Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Office
Address
Total
A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above
Signature : Signature :
Printed Name: Printed Name: GERALD C. TEPPANG
Position : Position : Administrative Officer II
Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized Representat
C. STATUS OF OBLIGATION
Reference Amount
Balance
Payment ADA/Check
Appendix 11
Amount
GERALD C. TEPPANG
Administrative Officer II
Head, Budget Division/Unit/Authorized Representative
_________________________________
TATUS OF OBLIGATION
Amount
Balance
Due and
Demandable
(b-c)
Appendix 32
Fund Cluster :
PAROLE AND PROBATION ADMINISTRATION - REGION 2
Entity Name
01
Date :
DISBURSEMENT VOUCHER DV No. :
Address
Responsibility
Particulars MFO/PAP Amount
Center
Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
B. Accounting Entry:
Account Title UACS Code Debit Credit
Signature Signature
Printed
BIANCA G. PAGALILAUAN Printed Name BENITA L. MARAMAG
Name
Accountant 1 Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
To payment of TEV-OB in attending PRAISE Committee meeting on Jan 15-16, 2015 at Regional Officer per ROSO No 0001 dated 01-02-2016
Kindly attach to DV/ORS the following and arranged as enumerated:
1 ROSO/COSO
2 Duly Approved Itinerary of Travel (Appendix 45)
3 Paper/Electronic plane, boat or bus tickets, boarding pass, terminal fee;
4 Certificate of Appearance/Attendance;
5 Certificate of Travel Completed (CTC) (Appendix 47)
To payment of Electric Bill for the month of January 2015 (Current Reading______ Previous Reading _____ Total KW used _____)
To payment of Cash Advance for payment of VPAs TEV, 1st Quarter of CY 2016 (C/o Disbursing Officer)
Field Offices will submit the following and arranged as enumerated:
1 Payroll (1 copy)
2 Monthly Report
3 Acknowledgement Receipt by the VPA/ or signed Payroll (3)
To payment of Field Operating Expenses for the period of Jan 1 to Jan 31 2016
1 Summary of Expenses groupped according to nature of expenses i.e., Courier/Postage; Photocopying/Printing etc
2 Official Receipts and other supporting documents arranged following the presentation in the Summary of Expenses
3 For Mailing expenses, attach a duly received Certificate of Mailing
4 For liasoning expenses, attach Itenirary of Travel and Reimbursement Expense Receipt (RER)
5. Under Box A, kindly indicate the name of head of office and its corresponding position i.e MA. CRISTINA C. VIBAR , Chief Probation and Parole Officer; MARIA EMELIE C
IMPORTANT NOTE: THE FORM IS READY FOR PRINTING USING A4 PAPER AND MARGINS ARE ALREADY SET.
ALL SPACES ARE VERY IMPORTANT TO FINANCIAL UNIT AND THERFORE DO NOT MAKE YOUR OWN REVISIONS ON THE FORM. PLS PLS PLS DO NOT MODIFY THE SAID FORM
d_________ Total Client Supervised ______
2016
r; MARIA EMELIE C. CALAGUI, OIC/SPPO
ITINERARY OF TRAVEL
TOTAL
Prepared by :
I certify that : (1) I have reviewed the foregoing MARY GRACE M. DELA CRUZ
itinerary, (2) the travel is necessary to the Signature over Printed Name
service, (3) the period covered is reasonable and
(4) the expenses claimed are proper. Approved by:
BENITA L. MARAMAG
CPPO MARIA EMELIE C. CALAGUI Regional Director
Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
Appendix 45
ITINERARY OF TRAVEL
TOTAL
Prepared by :
I certify that : (1) I have reviewed the foregoing MARY GRACE M. DELA CRUZ
itinerary, (2) the travel is necessary to the Signature over Printed Name
service, (3) the period covered is reasonable and
(4) the expenses claimed are proper. Approved by:
BENITA L. MARAMAG
CPPO MARIA EMELIE C. CALAGUI Regional Director
Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
Appendix 45
ITINERARY OF TRAVEL
TOTAL 3,865.00
Prepared by :
BENITA L. MARAMAG
CPPO MARIA EMELIE C. CALAGUI Regional Director
Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
Appendix 47
CERTIFICATE OF TRAVEL COMPLETED
I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No.. ________ dated ________ under conditions indicated below:
Explanation or justifications:
Evidence of travel:
Respectfully submitted:
On evidence and information of which I have the knowledge the travel was actually
undertaken.
Approved:
BENITA L. MARAMAG
Regional Director
LIQUIDATION REPORT
Period Covered ________________
PARTICULARS
AMOUNT
3,865.00
2,720.00
1,145.00
C Certified: Supporting documents
complete and proper
________________________
Signature over Printed Name
Head, Accounting Division Unit
Date: _____________________
Appendix 60
PURCHASE REQUEST
Purpose: ____________________________________________________________
_______________________________________________________________
_______________________________________________________________
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Appendix 61
PURCHASE ORDER
PAROLE AND PROBATION ADMINISTRATION REGION 2
Entity Name
Stock/
Unit Description Quantity Unit Cost Amount
Property No.
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 on the undelivered item/s.
__________________________ ________________________________
Signature over Printed Name of Supplier
Signature over Printed Name of Authorized Official
___________________________ _____________________________
Date Designation
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Appendix 62
INSPECTION ACCEPTANCE
ANCE REPORT
Fund Cluster : 01
Quantity
ACCEPTANCE
Received : _____________________
Complete
Purpose:
Signature :
Printed Name :
Designation :
Date :
AO 6/15/02
Appendix 46 Appendix 46
Entity Name: PAROLE AND Fund Cluster : 01 Entity Name: PAROLE AND Fund Cluster : 01
PROBATION ADMINISTRATION PROBATION ADMINISTRATION
REGION 2 REGION 2
Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________
_________________________________________________________ _________________________________________________________
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,
_________________________________________________________ _________________________________________________________
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________
WITNESS WITNESS
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________
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