Você está na página 1de 34

ITINERARY OF TRAVEL

Department of Environment and Natural Resources


COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City
Name:
NENITA L. MARCOS
Monthly Salary:
Purpose of Travel:
Please see attached Travel Order
Date
TIME
Places to be visited
Depart.
Arrival
FROM
TO

Position: Farm Supervisor


Official Station: PENRO Masbate
Means of
Transp.

EXPENSES
Transportation
PER DIEM

May 19 - 23, 2015

19 '

Residence
Masbate
Cogon
Lumucluc

Terminal
Cogon
Lumucluc
Mabuhay

7:00 AM
8:00 AM
9:00 AM
10:00 AM

7:10 AM
8:56 AM
9:48 AM
11:50 AM

Trimobile
Jeep
Habal-habal
Habal-habal

10.00
30.00
145.00
140.00

400.00

20 '

still in Brgy. Mabuhay

400.00

21 '

Brgy. Mabuhay
Cogon

Cogon
Masbate

7:30 AM
10:45 AM

9:56 AM Habal- habal


11:55 AM Jeep

140.00
30.00

22 '

Masbate
Mandaon

Mandaon
San Pablo

7:00 AM
10:25 AM

9:50 AM Bus
11:56 AM Habal- habal

120.00
140.00

800.00

23 '

San Pablo
Mandaon
Terminal

Mandaon
Masbate
Residence

2:00 PM
3:45 PM
5:45 PM

3:20 PM Habal - habal


5:30 PM Bus
5:55 PM Trimobile

140.00
120.00
10.00

320.00

May 26-30, 2015


26 '

27 '

28 '

29 '

30 '

Residence
Masbate
Brgy. Dapdap

Terminal
Brgy. Dapdap
Brgy. Madao

7:00 AM
8:00 AM
10:15 AM

7:10 AM Trimobile
9:25 AM Van
11:45 AM Habal - habal

10.00
40.00
140.00

800.00

Brgy. Madao
Brgy. Dapdap
Terminal

Brgy. Dapdap
Masbate
Residence

2:00 PM
4:00 PM
5:30 PM

3:35 AM Habal- habal


5:20 PM Van
5:45 PM Trimobile

140.00
40.00
10.00

320.00

Residence
Masbate
Aroroy

Terminal
Aroroy
Cabangcalan

7:00 AM
8:30 AM
10:00 AM

7:10 AM Trimobile
9:50 AM Van
11:55 AM Habal-habal

10.00
120.00
140.00

800.00

Cabangcalan
Aroroy
Mandaon

Aroroy
Mandaon
Cabitan

6:30 AM
8:00 AM
10:30 AM

7:56 AM Habal-habal
9:56 AM Van
11:40 AM Van

140.00
120.00
120.00

800.00

Brgy. Cabitan
Mandaon
Terminal

Masbate
Residence

2:00 PM
4:00 PM
10:30 PM

3:45 AM Van
6:20 PM Van
6:45 PM Trimobile

120.00
120.00
10.00

320.00

2,305.00

4,960.00

I certify that: (1) I have reviewed the


foregoing itinerary, (2) the travel is
necessary to the service, (3) the period
covered is reasonable, and (4) the
expenses claimed are proper.

NENITA L. MARCOS
Farm Supervisor

PACIFICO GASES

JERRY R. ARENA

Forester III

OIC,CENR OFFICER

pervisor
O Masbate

NA

CER

Total
10.00
30.00
145.00
400.00
400.00
140.00
30.00
120.00
940.00
140.00
120.00
330.00
10.00
40.00
940.00
140.00
40.00
330.00
10.00
120.00
940.00
140.00
120.00
920.00
120.00
120.00
330.00

7,125.00

ITINERARY OF TRAVEL
Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City
Name:
NENITA L. MARCOS
Monthly Salary:
Purpose of Travel:
Please see attached Travel Order
Date
TIME
Places to be visited
Depart.
Arrival
FROM
TO
8'

9-10 '
11'

12 '

15 '

16-17 '
18'
19 '

21 '

22 '

September 8-12, 2015


Residence
Terminal
Masbate
Dapdap
Dapdap
Brgy. Boniacio

7:00 AM
8:00 AM
10:30 AM

Position: Farm Supervisor


Official Station: DENR-CENRO

Means of
Transp.

