New DV and Obligation Slip For Coa Claim - Salary Diff - Andrew

Republic of the Philippines COMMISSION ON AUDIT Quezon City
Mode of Payment
DISBURSEMENT VOUCHER
MDS Check Commercial Check ADA
TIN/Employee No.
No.
Others
OR/BUR No.
PAYEE ADDRESS
ANDREW T. GARCIA
Cluster D-Economic Services,COA-BFAR CO, Q.C. EXPLANATION
292-494-062/0245828 Responsibility Center

Office/Unit/Project Code
AMOUNT
RE: Salary and Amelioration Allowance differential for the period November 10, 2011 to January 20, 2012 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary SAE II Salary Monthly Differential
2 months and 8/22 from Nov. 10 to Jan. 20
X Total Salary Differential Amelioration Allowance (1 1/2 mos.) 4756 x 1.5 Total Differential
24,423.00 19,658.00 4,765.00 2.36 11,245.40 7,134.00 18,379.40
18,379 40
TOTAL
A. CERTIFIED Cash available
Subject to Audthority to Debit Account (when applicable)
18,379 40
B. Approved for Payment
Supporting documents complete Signature Printed Name

Printed Name
________________________________ ________________________________
Signature
Position
Accountant Head, Accounting Unit/Authorized Representative Date
Position : Agency Head/Authorized Representative
Date C. Received Payment Check/ ADA No. Signature Official Receipt/Other Documents
JEV No. Date Date Bank Name Printed Name Date
Republic of the Philippines COMMISSION ON AUDIT Commonwealth Avenue, Quezon City
OBLIGATION REQUEST
Payee Office Address:
Responsibility Center
No.
ANDREW T. GARCIA NGS CLUSTER D-ECONOMIC SERVICES COA-BFAR-CO, Quezon City PARTICULARS
RE: Salary and Amelioration Allowance Differential for the period November 10, 2011 to January 20, 2012 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary SAE II Salary Monthly Differential 2 months and 8/22 from Nov. 10 to Jan. 20 Total Amelioration Allowance (1 1/2 mos.) 4756 x 1.5 Total Differential X 24,423.00 19,658.00 4,765.00 2.36 11,245.40 7,134.00 18,379.40
P.P.A
Account Code
Total A. Certified B. Certified Allotment available and obligated for the purpose as indicated above
Charges to appropriation/ allotment necessary, lawful and under my direct supervision Supporting documents valid, proper and legal
Signature Printed Name Position Date Mr. JOSEPH B. ANACAY Director IV

Head, Requesting Office/Authorized Representative
Signature Printed Name Position Date

Head, Budget Unit/Authorized Representative
Amount
18,379.40
for the purpose as
Authorized Representative
Mode of Payment
TIN/Employee No.
No.
Others
OR/BUR No.
PAYEE ADDRESS
ANDREW T. GARCIA

AMOUNT
RE: Salary and Amelioration Allowance differential for the period November 10, 2011 to December 31, 2011 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011.
SA I Salary SAE II Salary Monthly Differential

1 month and 15/22 from Nov. 10 to Dec. 31, 2011 X
24,423.00 19,658.00 4,765.00 1.68 8,005.20 7,134.00 15,139.20
Total Salary Differential Amelioration Allowance (1 1/2 mos.) 4756 x 1.5 Total Differential
15,139 20
TOTAL
15,139 20

Printed Name
________________________________ ________________________________
Signature
Position
OBLIGATION REQUEST
No.
RE: Salary and Amelioration Allowance Differential for the period November 10, 2011 to January 20, 2012 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary SAE II Salary Monthly Differential 1 month and 15/22 from Nov. 10 to Dec. 31, 2011 X Total Amelioration Allowance (1 1/2 mos.) 4756 x 1.5 Total Differential 24,423.00 19,658.00 4,765.00 1.68 8,005.20 7,134.00 15,139.20
P.P.A
Account Code


Amount
15,139.20
for the purpose as
Mode of Payment
TIN/Employee No.
No.
Others
OR/BUR No.
PAYEE ADDRESS
ANDREW T. GARCIA

AMOUNT
RE: Salary differential for the period January 16 to February 29 due to promotion from SAE II to SA I pursuant to COA Resolution No. A-11035 dated November 10, 2011.
SA I Salary SAE II Salary Monthly Differential 1 and 1/2 month Total Salary Differential
24,423.00 19,658.00 4,765.00 1.5 7,147.50
7,147 50
TOTAL
7,147 50

Printed Name
________________________________ ________________________________
Signature
Position
OBLIGATION REQUEST
No.
RE: Salary differential for the period January 16 to February 29 due to promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary SAE II Salary Monthly Differential 1 and 1/2 months Total X 24,423.00 19,658.00 4,765.00 1.5 7,147.50
P.P.A
Account Code


Amount
7,147.50
for the purpose as

New DV and Obligation Slip For Coa Claim - Salary Diff - Andrew

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New DV and Obligation Slip For Coa Claim - Salary Diff - Andrew

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Republic of the Philippines COMMISSION ON AUDIT Quezon City

292-494-062/0245828 Responsibility Center

24,423.00 19,658.00 4,765.00 2.36 11,245.40 7,134.00 18,379.40

Supporting documents complete Signature Printed Name

Accountant Head, Accounting Unit/Authorized Representative Date

Position : Agency Head/Authorized Representative

JEV No. Date Date Bank Name Printed Name Date

Republic of the Philippines COMMISSION ON AUDIT Commonwealth Avenue, Quezon City

Signature Printed Name Position Date Mr. JOSEPH B. ANACAY Director IV

Signature Printed Name Position Date

for the purpose as

Republic of the Philippines COMMISSION ON AUDIT Quezon City

292-494-062/0245828 Responsibility Center

SA I Salary SAE II Salary Monthly Differential

24,423.00 19,658.00 4,765.00 1.68 8,005.20 7,134.00 15,139.20

Supporting documents complete Signature Printed Name

Accountant Head, Accounting Unit/Authorized Representative Date

Position : Agency Head/Authorized Representative

JEV No. Date Date Bank Name Printed Name Date

Republic of the Philippines COMMISSION ON AUDIT Commonwealth Avenue, Quezon City

Signature Printed Name Position Date Mr. JOSEPH B. ANACAY Director IV

Signature Printed Name Position Date

for the purpose as

Republic of the Philippines COMMISSION ON AUDIT Quezon City

292-494-062/0245828 Responsibility Center

24,423.00 19,658.00 4,765.00 1.5 7,147.50

Supporting documents complete Signature Printed Name

Accountant Head, Accounting Unit/Authorized Representative Date

Position : Agency Head/Authorized Representative

JEV No. Date Date Bank Name Printed Name Date

Republic of the Philippines COMMISSION ON AUDIT Commonwealth Avenue, Quezon City

Signature Printed Name Position Date Mr. JOSEPH B. ANACAY Director IV

Signature Printed Name Position Date

for the purpose as

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