Appendix 32

Republic of the Philippines

DEPARTMENT OF JUSTICE
BUREAU OF CORRECTIONS
NBP Reservation, Muntinlupa City, Philippines, 1776
Telefax: +632-809-80-73

Fund Cluster :

DISBURSEMENT VOUCHER Date : October 31, 2018

DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CCINSP LEON A. CASANOVA, JR.

Address MUNTINLUPA CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimberstment for travel expenses as per 7,012.00

NBP O.I. NO….290…2018 DTD Oct. 21, 2018

Amount Due 7,012.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

CSSUPT GERARDO F. PADILLA, MPA, CSMS

Superintendent, New Bilibid Prison

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name:
Name BIENVENIDA F. TUPAS ASEC MELVIN RAMON G. BUENAFE
Directorate for Finance and Logistic OIC, DG/ DDGO
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : DBP Acct. no.
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 11

OBLIGATION REQUEST AND STATUS Serial No. : _____________________

_____________________________________ Date : September 14, 2018

Entity Name Fund Cluster : ___________________

Payee CO3 JERRY Q. APOLINARIO

Office NBP-FOS

Address MUNTINLUPA CITY

Responsibility Center Particulars MFO/PAP Amount

Reimburstment for Travel expenses 7,012.00

as per DDO NO. T/O-206-18-09
DTD September 05, 2018

Total 7,012.00
A. Certified: Charges to appropriation/alloment are B. 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 : ______________________________

CSSUPT GERARDO F. PADILLA, MPA, CSMS Printed Name: EDGARDO DC VIRTUDAZO

Position : Superintendent, New Bilibid Prison Position : Chief, Budget Section

Head, Requesting Head, Budget Division/Unit/Authorized
Office/Authorized Representative Representative
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)
 Republic of the Philippines
DEPARTMENT OF JUSTICE
BUREAU OF CORRECTIONS
NBP Reservation, Muntinlupa City, Philippines, 1776
Telefax: +632-809-80-73

ITINERARY OF TRAVEL

No.: _______________
Name : LEON A. CASANOVA, JR.
Position : Corrections Chief Inspector Purpose of Travel : As per NBP O.I. NO....290….2018
Official Station : NBP-FOS Dated October 21, 2018
Places to be visited TIME Means of Transpor- Per
Date Others Total Amount
(Destination) Departure Arrival Transportation -tation Diem

21 Oct. 2018 NPB to Batangas Pier Bu Cor Sevice

Batangas Pier to Abra De Ilog Pier RORO Passenger Ticket 186

RORO Terminal fee 129
Passenger Terminal Fee 30
Rolling Vehicle Ticket 2,080
Abra De Ilog Pier to SPPF Bu Cor Sevice
SPPF to Abra De Ilog Bu Cor Sevice
Abra De Ilog to Batangas Pier RORO Terminal Fare 129
RORO Passenger Ticket 186
Rolling Vehicle Ticket 1,872
Batangas Pier to NBP Bu Cor Sevice

per diem for 3 days 2,400.00

TOTAL 4,612 2,400 7,012.00

Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is CCINSP LEON A. CASANOVA, JR.
necessary to the service, (3) the period covered is reasonable and (4) the Signature over Printed Name
expenses claimed are proper.
Approved by:

CSUPT GABRIEL B. MAGAN, JR. ______________________________________________

Asst. Deputy Supt. For Operations CSSUPT GERARDO F. PADILLA, MPA, CSMS
Superintendent, New Bilibid Prison
 LIQUIDATION REPORT NO:
Date: October 26, 2017
BUREAU OF CORRECTIONS RESPONSIBILITY CENTER
AGENCY CODE:

PARTICULARS AMOUNT
-

Liquidatio for Cash Advance as per Special Order No. 592-s.-2017

in the amount of …… 10,400.00

TOTAL AMOUNT SPENT - 10,400.00

AMOUNT OF CASH ADVANCE PER DV NO.__________________DTD_______________
AMOUNT REFUNDED PER OR NO.______________DTD____________
AMOUNT TO BE REIMBURSED
A CERTIFIED CORRECTNESS OF THE B CERTIFIED PURPOSE OF TRAVEL/CASH C CERTIFIED SUPPORTING DOCUMENTS

ABOVE DATA ADVANCE DULY ACCOMPLISHED COMPLETE AND PROPER

JERRY Q, APOLINARIO, JR. CELSO S. BRAVO EDGARDO VIRTUDAZO

PRISON GUARD I Asst.SUPT.-NBP OIC, ACCOUNTING SECTION
CLAIMANT IMMEDIATE SUPERVISOR HEAD ACCOUNTING UNIT JEV NO: