x 40 days = = = = = = = = = =

30,010.48

1. Approved Application for Monetization


of leave credits

*** THIRTY THOUSAND TEN PESOS & 48/100***

30,010.48

A. Certified:

B. Approved for Payment:

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. MACAUYAG, CPA


Accountant III
Head, Accounting Unit/Authorized Representative

Signature
Printed
Name
Position

MAMINTAL T. TAHA, MPS


OIC - Assistant District Engineer
"For & in the absence of the OIC-District Engineer"

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Account
Code

Amount
Debit

Credit

Prepared by:

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

SITTIE AISA M. MACAUYAG, CPA

Accountant II

Accountant III
Chief, Financial Management Section

c of the Philippines

ublic Works and Highways


HE DISTRICT ENGINEER

st Engineering District
o, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Commercial Check

ADA

Others

TIN/Employee No.

BALTAZAR E. FLORES

Payee

No.

OR/BUR No.
Responsibility Center

Kidapawan City

Address

Office/Unit/Project:

Code:

EXPLANATION
AMOUNT
To payment of 5th 5years Loyalty Cash Award as of June 4, 2014, per DMC No. 28 dated
June 17, 2008 at P1,000.00/year - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Php5,000.00

Supporting paper:
1. Service Record

*** FIVE THOUSAND PESOS ONLY***

Total
B. Approved for Payment:

A. Certified:

5,000.00

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. MACAUYAG, CPA


Chief,Financial & Management Section
Head, Accounting Unit/Authorized Representative

Date

Signature
Printed
Name
Position

MAMINTAL T. TAHA, MPS


OIC- District Engineer
Agency Head/Authorized Represetative

Date

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Account
Code

Amount
Debit

Credit

Prepared by:

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

SITTIE AISA M. MACAUYAG, CPA

Accountant II

Accocuntant III
Chief, Financial & Management Section

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Commercial Check

No.

ADA

Others

TIN/Employee No.

Payee

OR/BUR No.
Responsibility Center

Kidapawan City

Address

Office/Unit/Project:

Code:

EXPLANATION
AMOUNT
To payment of Cash Advance to participate CY- 2014 Inter-District Sportsfest / Tournament and
Competition at Regional Office Koronadal City from December 2-6,9, 10-13, 16-19, 2014 - - - - - Php9,760.00
-

Supporting papers:
1. Approved Memorandum
2. Itinerary of Travel

Nine Thousand Seven Hundred Sixty Pesos Only**


A. Certified:

Total
B. Approved for Payment:

Php9,760.00

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. BOLOTO, CPA


Chief,Financial & Management Section
Head, Accounting Unit/Authorized Representative

Date

Signature
Printed
Name
Position

MAMINTAL T. TAHA, MPS


OIC- District Engineer
Agency Head/Authorized Represetative

Date

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Account
Code

Amount
Debit

Credit

Prepared by:

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

SITTIE AISA M. BOLOTO, CPA

Accountant II

Accocuntant III
Chief, Financial & Management Section

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Commercial Check

Payee

DEBBIE I. LEONOR, D. O.

Address

Lanao, Kidapawan City

No.

ADA

Others

TIN/Employee No.

OR/BUR No.
Responsibility Center

Office/Unit/Project:

Code:

EXPLANATION

AMOUNT

To withdraw cash from Fund 101 COMMON for payment of BAC Honorarium for the period
NOVEMBER and DECEMBER, 2014 as per payroll attached in the amount of -----------------------------------###
101-1412-1364

E. Camposano, et al

104,711.95

Total
One Hundred Four Thousand Seven Hundred Eleven Pesos & 95/100**
A. Certified:
B. Approved for Payment:

###

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. BOLOTO, CPA


Chief,Financial & Management Section
Head, Accounting Unit/Authorized Representative

Date

Signature
Printed
Name
Position

MAMINTAL T. TAHA, MPS


OIC- District Engineer
Agency Head/Authorized Represetative

Date

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Account
Code

Amount
Debit

Credit

Prepared by:

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

SITTIE AISA M. BOLOTO, CPA

Accountant II

Accocuntant III
Chief, Financial & Management Section

Republic of the Philippines

Department of Public Works and Highways


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Payee

HAZRIN D. ALANGCA

Address

Kidapawan City

Commercial Check

No.

ADA

Others

TIN/Employee No.

