Annex A2

Republic of the Philippines DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Batasan Pambansa Complex, Constitution Hills, Quezon City

BUDGET UTILIZATION REQUEST

Payee Office Address
Responsibility Center

No.

RENANTE M. LASAY

Ramylu Drive, Tangub, Bacolod City

Particulars
Account Code

Amount

Payment of Travel Expenses for attending the " RPMO Mtg, New Staff Orientation and Opening of Account / Follow-up of Endorsement Letter" held at DSWD FO6 on June 6-8, 2011

494.40

Charged to: GOP Share 12%

Total A. Certified B. Certified

494.40

Charges to budget necessary, lawful and under my direct supervision Supporting documents valid, proper and legal

Budget available and earmarked/utilized for the purpose as indicated above

Signature Printed Name Position

Signature

SHARON T. TUSALEM
RPC-KC: MCC
Head, Requesting Office/Authorized Representative

Printed Name Position

CRISTINA D. GAITANA
Budget Unit
Head, Budget Unit/Authorized Representative

Date

Date

Annex A2

Republic of the Philippines DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Batasan Pambansa Complex, Constitution Hills, Quezon City

BUDGET UTILIZATION REQUEST

Payee Office Address
Responsibility Center

No.

RENANTE M. LASAY

Ramylu Drive, Tangub, Bacolod City

Particulars
Account Code

Amount

Payment of Travel Expenses for attending the " RPMO Mtg, New Staff Orientation and Opening of Account / Follow-up of Endorsement Letter" held at DSWD FO6 on June 6-8, 2011

3,625.60

Charged to: MCC Share 88%

Total A. Certified B. Certified

3,625.60

Charges to budget necessary, lawful and under my direct supervision Supporting documents valid, proper and legal

Budget available and earmarked/utilized for the purpose as indicated above

Signature Printed Name Position

Signature

SHARON T. TUSALEM
RPC-KC: MCC
Head, Requesting Office/Authorized Representative

Printed Name Position

CRISTINA D. GAITANA
Budget Unit
Head, Budget Unit/Authorized Representative

Date

Date

Department of Social Welfare & Development Field Office VI M.H. del Pilar Street, Molo Iloilo City
Date: February 6- 10 , 2012 Position:Community Facilitator

ITINERARY OF TRAVEL Name: MYLA D. DE GUZMAN

Official Station: Batan, Aklan Residence: Tacas Jaro, Iloilo City Purpose of Travel: To attend the basic orientation training for new area coordinating team of the kalahi - cidss in reymen Guimaras Time Date Destination
Feb. 5, 2012 Station to crossing Batan

Departure
5:00 p.m.

Arrival
5:15 PM

Means of Transportation
Hire Motorcycle bus PUJ Tricycle

Travel Expenses Transportation

50.00 176.00 7.50 7.00 Travelling Allowance

Total
50.00 176.00 7.50 7.00

crossing Batan to Tagbak Jaro Terminal 5:30 p.m.

tagbak jaro terminal to bangga tacas bangga tacas to the house 8:35 p.m. 9:05 p.m.

8:30 p.m.
9:00 p.m. 9:10 p.m.

Feb. 6,2012

house to bangga tacas bangga tacas to jaro plaza jaro plaza to ortiz ortiz to Jordan Jordan to Reymen

6:30 a.m. 6:40 a.m. 7:00 a.m. 8:00 a.m. 8:20 AM

6:35 a.m. 6:50 a.m. 7:30 a.m. 8:15 a.m. 9:30 AM

Tricycle PUJ PUJ Bangka service

7.00 7.50 7.50 14.00 service

7.00 7.50 7.50 14.00

Feb. 10,2012

reymen to jordan jordan to ortiz ortiz to region Region to iznart Iznart to bangga tacas Bangga tacas to house

3:00 PM 3:35 p.m. 4:15:00 p.m. 4:58 p.m.

3:30 PM 4:00 PM 4:35 p.m. 5:20 p.m.

service Bangka PUJ PUJ PUJ tricyle

service 14.00 7.50 7.50 8.00 7.00 14.00 7.50 7.50 8.00 7.00

5:30 p.m. 6:00:00 p.m. 6:05:00 p.m. 6:10 p.m.

Feb. 11, 2012

house to bangga tacas bangga tacas to tagbak terminal Tagbak Terminal to Bangga batan Bangga batan to batan

5:00 AM 5:10 AM 6:00 AM

5:05Am 5:30 AM 10:00AM

tricyle PUJ Bus hired tricyle

7.00 7.50 176.00 50.00

7.00 7.50 176.00 50.00

10:05AM 10:35:00 a.m.

TOTAL

561.00

I hereby certify that (1) I have reviewed the foregoing itinerary (2) The travel is necessary to the service, (3) The period covered is reasonable, (4) the expenses claimed are proper.