7:10 AM Trimobile
9:10 AM Van
11:45 AM Habal-habal

EXPENSES
Transportation
PER DIEM
10.00
40.00
140.00

800.00

still in Brgy. Mabuhay


Bonifacio
Brgy. Madao

Brgy. Madao
Dapdap

Brgy. Dapdap Masbate


Terminal
Residence
September 15-19, 2015
Residence
Masbate
Aroroy

1,600.00
7:30 AM
9:40 AM

8:56 AM Habal-habal
11:45 AM Habal-habal

130.00
120.00

800.00

2:00 PM
5:00 PM

3:45 PM Van
5:10 PM Trimobile

40.00
10.00

320.00

7:00 AM
8:30 AM
10:00 AM

7:10 AM Trimobile
9:45 AM Van
11:50 AM Habal-habal

10.00
120.00
140.00

800.00

still in Brgy. Malubi

1,600.00

Brgy. Malubi
Nabongsoran

Brgy. Nabongsoran

Aroroy

7:00 AM
9:45 AM

8:40 AM Habal-habal
11:35 AM Habal-habal

100.00
120.00

800.00

Aroroy
Terminal

Masbate
Residence

2:30 PM
5:00 PM

4:45 PM Van
5:10 PM Trimobile

120.00
10.00

320.00

September 21-25,2015
Residence
Terminal
Masbate
Mandaon
Mandaon
Brgy. Cabitan
Cabitan
Mandaon
Aroroy

Mandaon
Aroroy
Amutag

7:00 AM
8:00 AM
10:30 AM

7:10 AM Trimobile
9:45 AM Van
11:56 AM Habal- habal

10.00
135.00
50.00

800.00

7:20 AM
9:30 AM
11:00 AM

9:00 AM Habal- habal


10:56 AM Van
11:58 AM Habal-habal

50.00
140.00
140.00

800.00

23'

still in Brgy . Amutag

24 '

Amutag
Macabug

Macabug
Aroroy

7:40 AM
10:36 AM

9:00 AM Habal-habal
11:45 AM Habal-habal

140.00
140.00

800.00

Aroroy
Terminal

Masbate
Residence

2:45 PM
5:00 PM

4:10 PM Van
5:10 PM Habal-habal

120.00
10.00

320.00

2,045.00

10,560.00

25 '

I certify that: (1) I have reviewed the


foregoing itinerary, (2) the travel is
necessary to the service, (3) the period
covered is reasonable, and (4) the
expenses claimed are proper.

800.00

NENITA L. MARCOS
Farm Supervisor

PACIPICO GASES

JERRY R. ARENA

Forester III

OIC,CENR OFFICER

FICE

m Supervisor
DENR-CENRO

NSES
Total

10.00
40.00
940.00
1,600.00
130.00
920.00
40.00
330.00
10.00
120.00
940.00
1,600.00
100.00
920.00
120.00
330.00

10.00
135.00
850.00
50.00
140.00
940.00
800.00
140.00
940.00
120.00
330.00

12,605.00

. ARENA
OFFICER

ITINERARY OF TRAVEL
Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City
Name:
NENITA L. MARCOS
Monthly Salary:
Purpose of Travel:
Please see attached Travel Order
Date
TIME
Places to be visited
Depart.
Arrival
FROM
TO
September 29- October 2, 2015
29 '
Residence
Terminal
Masbate
Aroroy
Aroroy
Macabug
30 '

still in Macabug, Aroroy

31 '

Macabug

6:00 AM

Position: Farm Supervisor


Official Station: DENR-CENRO

Means of
Transp.
Trimobile
Van
Habal-habal

EXPENSES
Transportation
PER DIEM
10.00
100.00
140.00

800.00
800.00

Amutag

Habal-habal

140.00

800

Aroroy
Masbate

Habal-habal
6:30 PM Van

140.00
100.00

320.00

Residence

6:30 PM Trimobile

10.00

Trimobile

10.00
50.00

October 1, 2015
Amutag
Aroroy
Terminal
October 27-31, 2015
27 '

28 '
29 '
30 '
31 '

Residence

Terminal

Masbate

Dapdap, Uson

Van

Dapdap

Madao

Habal-habal

140.00

800.00

still on field
Madao
Simawa
Bonifacio
Dapdap

Simawa
Bonifacio
Dapdap
Masbate

Habal-habal
Habal-habal
Habal-habal
Habal-habal
Van

140.00
100.00
100.00
140.00
50.00

800.00
800.00
800.00

1,370.00

6,240.00

I certify that: (1) I have reviewed the


foregoing itinerary, (2) the travel is
necessary to the service, (3) the period
covered is reasonable, and (4) the
expenses claimed are proper.