OR/BUR No.
Responsibility Center

Office/Unit/Project:

Code:

EXPLANATION
AMOUNT
To payment of Cash Advance to participate in the Cy-2015 Inter-District Sportsfest/Tournament and
Competition at Regional Office Koronadal City from 'December 8-12, 2015, per supporting papers hereto
attached in the amount of: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Php3,520.00
Supporting papers:
1. Approved Memorandum
2. Itinerary of Travel

*** THREE THOUSAND FIVE HUNDRED TWENTY PESOS ONLY***

Total
B. Approved for Payment:

A. Certified:

Php3,520.00

Cash Available
Subject to Authority to Debit Account (When appli
Supporting documents complete

Signature
Printed
Name
Position

SITTIE AISA M. BOLOTO, CPA


Chief,Financial & Management Section
Head, Accounting Unit/Authorized Representative

Date

Signature
Printed
Name
Position

ELPIDIO A. BIROG
District Engineer
Agency Head/Authorized Represetative

Date

C. Received Payment:

JEV No.

Check/ADA
No.
Signature

Date:
Date:

Bank Name
Printed Name

Date:

Official Receipt/Other Documents:

JOURNAL ENTRY VOUCHER


Collection
Responsibility
Center

No.:
Others Date:

Check Disbursement
Cash Disbursement
ACCOUNTING ENTRIES
Account & Explanation

Account
Code

Amount
Debit

Credit

Prepared by:

Certified Correct:

ELDONELLE D. TORREDA, CPA, CISA

Accountant II

SITTIE AISA M. BOLOTO, CPA


Accocuntant III
Chief, Financial & Management Section

Appendix 32
Republic of the Philippines

Fund Cluster:

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

Date:
DV No:

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Payee

RODRIGO O. CHATTO

Address

Makilala, Cotabato

Commercial Check

ADA

Others (Please specify)

TIN/Employee No.

MFQ/PAP

Responsibility
Center

Particulars

ORS/BURS No:

To payment of Salary differential (step increment) from


January, 2016 to February, 2016, per supporting papers
hereto attached in the amount of: P133.00 x 2 months =

Amount

Php266.00

Supporting papers:
1. Copy of paid payroll
2. Notice of Step Increment

Php266.00

** TWO HUNDRED SIXTY SIX PESOS ONLY***

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

JENNIFER C. VARIAS, MPA


Administrative Officer V
Chief, Administrative Section

Printed Name, Designation and Signature of Supervisor


B. Accounting Entry:
Account Title

UACS Code

C. Certified:

Debit

Credit

D. Approved for Payment


Cash Available
Subject to Authority to Debit Account (when applicabl
Supporting documents complete and amount claimed

Signature
Printed
Name
Position

Signature

SITTIE AISA M. BOLOTO, CPA


Chief, Financial Management Section
Head, Accounting Unit/Authorized Representative

Date

E.

Printed
Name
Position

ELPIDIO A. BIROG
District Engineer
Agency Head/Authorized Represetative

Date
JEV No.

Receipt of Payment

Check/

Date:

Bank Name & Account Number:

Date:

Printed Name:

ADA No:
Signature
Official Receipt No. & Date/Other Documents:

Date:

Appendix 32
Republic of the Philippines

Fund Cluster:

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS


OFFICE OF THE DISTRICT ENGINEER
Cotabato 1st Engineering District
Lanao, Kidapawan City

Date:
DV No:

DISBURSEMENT VOUCHER
Mode of
Payment

Payee

MDS Check

Commercial Check

ADA

Others (Please specify)

TIN/Employee No.

ELPIDIO A. BIROG

ORS/BURS No:

Address

MFQ/PAP

Responsibility
Particulars
Center
To payment of per diem while out on official business to
proceed to DPWH Central Office on July 21, 2016 to confer
Asec. Dimas S. Soguilon relevant matters regarding the status
of Implemented of CY 2016 Regular Infra Projects
in the amount of..
Supporting papers:
1.
2.
3.
4.
5.

Amount

Php12,722.00

Approved Authority to Travel


Appendix A & B
Cert. of Appearance
Plane Ticket
RER

Php12,722.00

**TWELVE THOUSAND SEVEN HUNDRED TWENTY TWO PESOS ONLY**

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

ELPIDIO A. BIROG
District Engineer

Printed Name, Designation and Signature of Supervisor


B. Accounting Entry:
Account Title

UACS Code

C. Certified:

Debit

Credit

D. Approved for Payment


Cash Available
Subject to Authority to Debit Account (when applicabl
Supporting documents complete and amount claimed

Signature
Printed
Name

SITTIE AISA M. BOLOTO, CPA

Signature
Printed
Name

ELPIDIO A. BIROG

Chief, Financial Management Section


Position

District Engineer
Position

Head, Accounting Unit/Authorized Representative

Date

E.

