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 OBLIGATION REQUEST AND STATUS (ORS) Serial No:

CITY GOVERNMENT OF NAGA, CEBU Date:

Fund Cluster :
Payee Nunez, Andres et al
Office Placido L. Senor National High School
Address Langtad, City of Naga, Cebu
Responsibility UACS Object
Particulars MFO/PAP Amount
Center Code

07-2234-03-3311 City Allowance for Teachers for the 5-02-99-990-1 21,200.00

month of July 2017

Total 21,200.00
A. Certified : Charges to appropriation/allotment are B. Certified : Allotment available and obligated
necessary, lawful and under my direct supervision; for the purpose/adjustment necessary as
and supporting documents valid, proper and legal indicated above

Signature : Signature :

Printed Name : SENEN P. PAULIN Printed Name : CERTERIA V. BUENAVISTA

Position : Schools Division Superintendent Position : CITY BUDGET OFFICER

Head, Requesting Office/Authorized Head,Budget Division/Unit/Authorized
Representative Representative
Date : Date :

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)
 Republic of the Philippines
Province of Cebu
City of Naga

OBLIGATION REQUEST No.

Payee Cocina Calza Catering Services
Office Minglanilla, Cebu
Address Minglanilla, Cebu
Responsibility Account
Particulars F.P.P. Amount
Center Code

3311 payment of meals and snacks- MOOE 5-02-99-990-1 P 5,000.00

Orientation on New employees-
March31, 2017

TOTAL: 5,000.00
[ A ] Certified [ B ] Certified

[ ] Charges to appropriation/allotment necessary Existence of available appropriation

lawful and under my direct supervision
[ ] Supporting documents valid, proper and legal

Signature
Printed Name ATTY. KRISTINE VANESSA T. CHIONG CERTERIA V. BUENAVISTA
Position CITY MAYOR City Budget Officer
Head, Requesting Office/Authorized Representative Head, Budget Unit/ Authorized Representative
Date
 Republic of the Philippines
Province of Cebu
City of Naga

No.
DISBURSEMENT VOUCHER
Mode of [ ] Check [ ] Cash [ ] Others
Payment
TIN/Employee: Obligation Request:
Payee Nunez, Andres et al
Office/Unit/Project: Responsibility Center
Address Langtad, City of Naga, Cebu
Code:
EXPLANATION AMOUNT

City Allowance for Teachers for the month of July 2017 P 21,200.00

21,200.00 / 1.12 = 18,928.57

5% 946.43
2% 378.57
1,325.00 1,325.00

Total: 19,875.00
[ A ] Certified
[ ] Allotment obligated for the purpose as Funds available
indicated above
[ ] Supporting documents complete

Signature Signature
Printed Date Printed Date
Name KELVIN RAY L. ABABA Name ANNA MARIA GABILAN

Position City Accountant Position CityTreasurer

Head, Accounting Unit/ Authorized Rep. Treasurer/ Authorized Rep.

[ C ] Approved for Payment [ D ] Received Payment

Signature Check No Bank Name Date

Printed Date Signature

Name ATTY. KRISTINE VANESSA T. CHIONG
Printed Nunez, Andres et al Date
Position City Mayor Name
Agency Head/ Authorized Rep. OR/Other JEV. No. Date
Documents
 Annex B

Republic of the Philippines

Province of Cebu
City of Naga

DISBURSEMENT VOUCHER No.

Mode of [ ] Check [ ] Cash [ ] Others

Payment
TIN/Employee: Obligation Request:
Payee Nunez, Andres et al
Office/Unit/Project: Responsibility Center
Address Langtad, City of Naga, Cebu
Code:
EXPLANATION AMOUNT

City Allowance for Teachers for the month of July 2017 P 21,200.00

3% 636.00
1% 212.00
848.00 848.00

Total: 20,352.00
[ A ] Certified
[ ] Allotment obligated for the purpose as Funds available
indicated above
[ ] Supporting documents complete

Signature Signature
Printed Date Printed Date
Name KELVIN RAY L. ABABA Name ANNA MARIA GABILAN

Position City Accountant Position CityTreasurer

Head, Accounting Unit/ Authorized Rep. Treasurer/ Authorized Rep.