6:00AM

6:30 PM
6:30 PM

320.00

NENITA L. MARCOS
Farm Supervisor

PACIPICO GASES

JERRY R. ARENA

Forester III

OIC,CENR OFFICER

CE

Supervisor
DENR-CENRO

SES

ARENA

OFFICER

Total

10.00
100.00
940.00
800.00
940.00
140.00
420.00
10.00

10.00
50.00
940.00
940.00
900.00
900.00
140.00
370.00

7,610.00

ITINERARY OF TRAVEL
Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City
Name:
NENITA L. MARCOS
Monthly Salary:
Purpose of Travel:
Please see attached Travel Order
Date
TIME
Places to be visited
Depart.
Arrival
FROM
TO

Position: Farm Supervisor


Official Station: DENR-CENRO

Means of
Transp.

EXPENSES
Transportation
PER DIEM

November 10-14, 2015


10 '

11 '
12 '
13 '
14

Residence
Masbate
Aroroy

Terminal
Aroroy
Macabug

Macabug
Amotag
Still of field
Cabangcalan
Aroroy
Terminal

Amotag
Cabangcalan
Aroroy
Masbate
Residence

November 17-20 , 2015


17 '
Residence
Masbate
Dapdap
18-19 '
20 '

6:00 AM

6:30PM

Terminal
Dapdap
Brgy. Bonifacio

Still in field
Brgy. Bonifacio
Dapdap
Terminal
November 24-28, 2015
24 '
Residence
Masbate
25-26 '
Still on field
27 '
Brgy.Cabitan
28 '
Brgy. Alas
Brgy. Cabitan
Terminal

6:15AM Trimobile
Van
Habal-habal

10.00
100.00
140.00
140.00

Habal-habal
Habal-habal

140.00
140.00

Habal-habal
Van
Trimobile

140.00
100.00
10.00

Trimobile
Van
Habal-habal

10.00
40.00
140.00

800.00
800.00
800.00
800.00
320.00

800.00
1,600.00

Dapdap
Masbate
Residence
Terminal
Brgy. Cabitan
Brgy.Alas
Brgy. Cabitan
Masbate
Residence

6:30PM

6:30 AM

6:30PM

Habal-habal
Van
Trimobile

140.00
40.00
10.00

Trimobile
Van

10.00
100.00

Hike
Hike
Van
Tricycle

100.00
10.00

1,520.00
I certify that: (1) I have reviewed the
foregoing itinerary, (2) the travel is
necessary to the service, (3) the period
covered is reasonable, and (4) the
expenses claimed are proper.

320.00

800.00
1,600.00
800.00
800.00
320.00

10,560.00

NENITA L. MARCOS
Farm Supervisor

PACIPICO C. GASES

JERRY R. ARENA

Forester III

OIC,CENR OFFICER

CE

Supervisor
ENR-CENRO

SES

ARENA

FFICER

Total

10.00
100.00
940.00
940.00
940.00
940.00
800.00
140.00
420.00
10.00

10.00
40.00
940.00
1,600.00
140.00
360.00
10.00
10.00
900.00
1,600.00
800.00
800.00
420.00
10.00

12,880.00

APPENDICES
DENR
AGENCY
CENRO Mobo
Station
June 22, 2015
Date
I CERTIFY that I have the Travel authorized in itinerary of travel No. 013 dated
____________________ 2015 under conditions indicated below:

Cut short was explained below. Excess payment in the amount of _________________________.
Was refunded on O.R. No. __________________ dated _________________

2015

Extended as explained below


Explanation or justification on

Evidence of Travel attached heretoTravel Order, Certificate of Appearance, Ticket

Submitted by:

NENITA L. MARCOS
Farm Supervisor
On the evidence and information of which I have knowledge, the travel was actually under taken.

