Err:522

Name of Office: OFFICE OF THE MUNICIPAL HEALTH OFFICER Tampilisan, Zamboanga del Norte
Period: Jan.-Jun./2013
#REF!cells, pls do not proceed. Consult the-accounting office.
If figures are shown in the highlighted
Year End
No. NAME DESIGNATION
Monthly Rate of Pay 725
1 Ladeza, Carmel Mathilda B Municipal Health Officer 51,410.00 25,705.00
2 Bulaqueña, Betsy Pearl D. Rural Health Nurse 25,718.00 12,859.00
3 Saladaga, Diosdado G. Rural Sanitary Inspector 13,853.00 6,926.50
4 Galleposo, Hidy B. Rural Health Midwife 19,887.00 9,943.50
5 Montallana, Cresencia O. Rural Health Midwife 19,887.00 9,943.50
6 Camilo, Fe B. Rural Health Midwife 21,650.00 10,825.00
7 Ochotorena Daisy B. Rural Health Midwife 18,735.00 9,367.50
8 Mones Marissa F. Dentist 21,436.00 10,718.00

TOTAL 192,576.00 96,288.00

DIFFERENCE -2143.60
 F.P.P

CASH GIFT

724
5,000.00 (51,410.00)
5,000.00 (25,718.00)
5,000.00 (13,853.00)
5,000.00 (19,887.00)
5,000.00 (19,887.00)
5,000.00 (21,650.00)
5,000.00 (18,735.00)
5,000.00

40,000.00

19500.00
 M U N I C I P A L P A Y R O L L

We hereby acknowledge to have received from Municipal Treasurer of Tampilisan, Zamboanga del Norte, the sums herein specified opposite our respective names, the same being full compensation for our during
services rendered the period stated below, to the correctness of which we hereby severally certify.

Name of Office: OFFICE OF THE MUNICIPAL HEALTH OFFICER

Period of Service Mid-Year CASH GIFT

No. NAME DESIGNATION (Inclusive Dates) From Monthly Rate of Pay Deduction TOTAL AMOUNT DUE SIGNATURES
To
724 724
1 Ladeza, Carmel Mathilda B Municipal Health Officer Jan.-Jun./2013 51,410.00 25,705.00 2,500.00 28,205.00 1
2 Bulaqueña, Betsy Pearl D. Rural Health Nurse Jan.-Jun./2013 25,718.00 12,859.00 2,500.00 15,359.00 2
3 Saladaga, Diosdado G. Rural Sanitary Inspector Jan.-Jun./2013 13,853.00 6,926.50 2,500.00 9,426.50 3
4 Galleposo, Hidy B. Rural Health Midwife Jan.-Jun./2013 19,887.00 9,943.50 2,500.00 12,443.50 4
5 Montallana, Cresencia O. Rural Health Midwife Jan.-Jun./2013 19,887.00 9,943.50 2,500.00 12,443.50 5
6 Camilo, Fe B. Rural Health Midwife Jan.-Jun./2013 21,650.00 10,825.00 2,500.00 13,325.00 6
7 Ochotorena Daisy B. Rural Health Midwife Jan.-Jun./2013 18,735.00 9,367.50 2,500.00 11,867.50 7
7 Mones Marissa F. Dentist Jan.-Jun./2013 21,436.00 12,861.60 3,000.00 15,861.60 7

TOTAL 192,576.00 98,431.60 20,500.00 - 118,931.60

CERTIFIED: Services have been rendered as stated. Certified Funds Available APPROVED PAYMENTS: CERTIFICATION: Each employee whose name appears above
has been paid the amount indicated opposite his/ her name.
CARMEL MATHILDA B. LADEZA OLIVIA G. EBORDE ENRIQUIETA D. BOMEDIANO
Municipal Health Officer Municipal Treasurer Municipal Mayor HELMERITA A. FULLON
Name and Signature of Supervisor Cashier
 JOURNAL ENTRY VOUCHER No.
TAMPILISAN Date:
LGU
Collection Check Disbursements Cash Disbursement Others
ACCOUNTING ENTRIES
Responsibility Account Amount
Accounts and Explanation
Center Code PR Debit Credit
4411 Cash Gift 724 20,500.00
Year End 725 98,431.60
Payroll Fund 105 118,931.60

Payments of Year End and Cash Gift.

Period Covered: Jan.-Jun./2013

118,931.60 118,931.60
Payee/OfficeLadeza, Carmel Mathilda B,et al -
Address: Tampilisan, Zamboanga del Norte
Prepared by: Approved by:

LOLITA B. DELLABA SHERRY LOU P. DAPROSA

In-Charge Municipal Accountant
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Tampilisan, Zamboanga del Norte
No.
OBLIGATION REQUEST
PAYEE Ladeza, Carmel Mathilda B,et al

OFFICE OFFICE OF THE MUNICIPAL HEALTH OFFICER

ADDRESS Tampilisan, Zamboanga del Norte

Responsibility Account Amount
Particulars F.P.P
Center Code
4411 Payments of Year End and Cash Gift.
Period Covered: Jan.-Jun./2013 724 20,500.00
725 98,431.60

Total 118,931.60
A. Certified B. Certified
A. Charges to appropriations/allotment necessary, lawful
and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and legal

Signature Signature

Printed
Printed Name CARMEL MATHILDA B. LADEZA GRACE A. GUMANSING
Name
Municipal Health Officer Municpal Budget Officer
Position Position
Head, Requesting Office/Authorized Representative Head Budget Unit/Authorized Representative
Date Date