Agency Head/Authorized Represetative

Date
JEV No.

Receipt of Payment

Check/

Date:

Bank Name & Account Number:

Date:

Printed Name:

ADA No:
Signature
Official Receipt No. & Date/Other Documents:

Date:

LIQUIDATION REPORT

No.
:
Date
:
Responsibility Center
Code

DPWH Cotabato 1st Engineering District


Lanao, Kidapawan City

PARTICULARS
Amount
To liquidate payment of Cash Advance while out on official business to attend the Cy 2015 Inter-District
Sportsfest/Tournament and Competition from December 7-12, 2015 at DPWH Regional Office, Koronadal City,
per supporting papers hereto attached in the amount of: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4,160.00
Supporting documents:
1. Approved Memorandum
2. Appendix A & B
3. Certificate of Appearance
4. Copy of previous claim

Total Amount Spent


Amount of Cash Advance per
Amount Refunded per OR No.
Amount to be Reimbursed
A

Certified: Correctness of the

4,160.00
3,520.00
640.00

dated :
dated :
B

above data

Certified: Purpose of travel/cash


advance duly accomplished

C Certified: Supporting documents


complete and proper

HAZRIN D. ALANGCA

ELPIDIO A. BIROG

SITTIE AISA M. BOLOTO, CPA

Engineer II

District Engineer

Chief, Financial Management Section

Claimant

JEV No.

Head, Accounting Unit

LIQUIDATION REPORT

No.
:
Date
:
Responsibility Center
Code

DPWH Cotabato 1st Engineering District


Lanao, Kidapawan City

PARTICULARS
Amount
To liquidate payment of Cash Advance while out on official business to attend the Cy 2015 Inter-District
Sportsfest/Tournament and Competition from December 7-12, 2015 at DPWH Regional Office, Koronadal City,
per supporting papers hereto attached in the amount of: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4,160.00
Supporting documents:
1. Approved Memorandum
2. Appendix A & B
3. Certificate of Appearance
4. Copy of previous claim

Total Amount Spent


Amount of Cash Advance per
Amount Refunded per OR No.
Amount to be Reimbursed
A

Certified: Correctness of the


above data

4,160.00
3,520.00
640.00

dated :
dated :
B

Certified: Purpose of travel/cash


advance duly accomplished

C Certified: Supporting documents


complete and proper

HAZRIN D. ALANGCA

ELPIDIO A. BIROG

SITTIE AISA M. BOLOTO, CPA

Engineer II

District Engineer

Chief, Financial Management Section

JEV No.

Claimant

Head, Accounting Unit

CERTIFICATE OF TRAVEL COMPLETED

ELPIDIO A. BIROG
District Engineer
Agency Head

Lanao, Kidapawan City

(Station)
December 21, 2015
(Date)

I HEREBY CERTIFY THAT I have completed the travel authorized in itinerary of travel No.
dated
, under conditions indicated below:
x

Strictly in accordance with the approved itinerary.


Cut short as explained below. Excess payment in the amount of
was refunded under OR No. _____________ dated _________________.
Extended as explained below. Additional itinerary was submitted.
Other deviations as explained below.

Explanations or justifications:

Evidence of travel:
Used tickets
x

Certificate of Attendance/Appearance

Others

Approved Memorandum
Appendix A & B

Respectfully submitted:

HAZRIN D. ALANGCA
Engineer III

On evidence and information of which I have knowledge the travel was actually undertaken.

ERNESTO C. CAMPOSANO
Engineer III

Chief, Construction Section

ITINERARY OF TRAVEL
DPWH Cotabato 1st Engineering District
Lanao, Kidapawan City
Name :

NORMA H. MARCELINO
No.
To attend to the 2nd DPWH Employees Union Convention at
Legaspi City
Date
Places to be visited
Time
Means of
Travelling
2015
Destination
Departure Arrival Transportation Allowance Per Diems
January
12
Koronadal City
6:00AM
800.00
13
return station
8:15AM
240.00
21
Koronadal City
6:30AM
800.00
22
return station
8:00AM
240.00
Sub-total - - - - -

Purpose of Travel :

February

2
3
17

Koronadal City
return station
Kidapawan- DavaoManila-Legaspi City
18-19 still out
20
return station

6:00AM
7:30PM
6:30AM

800.00
320.00
800.00
1,600.00

7:00 PM
Add: Plane Fare - - - - -- - - - - - - - - - Terminal Fee - - - - - - - - - - - PUV Fare - - - - - - - - - - - - - - - Total Amount
Less:
previous claim under DV#101-16010024
NET AMOUNT DUE - - - - - - - - - - - - -