JERRY R. ARENA
(Chief of Office)
OIC, CENR OFFICER
(Designation)

_________.

ly under taken.

APPENDICES
DENR
AGENCY

I CERTIFY that I have the Travel authorized in itinerary of travel No. 013 dated
____________________ 2015 under conditions indicated below:

Cut short was explained below. Excess payment in the amount of _________________________.
Was refunded on O.R. No. __________________ dated ___________________ 2013
Extended as explained below
Explanation or justification on

Evidence of Travel attached hereto: Travel Order, Certificate of Appearance, Ticket

Submitted by:

NENITA L. MARCOS
Farm Supervisor
On the evidence and information of which I have knowledge, the travel was actually under taken.

JERRY R. ARENA
(Chief of Office)
OIC, CENR OFFICER
(Designation)

CENRO Mobo
Station
December 2, 2015
Date
o. 013 dated

_________________________.
2015

earance, Ticket

ubmitted by:

NENITA L. MARCOS
Farm Supervisor

avel was actually under taken.

JERRY R. ARENA
(Chief of Office)
OIC, CENR OFFICER
(Designation)

Republic of the Philippines


DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City

TRAVEL ORDER
(No.

Name
Position
Departure Date
Destination

:
:
:
:

NENITA L. MARCOS
Farm Supervisor
May 19, 2015
Lumucloc, Mabuhay, Mobo &
San Pablo, Mandaon Masbate

Purpose of Travel

To inspect / monitor the On-Going accomplishment of PMEP


activities of RARE BABCC and Brgy. Forest Program thereat

Per Diems /Expenses Allowed

Assistance or Laborers Allowed

Appropriations to which travel should be charged


Remarks or Special Instructions
:

Salary
Div. /Sec/Unit
Official Station
Arrival Date

:
:
: PENRO Masbate
: May 23, 2015

CERTIFICATION:
This is to certify that the travel is necessary and is connected with the functions of the official/employee of this Div.
/Sec./Unit.
Approved:

For the absence of OIC , CENR Officer


PACIFICO GASES
Forester III

AUTHORIZATION
I hereby authorize the Accountant to deduct the corresponding amount of the unliquidated cash advance from my succeeding salary for
failure to liquidate this travel within the prescribed thirty-day period upon return to my permanent official station pursuant to Item 5.1.3 COA
Circular 97-002 dated February 10, 1997 and Sec. 16 EO 248 dated May 29, 1995.

NENITA L. MARCOS
Official / Employee

ceeding salary for my


em 5.1.3 COA

Republic of the Philippines


DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City

TRAVEL ORDER
(No.
Name
Position
Departure Date
Destination

:
:
:
:

Purpose of Travel :

NENITA L. MARCOS
Nursery
May 26, 2015
Madao, Uson , Cabangcalan
Aroroy and Cabitan Mandaon , Masbate

Salary
Div. /Sec/Unit
Official Station
Arrival Date

:
:
:
:

PENRO Masbate
May 30, 2015

To monitor / inspect the on- going accomplishment of PMEP activities of RARE BAMCO and TKFPI

Per Diems /Expenses Allowed


:
Assistance or Laborers Allowed
:
Appropriations to which travel should be charged
Remarks or Special Instructions
:

NGP

CERTIFICATION
This is to certify that the travel is necessary and is connected with the functions of the official/employee of this
Div. /Sec./Unit.
Approved:

JERRY R. ARENA
OIC - CENRO

AUTHORIZATION

I hereby authorize the Accountant to deduct the corresponding amount of the unliquidated cash advance from my succeeding salary
for my failure to liquidate this travel within the prescribed thirty-day period upon return to my permanent official station pursuant to Item 5.1
COA Circular 97-002 dated February 10, 1997 and Sec. 16 EO 248 dated May 29, 1995.

NENITA L. MARCOS
Official / Employee

RO Masbate

and TKFPI

om my succeeding salary
ation pursuant to Item 5.1.3

Republic of the Philippines


Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City

STATEMENT OF ACCOMPLISHMENT REPORT


May 19-23, 2015

Inspected / monitored the on-going accomplishment of PMEP activities of RARE


BABCC and Brgy Forest Program Thereat

May 26 - 30, 2015

Monitored / inspected the on-going accomplishment of PMEP activities of RARE


BAMCO and TKFPI

Prepared by:

NENITA L. MARCOS
Farm Supervisor

Noted by:

JERRY R. ARENA
OIC CENR Officer

Republic of the Philippines


Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City

STATEMENT OF ACCOMPLISHMENT REPORT


August 4-7, 2015

Inspected / monitor the on- going accomplishment of PMEP Activities of Tao Kalikasan of BUB Project.