[ C ] Approved for Payment [ D ] Received Payment

Signature Check No Bank Name Date

Printed Date Signature

Name ATTY. KRISTINE VANESSA T. CHIONG
Printed Nunez, Andres et al Date
Position City Mayor Name
Agency Head/ Authorized Rep. OR/Other JEV. No. Date
Documents
msn.gso
 (Date)

STATEMENT OF ACCOUNT

Cocina Calza Catering Services

( Name of Proprietor / Establishment )

Business Address:

TIN:

Qty. Unit of Item Description Unit Cost Total Cost

-
-
-
-
-
-
-
-
TOTAL -

***nothing follows***

Issued by:

(signature over printed name)

Acknowledged by:

(signature over printed name)

 Republic of the Philippines

Province of Cebu

CITY OF NAGA
PURCHASE REQUEST
Account Code:
Department: OFFICE OF THE CITY MAYOR PR NO.
ObR NO.

Section: SAI NO.

UNIT OF
ITEM
QTY MEASU ITEM DESCRIPTION ESTIMATED UNIT COST
NO.
RE

1 12 packs meals and snacks 170.13

TOTAL

*** Nothing follows ***

Purpose: Orientation on New Employees

Requested By: Cash Availability:
Signature:

Printed Name: ROWENA R. ARNOZA ANNA MARIA B. GABILAN

Designation: CITY GENERAL SERVICES OFFICER I CITY TREASURER

OK AS TO APPROPRIATION: OK AS TO ALLOTMENT:

CERTERIA V. BUENAVISTA KELVIN RAY L. ABABA

CITY BUDGET OFFICER CITY ACCOUNTANT
 Date:
Date:

Date:

ESTIMATED COST

2,041.56

2,041.56

Approved:

KRISTINE VANESSA CHIONG

City Mayor

KELVIN RAY L. ABABA

CITY ACCOUNTANT
 PURCHASE ORDER
CITY OF NAGA, CEBU
LGU
PO No.
Supplier: Cocina Calza Catering Services
Date:
Address: Minglanilla, Cebu Mode of Procurement: Small Value Procurement
Contact No.: 272-4716 / 272-6971 / 490-6605 / 272-4917 PR No/s:

Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein.

Place of Delivery: GSO WAREHOUSE, CITY OF NAGA, CEBU Delivery term: 10 clendar days
Date of Delivery: Payment term: 30 days

Item No. Unit Quantity Item Description Unit cost Amount

1 packs 50 meals and snacks 100.00 5,000.00

TOTAL 5,000.00
TOTAL AMOUNT IN WORDS : Five Thousand Pesos

In case of failure to make the full delivery within time specified above a penalty of one tenth (1/10) of one percent (1%) for every day of
daily shall be imposed.
Very truly yours,

Conforme: KRISTINE VANESSA T. CHIONG

(Authorized Official)

(Signature over printed name)

(Date)
(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this Funds Available
portion must be accomplished.) Amount:
Approved to be purchaesd thru negotiated purchase per
purchased per Sanggunian Res. No. R.O. No.:

Certified Correct: ANNA MARIA B. GABILAN

City Treasurer
Secretary to the Sanggunian
 Republic of the Philippines
Province of Cebu
City of Naga

BIDS AND AWARDS COMMITTEE

Date :

Project Name :

Project Amount : (based on PR)

Attention
:

Gentlemen :

With the approved recommendation of the Bids and Awards Committee, it is hereby
notified that in the canvass of the above mentioned project on March 23 , 2017 this
office awarded you to supply and deliver the item the amount of _____(based on canvass)
____________________________________ only.

Kindly signify your acceptance by signing on the conformed below.

This office will be constrained to offer the award to the next lowest quotation should you
fail to sign and submit this notice within ten (10) calendar days from receipt hereof.

Truly yours,

Kristine Vanessa T. Chiong

City Mayor

CONFORME:
(Authorized person/s)

Signature :
Name :
Date :
d you
 Republic of the Philippines
Province of Cebu
City of Naga

ABSTRACT OF CANVASS

TO WHOM IT MAY CONCERN:

We hereby certify that the following in an abstract of prices obtain on Personal Canvass datedNovember 15, 2016

Supplier 1 (linked at
QTY UNIT ARTICLES bottom)

TOTAL
This is further to certify that based on the above Summary of Canvass; Supplier 1 (linked at bottom)
submitted the lowest price quotation. It is therefore resolved by the BAC to recommend award to the
said supplier.