TOTAL :

I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)


the foregoing itinerary; (2) the travel is necessary to the
service; (3) the period covered is reasonable and (4) the
expenses claimed are proper.
NORMA H. MARCELINO
Administrative Officer III
JENNIFER C. VARIAS, MPA
Administrative Officer V
Chief, Administrative Section

Approved:

ELPIDIO A. BIROG
District Engineer

ITINERARY OF TRAVEL
DPWH Cotabato 1st Engineering District
Lanao, Kidapawan City
Name :

RAINIER E. VERSOLA
To participate sportfest at DPWH, Regional Office
Koronadal City

No.

Purpose of Travel :
Date

Places to be visited

2015

Destination

December

17
18

Kidapawan- Koronadal City


return station

Time
Departure

Arrival

6:30AM
7:30AM

Means of

Travelling

Transportation

Allowance

Per Diems

800.00
240.00
NET AMOUNT DUE -

TOTAL :

I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)


the foregoing itinerary; (2) the travel is necessary to the
service; (3) the period covered is reasonable and (4) the
expenses claimed are proper.
RAINIER E. VERSOLA, E.E.
Engineer II
Approved:
JOSE R. GAURAN, JR., MPA, Meng
Engineer III
Chief, Maintenance Section

ELPIDIO A. BIROG
District Engineer

ITINERARY OF TRAVEL
DPWH Cotabato 1st Engineering District
Lanao, Kidapawan City
Name :

HAZRIN D. ALANGCA
To participate sportfest at DPWH, Regional Office
Koronadal City

No.

Purpose of Travel :
Date

Places to be visited

2015

Destination

December

7
8-11
12

Kidapawan- Koronadal City


Still- out
Return station

Time
Departure

6:30PM

Arrival

Means of

Travelling

Transportation

Allowance

Per Diems

640.00
3,200.00
2:30PM
320.00
Total - - Less: Cash Advance - - - - - - - - - NET AMOUNT DUE - - -

TOTAL :

I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)


the foregoing itinerary; (2) the travel is necessary to the
service; (3) the period covered is reasonable and (4) the
expenses claimed are proper.
HAZRIN D. ALANGCA
Engineer II
Approved:
ERNESTO C. CAMPOSANO
Engineer III
Chief, Construction Section

ELPIDIO A. BIROG
District Engineer

ITINERARY OF TRAVEL
DPWH Cotabato 1st Engineering District
Lanao, Kidapawan City
Name :

No.

Purpose of Travel :

To participate sportfest at DPWH, Regional Office


Koronadal City

Date

Places to be visited

2015

Destination

December

7
8-11
12

Kidapawan- Koronadal City


Still- out
Return station

Time
Departure

6:30PM

Arrival

Means of

Travelling

Transportation

Allowance

Per Diems

640.00
3,200.00
2:30PM
320.00
Total - - Less: Cash Advance - - - - - - - - - NET AMOUNT DUE - - -

TOTAL :

I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)


the foregoing itinerary; (2) the travel is necessary to the
service; (3) the period covered is reasonable and (4) the
expenses claimed are proper.
ELDONELLE D. TORREDA
Accountant II
Approved:
SITTIE AISA M. BOLOTO, CPA
Accountant III

Chief, Financial Management Section

ELPIDIO A. BIROG
District Engineer

ITINERARY OF TRAVEL
DPWH Cotabato 1st Engineering District
Lanao, Kidapawan City
Name :

HAZRIN D. ALANGCA
To participate sportfest at DPWH, Regional Office
Koronadal City

No.

Purpose of Travel :
Date

Places to be visited

2015

Destination

December

8
9-11
12

Kidapawan- Koronadal City


Still- out
Return station

Time
Departure

Arrival

6:30AM
2:30 P.M.

Means of

Travelling

Transportation

Allowance

Per Diems

800.00
2,400.00
320.00
Total Amount - - -

TOTAL :

I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)


the foregoing itinerary; (2) the travel is necessary to the
service; (3) the period covered is reasonable and (4) the
expenses claimed are proper.
HAZRIN D. ALANGCA
Engineer II
Approved:

ERNESTO C. CAMPOSANO
Engineer III
Chief, Construction Section

ELPIDIO A. BIROG
District Engineer

ITINERARY OF TRAVEL
DPWH Cotabato 1st Engineering District
Lanao, Kidapawan City
Name :

ANGELITA A. SIOBAL
To participate sportfest at DPWH, Regional Office
Koronadal City

No.