September 15-19, 2015

Inspected the accomplishment activities (PMEP) of RARE as request of the contractor.

Prepared by:

NENITA L. MARCOS
Farm Supervisor

Noted by:

JERRY R. ARENA
OIC CENR Officer

ICE

Kalikasan of BUB Project.

contractor.

Republic of the Philippines


Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City

STATEMENT OF ACCOMPLISHMENT REPORT


August 4-7, 2015

Inspected / monitored the on-going accomplishment of PMEP Activities


of Tao Kalikasan of BUB Project

August 18-22, 2015

Inspected / validated the accomplished activities of (PMEP)


of RARE as per request of the contractor

Prepared by:
NENITA L. MARCOS
Farm Supervisor

Noted by:

PACIPICO C. GASES
Supervising Eco Mgt. Specialist
Approved by:

JERRY R. ARENA
OIC CENR Officer

FICE

RT

Republic of the Philippines


Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City

STATEMENT OF ACCOMPLISHMENT REPORT


September 29 - October 2, 2015

Monitored / validated the activities for 3rd Quarter Year 1 NGP Protection
and maintenance of esteblished Plantation Bamboo projects.

October 27- 31, 2015

Inspected / validated the accomplished activities of CSD project of TKFPI and RARE.

Prepared by:

NENITA L. MARCOS
Farm Supervisor

Noted by:

JERRY R. ARENA
OIC CENR Officer

ICE

Republic of the Philippines


Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Masbate City

STATEMENT OF ACCOMPLISHMENT REPORT


November 10-14, 2015

Monitored / validated the activities for 3rd Quarter Year I


NGP Protection and Maintenance of established plantation of TKFPI.
November 17-20, 2015

Monitored / validated the on-going accomplishment (PMEP)


activities for final turn over per request of TKFPI.
November 24-28, 2015

Inspected / validated the accomplished activities plantation


established and protection and maintenace of established
plantaton of NGP -CSD Project Central based fund.

Prepared by:

NENITA L. MARCOS
Farm Supervisor

Noted by:

JERRY R. ARENA
OIC CENR Officer

S OFFICE

PORT

EXPENSE MONITORING FORM


Control No.
ROA No.
Date Prepared
Vehicle No.
P/P/A Code/ Activity Description
Responsibility
Center

Unit

Date Released
Date Checked

RO/CENRO/PENRO

Fund

Purpose

Prepared by:

Allotment
Classification

Amount
Requested

Amount
Obligated

Approved by:

ROSE P. MONCADA
ISA-II/Designate Budget Controller

JERRY R. ARENA
OIC, CENR Officer

EXPENSE MONITORING FORM


Control No.
ROA No.
Date Prepared
Vehicle No.
P/P/A Code/ Activity Description
Responsibility
Center

Unit

Date Released
Date Checked

RO/CENRO/PENRO

Fund

Purpose

Prepared by:

Allotment
Classification

Amount
Requested

Amount
Obligated

Approved by:

ROSE P. MONCADA
ISA-II/Designate Budget Controller

JERRY R. ARENA
OIC, CENR Officer

EXPENSE MONITORING FORM


Control No.
ROA No.
Date Prepared
Vehicle No.
P/P/A Code/ Activity Description
Responsibility
Center

Prepared by:

ROSE P. MONCADA
ISA-II/Designate Budget Controller

Unit

Date Released
Date Checked

RO/CENRO/PENRO

Fund

Purpose

Allotment
Classification

Approved by:

JERRY R. ARENA
OIC, CENR Officer

Amount
Requested

Amount
Obligated

eased
ecked

Actual
Amount
Disbursed

eased
ecked

Actual
Amount
Disbursed

eased
ecked

Actual
Amount
Disbursed

OBLIGATION REQUEST AND STATUS

No. :

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

Date:

PENRO, MASBATE

Fund:

Payee

NENITA L. MARCOS

Office

DENR-CENRO

Address

Airport Road, Masbate City


Particulars

Responsibility

P.P.A.

