Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE

MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT
PAYEE LILIA D. VILOCORA TIN/Employee No.: Obligation Request No.
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of April 2014, per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 19.00
PS GS ECC 4,750.00
Life & Retirement 427.50 570.00
PHIC 87.50 87.50
Total 515.00 657.50 4,235.00
Php 4,235.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name SHERRY LOU P. DAPROSA,CPA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na LILIA D. VILOCORA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE MARILOU G. CAYONGCONG
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of August 2013 , per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 21.00
PS GS ECC 5,250.00
Life & Retirement 472.50 630.00
PHIC 87.50 87.50
Total 560.00 717.50 4,690.00
Php 4,690.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Date: Printed Date:
Printed Name SHERRY LOU P. DAPROSA,CPA OLIVIA G. EBORDE
Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na MARILOU G. CAYONGCONG Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
 Reviewed by:

Name/Signature-Pre-Audit Section

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE JOVITO L. PERATER
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of August 2013 , per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 21.00
PS GS ECC 5,250.00
Life & Retirement 472.50 630.00
PHIC 87.50 87.50
Total 560.00 717.50 4,690.00
Php 4,690.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Date: Printed Date:
Printed Name SHERRY LOU P. DAPROSA,CPA OLIVIA G. EBORDE
Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na JOVITO L. PERATER Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
 Reviewed by:

Name/Signature-Pre-Audit Section

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE RENATO B. FEROLINO
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of July 2013 , per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 21.00
PS GS ECC 5,250.00
Life & Retirement 472.50 630.00
PHIC 87.50 87.50
Total 560.00 717.50 4,690.00
Php 4,690.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Date: Printed Date:
Printed Name SHERRY LOU P. DAPROSA,CPA OLIVIA G. EBORDE
Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na RENATO B. FEROLINO Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
 Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE ISIDRO A. BULAC
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of July 2013 , per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 21.00
PS GS ECC 5,250.00
Life & Retirement 472.50 630.00
PHIC 87.50 87.50
Total 560.00 717.50 4,690.00
Php 4,690.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available

Signature Signature
Date: Printed Date:
Printed Name SHERRY LOU P. DAPROSA,CPA OLIVIA G. EBORDE
Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na ISIDRO A. BULAC Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
 their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT FLORENTINO G. TIN/Employee No.: Obligation Request No.
PAYEE
GADIA
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of July 2013 , per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 21.00
PS GS ECC 5,250.00
Life & Retirement 472.50 630.00
PHIC 87.50 87.50
Total 560.00 717.50 4,690.00
Php 4,690.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Date: Printed Date:
Printed Name SHERRY LOU P. DAPROSA,CPA OLIVIA G. EBORDE
Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na FLORENTINO G. GADIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
 Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE VICTORY R. GEGRIMOSA
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of July 2013 , per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 21.00
PS GS ECC 5,250.00
Life & Retirement 472.50 630.00
PHIC 87.50 87.50
Total 560.00 717.50 4,690.00
Php 4,690.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Date: Printed Date:
Printed Name SHERRY LOU P. DAPROSA,CPA OLIVIA G. EBORDE
Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na VICTORY R. GEGRIMOSA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
 Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE JAIME LARATO
Pob. Zamboanga del Norte RESPONSIBILITY CENTER
ADDRESS
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of wages for the month of July 2013 , per supporting papers hereto attached in the total
amount of…
Rate per day 250.00
No. of days 21.00
PS GS ECC 5,250.00
Life & Retirement 472.50 630.00
PHIC 87.50 87.50
Total 560.00 717.50 4,690.00
Php 4,690.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Date: Printed Date:
Printed Name SHERRY LOU P. DAPROSA,CPA OLIVIA G. EBORDE
Name
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO
Name Printed Na JAIME LARATO Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
 and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE LILIA D. VILOCORA Date:
OFFICE Mayor
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 4,750.00
711 -
Payment of Salaries and Wages Period Covered April 2014.
712 -
731 570.00
732 -
733 87.50
734 -
TOTAL 5,407.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Provincial Capitol, Dipolog City

OBLIGATION REQUEST No.:

PAYEE LILIA D. VILOCORA
OFFICE Mayor
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 4,750.00
711 -
Payment of Salaries and Wages Period Covered 712 -
April 2014. 731 570.00
732 -
733 87.50
734 -
TOTAL 5,407.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE MARILOU G. CAYONGCONG Date:
OFFICE Accounting
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
Payment of Salaries and Wages Period Covered August 01- 711 -
31, 2013 712 -
731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Provincial Capitol, Dipolog City

OBLIGATION REQUEST No.:

PAYEE MARILOU G. CAYONGCONG
OFFICE Accounting
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
711 -
Payment of Salaries and Wages Period Covered 712 -
August 01-31, 2013 731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE JOVITO L. PERATER Date:
OFFICE Treasurer
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
Payment of Salaries and Wages Period Covered August 01- 711 -
31, 2013 712 -
731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Provincial Capitol, Dipolog City

OBLIGATION REQUEST No.:

PAYEE JOVITO L. PERATER
OFFICE Treasurer
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
711 -
Payment of Salaries and Wages Period Covered 712 -
August 01-31, 2013 731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE RENATO B. FEROLINO Date:
OFFICE Accounting
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
Payment of Salaries and Wages Period Covered August 01- 711 -
31, 2013 712 -
731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Provincial Capitol, Dipolog City

OBLIGATION REQUEST No.:

PAYEE RENATO B. FEROLINO
OFFICE Accounting
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
711 -
Payment of Salaries and Wages Period Covered 712 -
August 01-31, 2013 731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE ISIDRO A. BULAC Date:
OFFICE Mayor
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
Payment of Salaries and Wages Period Covered August 01- 711 -
31, 2013 -
712
731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan
OBLIGATION REQUEST No.:
PAYEE ISIDRO A. BULAC
OFFICE Mayor
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
711 -
Payment of Salaries and Wages Period Covered 712 -
August 01-31, 2013 731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE FLORENTINO G. GADIA Date:
OFFICE Motorpool
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
Payment of Salaries and Wages Period Covered August 01- 711 -
31, 2013 -
712
731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No.:

PAYEE FLORENTINO G. GADIA
OFFICE Motorpool
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
711 -
Payment of Salaries and Wages Period Covered 712 -
August 01-31, 2013 731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE VICTORY R. GEGRIMOSA Date:
OFFICE Motorpool
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
Payment of Salaries and Wages Period Covered August 01- 711 -
31, 2013 -
712
731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No.:

PAYEE VICTORY R. GEGRIMOSA
OFFICE Motorpool
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
711 -
Payment of Salaries and Wages Period Covered 712 -
August 01-31, 2013 731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No:

PAYEE JAIME LARATO Date:
OFFICE Mayor's
ADDRESSPob. Zamboanga del Norte
Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
Payment of Salaries and Wages Period Covered August 01- 711 -
31, 2013 -
712
731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tamilisan

OBLIGATION REQUEST No.:

PAYEE JAIME LARATO
OFFICE Mayor's
ADDRESSPob. Zamboanga del Norte

Responsi
bility PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center
701 5,250.00
711 -
Payment of Salaries and Wages Period Covered 712 -
August 01-31, 2013 731 630.00
732 -
733 87.50
734 -
TOTAL 5,967.50
CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
 legal
Signature Signature
Printed ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)