ENGR. ARTHUR S. VILLAMOR ENGR. JOVENO C. GARCIA

Chairman, BAC Vice Chairman, BAC

ANNA MARIA B. GABILAN

Member , BAC

ENGR. MA. ALPHA P. ALOJADO ARNULFO R. OMANI

Member , BAC Member , BAC
 Republic of the Philippines
Province of Cebu
City of Naga
GENERAL SERVICES OFFICE
Tel. No. 272-6655, 272-6656 loc. 156, 122, 125, 138 & telefax: 489-8261
Email: GSO.NAGA@yahoo.com

CANVASS SHEET

Date: November 16, 2016

BUSINESS NAME:
ADDRESS:
CONTACT NUMBER:

DEAR SIR/MADAM:

Please quote the lowest net government price of the following materials or articles for the
immediate delivery to the City Government of Naga, Cebu, viz:
Qty. UNIT DESCRIPTION UNIT COST TOTAL AMOUNT
1 50.00 50.00
4 100.00 400.00
3 1.00 3.00
-
-
-
-
-
-
-
-

TOTAL 453.00

Acknowledged by:

_______________________________
Company Representative
Canvassed by: Signature over printed name

__________________________
Signature over printed name
 INSPECTION & ACCEPTANCE
City of Naga
LGU

Payee:
Address:
Reference: P.O. No.: P.R. No.:
Delivery Date: P.O. Date: P.R. Date:
Requisitioning Office / Dept.: MAYOR'S OFFICE
Purpose:
Item No. Unit Qty Item Description Brand
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
INSPECTION ACCEPTANCE
Date Inspected: ___________ Date Received: __________________

Inspected, verified and found OK as to Complete

quantity/quality and specification. Partial

ALEXANDER D. MOZO ROWENA R. ARNOZA / KRISTINE VANESSA T. CHIONG

Inspection Officer Property Officer/GSO/City Mayor
GSO will no longer sign for meals and snacks ( sir alex and
and snacks ( sir alex and implementing dept)
 Docum ent

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Name: GINEVEVE V. LAPUT Position: Admin Officer II
Official Station: General Services Office, LGU-Naga
Purpose of Travel: Refer attached details

Time of Means of Daily Allowance TOTAL

Places to be
DATE Transporta
Visited Departure Arrival Fare Per Diem
tion
Cebu-Palawan,
11/24-29, 2015 Plane 10,727.96 10,727.96
Palawan-Cebu
11/24/2015 Naga to Mactan
10:00AM 12:30PM 800.00 800.00
airport
4 days @
11/25-28/2015 2,880.00 2,880.00
Per diem P720

4,800.00
Registration Fee
11/29/2015 Palawan-Cebu
Terminal fee 200.00
Mactan Airport-
5:30PM 9:00PM Taxi 187.00 400.00 587.00
Naga
KMK Bus 40.00 40.00
TOTAL 20,034.96

( ) I hereby review the foregoing itinerary.

( ) Travel is necessary to the service. Gineveve V. Laput
( ) The period covered is reasonable. (Official Employee)
( ) The expenses claimed are proper.

APPROVED:

CERTERIA V. BUENAVISTA ATTY. KRISTINE VANESSA T. CHIONG

(Supervisor / Dep't. Head) (Head of Agency)

for CA
Name: GINEVEVE V. LAPUT Position: Admin Officer II
Official Station: General Services Office, LGU-Naga
Purpose of Travel: Refer attached details

Time of Means of Daily Allowance TOTAL

Places to be
DATE Transporta
Visited Departure Arrival Fare Per Diem
tion
Cebu-Palawan,
11/24-29, 2015 Plane 10,727.96 10,727.96
Palawan-Cebu
11/24/2015 Naga to Mactan
10:00AM 12:30PM 800.00 800.00
airport
4 days @
11/25-28/2015 2,880.00 2,880.00
Per diem P720

4,800.00
Registration Fee
11/29/2015 Palawan-Cebu
Terminal fee 200.00
Mactan Airport-
5:30PM 9:00PM Taxi 187.00 400.00 587.00
Naga
KMK Bus 40.00 40.00
TOTAL 20,034.96

( ) I hereby review the foregoing itinerary.