Account

Amount

Code

Center

To payment of TEV for the period of July


21-24, 2015 and July 28- August 1, 2015

Total
A.

Certified:

Charges to appropriation/

Php 7,760.00

Certified: Allotment available

allotment necessary, lawful, and under

obligated for the purpose/

my direct supervision, and supporting

ment necessary as indicated

documents valid, proper and legal.

above.

Signature

Signature

JERRY R. ARENA

Printed Name
Position

OIC, CENR OFFICER

Date

EVA B. ABAN

Printed Name
Position

Administrative officer IV/Budget Officer II

Date

STATUS OF OBLIGATION
REFerence
DAte

ORS #

NORSA/JEV #/LDDAP

Amount
Obligation

Payment

Payable/Balance

Amount

Php 7,760.00

EVA B. ABAN

istrative officer IV/Budget Officer II

Amount
Payable/Balance

OBLIGATION REQUEST AND STATUS

No. :

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

Date:

PENRO, MASBATE

Fund:

Payee

NENITA L. MARCOS

Office

DENR-CENRO

Address

Airport Road, Masbate City


Particulars

Responsibility

P.P.A.

Account

Amount

Code

Center

To payment of TEV for the Period of May 19-23, 2015 to inspect


/ monitor the on-going accomplishment of PMEP activities of
RARE BABCC and Brgy. Forest Program thereat at Brgy.
Lumucluc, Mabuhay Mobo, Masbate and May 26-30, 2015. to
monitor / inspect the on-gong accomplishment of PMEP
activities of RARE BAMCO and TKFPI at Brgy. Cabitan ,
Mandaon Masbate in the total amount of...
Php 9,220.00

TOTAL:
A.

Certified:

Total
Charges to appropriation/

Php 9,220.00

Certified: Allotment available

allotment necessary, lawful, and under

obligated for the purpose/

my direct supervision, and supporting

ment necessary as indicated

documents valid, proper and legal.

above.

Signature

Signature

JERRY R. ARENA

Printed Name
Position

EVA B. ABAN

Printed Name
Position

OIC, CENR OFFICER

Date

Administrative officer IV/Budget Officer II

Date

STATUS OF OBLIGATION
REFerence
DAte

ORS #

NORSA/JEV #/LDDAP

Amount
Obligation

Payment

Payable/Balance

Amount

Php 9,220.00

Php 9,220.00
.

B. ABAN

cer IV/Budget Officer II

Payable/Balance

Appendix
Fund Cluster :

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

PROVINCIAL ENVIRONMENT AND NATURAL RESOURCES OFFICE


Date :
DV No. :

Airport Road, Masbate City

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Payee

Commercial Check

ADA

Others (Please specify)


_________________
ORS/BURS No.:

TIN/Employee No.:

NENITA L. MARCOS
DENR, CENRO, MASBATE - Airport Road, Masbate City

Address

Particulars

Responsibility Center

MFO/PAP

Amount

To payment of TEV for the period of JULY 21-24, 2015 and July 28August 1, 2015 in the total amount of

Amount Due

Php 7,760.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
JERRY R. ARENA
OIC - CENR Officer
Printed Name, Designation and Signature of Supervisor
B. Accounting Entry:
Account Title

UACS Code

C. Certified:
Cash available

Debit

Credit

D. AApproved for Payment

Subject to Authority to Debit Account (when applicable)


Supp
proper

Signature

Signature

Printed Name
Position

SARAH B. CABUG
ACCOUNTANT III
Head, Accounting Unit/Authorized Representative

Date

Printed Name
Position

TITO R. MIGO
OIC, PENR Officer
Agency Head/Authorized Representative

Date

E. Receipt of Payment

JEV No.

Check/ ADA
No. :

Date :

Bank Name & Account Number:

Signature :

Date :

Printed Name:

Official Receipt No. & Date/Other Documents

Date

Appendix 32

Fund Cluster :

Date :
DV No. :

_____________
ORS/BURS No.:

Amount

Php 7,760.00

Credit

R. MIGO

ENR Officer

horized Representative

JEV No.

Você também pode gostar