Operations Mindanao Group

November 2, 2016

MEMORANDUM

For : RIZALDY T. CAPULONG

Executive Vice President

Attention : GENERAL ACCOUNTING SECTION

Southern Mindanao Division

Subject : REQUEST FOR REIMBURSEMENT OF

DISCRETIONARY EXPENSES

Per Office Order No. 2015-014 of April 01, 2015, may I request
approval of the payment of my discretionary allowance for October 2016.

Attached are the Disbursement Voucher, Certification with

Summary of Expenses & Official Receipts.

EDDIE A. JARA
SVP/Group Head
 Republic of the Philippines
SOCIAL SECURITY SYSTEM
J. P. Laurel St., Bajada, Davao City

OFFICE OF THE SENIOR VICE PRESIDENT

CERTIFICATION

This is to certify that the total amount of Five Thousand One

Hundred Sixty Three and 28/100 Pesos (P 5,163.28) was incurred
representing Discretionary Expenses for the month of October 2016 in
connection with the performance of my official duties as Senior Vice
President of Mindanao Operations Group.

N Official
o Particulars Receipt Date Amount
. Number
1 R and R Cuppa Lounge '3219 10/13/16 315.00
2 Mandarin Tea Garden '237053 10/20/16 317.00
3 Suka at Sili '63987 10/24/16 717.00
Lucky Centris Hot Pot
4 '45174 10/26/16 2,899.28
Inc.
Fersal International
5 '203705 10/26/16 915.00
Corporation
Total P 5,163.28
AMOUNT FOR REIMBURSEMENT P 5,163.28

November 02, 2016.

EDDIE A. JARA
Senior Vice President