( ) Travel is necessary to the service. Gineveve V. Laput
( ) The period covered is reasonable. (Official Employee)
( ) The expenses claimed are proper.

APPROVED:

CERTERIA V. BUENAVISTA ATTY. KRISTINE VANESSA T. CHIONG

(Supervisor / Dep't. Head) (Head of Agency)

OFFICE OF THE MAYOR

CERTIFICATE OF TRAVEL COMPLETED

ATTY. KRISTINE VANESSA T. CHIONG Station: Naga, Cebu

Agency Head Date:

SIR:

I hereby certify that I have completed the travel authorized and stated above:
( ) Strictly in accordance with proposed itinerary;
( ) Other deviation as explained below
EXPLANATION OR JUSTIFICATIONS:___________________________________________
EVIDENCE OF TRAVEL ______________________________________________________
( ) Evidence and information on which I have knowledge; the travel was actual.

ROWENA R. ARNOZA
(Supervisor / Dep't. Head)

ATTY. KRISTINE VANESSA T. CHIONG

(Head of Agency)

for reimbursement and liquidation

 LIQUIDATION REPORT No.

Date:
Local Government Unit of Naga, Cebu
LGU Responsibility Center

PAR T I C U LAR S AMOUNT

Liquidation of Cash Advance for seminar/workshop on the

Executive-Legislative Agenda last August 19-30, 2016 at Movenpick
Hotel-Mactan Island, Cebu

Room Accomodation with full meals 368,437.50

Honorarium of Speaker 3,000.00
TOTAL 371,437.50

TOTAL AMOUNT SPENT 371,437.50

AMOUNT OF CASH ADVANCE PER DV.________DTD________ 399,475.00
AMOUNT REFUNDED PER O.R.NO.0557076 -11/10/16_______ 3,475.00
AMOUNT REFUNDED PER O.R.NO.0541183 -08/25/16_______ 24,562.50

Submitted by: Received by:

KELVIN RAY L. ABABA

ANNA MARIA GABILAN City Accountant
City Treasurer DATE:
 Republic of the Philippines
Province of Cebu
City of Naga

PROGRAM OF WORK
Date: 10-Nov-16

Project: City Children's congress contest

Amount: 42,062.25

Source of Fund: Other MOOE-Mayor office

Rationale: The National Childrens month celebration is celebrated from November 1-30
2016. To hihglight the said celebration there will be mass, parade magician, and
bubble shows and contest on singing draw and tell and folk dance

Details:

Unit Unit
Quantity Measur Item Description Cost Total Cost
e
2 2.00 4.00
3 1.00 3.00

***Nothing Follows***

Total: 7.00

Prepared by: Verified by Recommended by:

JOBE AHAT Department Head ENGR. ARTHUR S. VILLAMOR

GSO-Staff City Administrator

Ok as to Appropriation: Ok as to Fund: Approved By:

CERTERIA V. BUENAVISTA ANNA MARIA B. GABILAN KRISTINE VANESSA T. CHIONG

City Budget Officer City Treasurer City Mayor
 No. : __________________
PETTY CASH VOUCHER Date: __________________
Naga, Cebu
Lgu
Payee/Office : _________________________ Responsibility Center:
Address : _________________________

I. To be filled up upon request II. To be filled up upon liquidation

Particulars Amount Total Amount Granted

Total Amount Paid Per

OR No.
Amount Received/
Reimbursement

A Requested by: C
Received Refund
Reimbursement Paid
Name of requestor

Approved:

DENNIS V. MONTAEZ

Immediate Supervisor Disbursing Officer

B Paid by: D

DENNIS V. MONTAEZ Liquidation Submitted:

Disbursing Officer
CASH RECEIVED BY: Reimbursement Paid

Signature over Printed Name of Payee Signature of Payee

Date: ____________________ Date: ____________________

Ok as to Appropriation: Ok as to Allotment:

CERTERIA V. BUENAVISTA KELVIN RAY L. ABABA

Budget Officer City Accountant
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