Purpose of Travel :
Date

Places to be visited

2015

December

Destination

7
8-11
12

Kidapawan- Koronadal City


Still- out
Return station

Time
Departure

6:30PM

Arrival

Means of

Travelling

Transportation

Allowance

Per Diems

640.00
3,200.00
2:30PM
320.00
Total - - Less: Cash Advance - - - - - - - - - NET AMOUNT DUE - - -

TOTAL :

I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)


the foregoing itinerary; (2) the travel is necessary to the

service; (3) the period covered is reasonable and (4) the


expenses claimed are proper.

ANGELITA A. SIOBAL
Engineering Assistant
Approved:

JENNIFER C. VARIAS, MPA


Administrative Officer V
Chief, Administrative Section

ELPIDIO A. BIROG
District Engineer

ITINERARY OF TRAVEL
Name :
Purpose of Travel :
Date

Places to be visited

2015

Destination

December

TOTAL :

DPWH Cotabato 1st Engineering District


Lanao, Kidapawan City
KHALID S. ROGONG
To participate sportfest at DPWH, Regional Office
Koronadal City

7
8-11
12

Kidapawan- Koronadal City


Still- out
Return station

Time
Departure

6:30PM

Arrival

No.

Means of

Travelling

Transportation

Allowance

Per Diems

640.00
3,200.00
2:30PM
320.00
Total - - Less: Cash Advance - - - - - - - - - NET AMOUNT DUE - - -

I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)


the foregoing itinerary; (2) the travel is necessary to the
service; (3) the period covered is reasonable and (4) the
expenses claimed are proper.
KHALID S. ROGONG
Engineer II
Approved:
WEALTHO M. MERILLANA
Engineer III
Chief, Quality Assurance Section

ELPIDIO A. BIROG
District Engineer

ITINERARY OF TRAVEL
DPWH Cotabato 1st Engineering District
Lanao, Kidapawan City
Name :

JOSE R. GAURAN, JR.


To participate sportfest at DPWH, Regional Office
Koronadal City

No.

Purpose of Travel :
Date

Places to be visited

2014

Dec.

Destination

2
Kidapawan- Koronadal City
3-5
Still- out
6
Return station
9
Kidapawan- Koronadal City
10-12
Still- out
13
Return station
16
Kidapawan- Koronadal City
17-18
Still- out
Return station
19

TOTAL :
Less:

Time
Departure

Arrival

5:30am
1:00pm
5:30am
1:00pm
5:30am
1:00pm

Means of

Travelling

Transportation

Allowance

Per Diems

800.00
2,400.00
320.00
800.00
2,400.00
320.00
800.00
1,600.00
320.00

Total:
I HEREBY CERTIFY that (1) I have reviewed Prepared by: (Official/Employee)
the foregoing itinerary; (2) the travel is necessary to the
service; (3) the period covered is reasonable and (4) the
expenses claimed are proper.
JOSE R. GAURAN, JR.MPA, Meng
Engineer III
Chief, Planning & Design Section
Approved:
EMEDIO C. ONTAL, MPA
OIC- Assistant District Engineer
MAMINTAL T. TAHA, MPS
OIC- District Engineer

Total
800.00
240.00
800.00
540.00
2,380.00
800.00
320.00
800.00
1,600.00
320.00
10,694.40
200.00
1,000.00
18,114.40
(16,420.00)
1,694.40
1,694.00

SITTIE AISA M. BOLOTO, CPA

LINO
er III
Engineer II

Administrative Officer III

OG
r
Administrative Officer V
Chief, Administrative Section

A, E.E.

OG
r

Total

800.00
240.00
1,040.00

1,040.00

GCA

OG
r

Total

640.00
3,200.00
320.00
4,160.00
(3,520.00)
640.00

640.00

REDA

Total

640.00
3,200.00
320.00
4,160.00
(3,520.00)
640.00

640.00

OG
r

GCA

Total

800.00
2,400.00
320.00
3,520.00
SITTIE AISA M. BOLOTO, CPA
Accountant III
Chief, Financial Management Section

3,520.00

OG
r

Total

640.00
3,200.00
320.00
4,160.00
(3,520.00)
640.00

640.00

BAL
ant

OG
r

Total

640.00
3,200.00
320.00
4,160.00
(3,520.00)
640.00

640.00

NG

OG
r

Total

800.00
2,400.00
320.00
800.00
2,400.00
320.00
800.00
1,600.00
320.00

9,760.00

PA, Meng

n Section

MPS
eer

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