Republi ofthe Philippines Fun Caner Department of Public Works and ighvays Region I iS [Date T 1 No DISBURSEMENT VOUCHER PYSe9 07 Noor eee CJ mpsctesk [7] commercial 33] ADA] Others Pease speci) Payee 7 [rN Epayes No JoRsBURSN (JBZ BUILDERS AND TRADING * Ew Jk 415-537-799AAA, 1012015-09-001028 4 /Bank Name/Account No. [PMS ID No. 09/30/15 Kao | ‘Adress: [iy of San Ferando, Pampanga am Reset 7 Paricul ona MPOPAP ‘mou Ho lee te aonr ain pending subaision oF IR No GOVT is conetion with te Slpe Protection of Cacutud-Gatianin Cree, asayat, Pampanga te contact mount of P494,357.00 spr sepponing ppeshecoanached or aspen L- JcnargeTo: Fond 100101-NGA~ swaotsanoorsr & oss Amount Due assim | 7 Cetiied:Expenses/Cath Advane necesary, laf and incur under my | | RuBY it, CANE 1c, Assisht Dist Eater Fringd Nang, Designation and Shae of Supers Printed Name, Designation and Signature of Spero B] Accouming Entry Account Tie ACS Cade Debit cra Please se atached JEV a |Certified: D]Approved for Payment; 413,920.72, ~~ (7) cash Avaitabie ‘Subject to Authority to Debit Account (When applicable) Four Hundred Thirteen Thousand Nine : Signature signature Qe PiadNane FELMA L. SANCHEZ nea A{MER c lpaNDa ' Asean ae 1c Dinter rion Head, Accounting Univ Authorized Representative Ageney Head, Auhorzed Representative Dae Dae E JReceived Payment ev No oy cr Bank Nae & avout Nomber Sree _[$OOI 1 0923 40m #1 hala | bor exse bate nied Nane Daz ori Respr Other Documents