Prepared by:

MYLA D. DE GUZMAN Community Facilitator- Batan SHARON T. TUSALEM RPC-KC:MCC Approved by: MINDA B. BRIGOLI Regional Director

Annex B
Republic of the Philippines DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Field Office VI M.H. del Pilar Street, Molo, Iloilo City Tel No. 336-5425 to 336-5428 DISBURSEMENT VOUCHER MODE OF PAYMENT Payee MDS Check RENANTE M. LASAY Responsibility Center: Address: Ramylu Drive, Tangub, Bacolod City Office/Unit/Project: Code: D4890 Commercial Checks TIN/Employee No: ADA No: Date: May 02, 2011 Other OS/BUS No.:

TULONG! SULONG!

EXPLANATION

Amount

Payment of Travel Expenses for attending the " RPMO Mtg, New Staff Orientation and Opening of Account / Follow-up of Endorsement Letter" held at DSWD FO6 on June 6-8, 2011

494.40

Attachment :

1. Itinerary of Travel 2. Feedback Report 3. Appendix A & B 4. TO/SO 5. CA

494.40
A Certified: Cash Available Subject to Authority to Debit Account (when applicable) Supporting documents complete Signature: Printed Name: Position: Date: C Received Payment: Date: Date: Bank Name Printed Name Date Check/ ADA No. Signature Official Receipt/Other Documents HECTOR ROLDAN V. PROVENDIDO, JR. Accountant III
Head, Accounting Unit/Authorized Representative

Approved for Payment:

Signature: Printed Name: Position: Date: JEV No.: EVANGELINE B. FELECIO OIC-MSD
Agency Head/Authorized Representative

Annex B
Republic of the Philippines DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Field Office VI M.H. del Pilar Street, Molo, Iloilo City Tel No. 336-5425 to 336-5428 DISBURSEMENT VOUCHER MODE OF PAYMENT Payee MDS Check RENANTE M. LASAY Responsibility Center: Address: Ramylu Drive, Tangub, Bacolod City Office/Unit/Project: Code: D4890 Commercial Checks TIN/Employee No: ADA No: Date: May 02, 2011 Other OS/BUS No.:

TULONG! SULONG!

EXPLANATION

Amount

Payment of Travel Expenses for attending the " RPMO Mtg, New Staff Orientation and Opening of Account / Follow-up of Endorsement Letter" held at DSWD FO6 on June 6-8, 2011

3,625.60

Attachment :

1. Itinerary of Travel 2. Feedback Report 3. Appendix A & B 4. TO/SO 5. CA

3,625.60
A Certified: Cash Available Subject to Authority to Debit Account (when applicable) Supporting documents complete Signature: Printed Name: Position: Date: C Received Payment: Date: Date: Bank Name Printed Name Date Check/ ADA No. Signature Official Receipt/Other Documents HECTOR ROLDAN V. PROVENDIDO, JR. Accountant III
Head, Accounting Unit/Authorized Representative

Approved for Payment:

Signature: Printed Name: Position: Date: JEV No.: EVANGELINE B. FELECIO OIC-MSD
Agency Head/Authorized Representative

Department of Social Welfare & Development FO VI (Agency)

MINDA B. BRIGOLI Agency/ Head

DSWD, RFO VI, Molo City Station

I Certify that I have completed the travel authorized in iterinary of Special Order No. _____ dated ____________ under conditions indicated below:

X Strictly in accordance with approved iterinary Cut short as expalined below. Excess payment in the amount of P ________ was returned under OR No. dated ___________________ Extended as explained below Additional iterinary was submitted Other deviations as explained below.

Explainations or justifications:

Evidences of Travel:

Certificate of Appearance X Others ( Travel Order, Feedback Report) Used tickets Reinerio Boglosa, Jr. Area Coordinator - Batan

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

SHARON T. TUSALEM RPC-KC:MCC

Department of Social Welfare and Development

Feedback Report Date Activity Location

Temporary Residence DSWD-FO6

5-Jun To Iloilo 6-Jun RPMO Mtg

Results / MadeRecommendations some preparation for

RPMO Mtg RPMO Mtg. AC reported the result of initial start up activities of Libacao. Mam Sharon requested CFs to start the area work upon completion of requirements and endorsement. Meeting with Libacao CFs

7-Jun Staff Orientation and Opening of Account

DSWD-FO6 and Staff orientation given by Sir Rus DBP/ LBP Libertad, Villanueva re DSWD code of Iloilo City conduct for employees. Ms Josie Cambel oriented the staff about Convergence. Opening of DBP and LBP account. Completed the requirements for LBP/DBP account opening. Request for Endorsement letter and assist in repro/ collating CF forms and other documents needed in the area.

8-Jun Completion of Requirements for DBP/ LBP Account Opening and Preparation of Documents needed in Libacao 9-Jun To Area Libacao, Aklan

Prepared the power point presentation for next week

RENANTE M. LASAY Area Coordinator - Libacao