Payroll Format BLANK

Sheet _____________ of _____________Sheets
DAILY WAGE PAYROLL
Project
LGU Period:
NUMBER RATE Community Tax

NAME DESIGNATION OF DAYS PER NET PAY SIGNATURE OR Number Date Place of
WORKED DAY THUMBMARK Issue
B.N.I.
B.N.I.
B.N.I.
B.N.I.
TOTAL -
CERTIFIED: APPROVED FOR PAYMENT: CERTIFIED:
Each person whose name appears on this roll had Each person whose name appeards on the above
rendered services for the time stated. roll has been paid the amount stated opposite his
name after identifying him.
ALLANA A. ASANE HON. BRAEDEN JOHN Q. BIRON NILDA M. MAMARION

HRMO IV Municipal Mayor Municipal Treasurer
Name & Signature of Foreman/ Supervisor Name & Signature of Approving Officer Name & Signature of Disbursing Officer
General Form No.6
Revised January 1992
SUMMARY OF PAYROLL
HDB AND PREPARATION AND OPERATION OF LYING-N-CLINIC
Project
Agency: LGU, Barotac Nuevo, Iloilo Period: May 16-31, 2017
Amount of Rolls Amount of Paid Amount Unpaid on Rolls
THIRTY FOUR THOUSAND

FOUR HUNDRED FIFTY THREE PESOS AND 1/100. P 34,453.01
NILDA M. MAMARION
Municipal Treasurer
TOTALS THIRTY FOUR THOUSAND FOUR HUNDRED FIFTY THREE PESOS AND 1/100.
Prepared By: Certfified Correct:
ALLANA A. ASANE DR. RONI PHILIP D. BRODIT

HRMO IV Municipal Health Officer
ACCOUNTING ENTRY
Account Debit Credit Certified Correct
CELSO D. LUMAWAG
Accountant
General Form No.6
SUMMARY OF PAYROLL
UTILITY SERVICES-GENERAL ADMINISTRATION
Project
Agency: LGU, Barotac Nuevo, Iloilo Period: April 16-30, 2017
Fiftenn Thousand
Seven Hundred Fifty Pesos. P 15, 750.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Fifteen Thousand Seven Hundred Fifty Pesos.

ESTRELLA B. JARA ALLANA A. ASANE

HRMA HRMO IV
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6
SUMMARY OF PAYROLL
Project
Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017
Six Thousand
Nine Hundred Thirty Pesos. P 6, 930.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Six Thousand Nine Hundred Thirty Pesos.

ALBERT B. DELMO ALLANA A. ASANE

Sports & Games Insp. II HRMO IV
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6
SUMMARY OF PAYROLL
Project
Seventy Two Thousand

Seven Hundred Sixty Five Pesos. P 72, 765.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Seventy Two Thousand Seven Hundred Sixty Five Pesos.

REY JOHN P. PAGO ENGR. CYRIL M. SAZON

Market Inspector I Market Supervisor IV
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project
Three Thousand
Seven Hundred Eighty Pesos. P 3, 780.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Three Thousand Seven Hundred Eighty Pesos.

ANTHONY C. ELBANBUENA ENGR. NORMAN P. LUSTRIA

Engineering Aide Municipal Engineer
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project
Six Thousand
Eight Hundred Seventy Six Pesos & 84/100. P 6, 876.84
NILDA M. MAMARION
Municipal Treasurer
TOTALS Six Thousand Eight Hundred Seventy Six Pesos & 84/100.
THERESE R. MIRANDA CATALINA V. BELONIO

Revenue Collection Clerk I Administrative Officer III
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project

Fifty Six Thousand

Seventy Pesos. P 56, 070.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Fifty Six Thousand Seventy Pesos.

THERESE R. MIRANDA CATALINA V. BELONIO

Revenue Collection Clerk I Administrative Officer III
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project
Four Thousand
Ninety Five Pesos. P 4, 095.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Four Thousand Ninety Five Pesos.

REY JOHN P. PAGO ENGR. CYRIL M. SAZON

Market Inspector I Market Supervisor IV
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project
Sixty One Thousand

Two Hundred Seventy Nine Pesos & 31/100. P 61, 279.31
NILDA M. MAMARION
Municipal Treasurer
TOTALS Sixty One Thousand Two Hundred Seventy Nine Pesos & 31/100.

HRMA HRMO IV
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project
Three Thousand
NILDA M. MAMARION
Municipal Treasurer

ALLANA A. ASANE ENGR. CESARIO B. PANAGUITON

HRMO IV Market Inspector I/OIC MDRRMO & MENRO Designate
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project
Three Thousand
NILDA M. MAMARION
Municipal Treasurer


HRMA HRMO IV
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
HDB and Preparation and Operation of Lying-N-Clinic
Project
Agency: RHU, Barotac Nuevo, Iloilo Period: March 1-15, 2017
Seven Thousand
Five Hundred Sixty Pesos. P 7, 560.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Seven Thousand Five Hundred Sixty Pesos.
ALLANA A. ASANE DR. RONI PHILIP D. BRODIT

HRMO IV Municipal Health Officer
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
General Form No.6

SUMMARY OF PAYROLL
Project
Three Thousand
Four Hundred Sixty Five Pesos. P 3 ,465.00
NILDA M. MAMARION
Municipal Treasurer
TOTALS Three Thousand Four Hundred Sixty Five Pesos.
JAMES ERIC P. BELEN CELSO D. LUMAWAG

Accounting Clerk I Municipal Accountant
ACCOUNTING ENTRY
CELSO D. LUMAWAG
Accountant
Annex A
Republic of the Philippines
Province of Iloilo
Municipality of Barotac Nuevo
OBLIGATION REQUEST No.
Payee ATTY. RHOAN LOUIEGE B. BELGIRA
Office
Address Barotac Nuevo, Iloilo
Responsibility F.P.P Account

Center Particulars Code Amount
MLO To reimbursement of expenses incurred for the materials for

the opening of LGU-Barotac Nuevo HINAMPANG 2017 -
Inter Departmental Sports Fest under purchase request
# 1131-5-02-99-990-11-634-17. 1131 5-02-99-990 895.00
PRINT2K ARTS AND SIGNS:

OR# 681 Amount: 720.00
C4 HARDWARE & ELECTRICAL SUPPLY:
OR# 052697 Amount: 175.00
_____________________________________895.00
TOTAL 895.00
A. Certified B. Certified
Charge to appropriation/ allocation Existence of available appropriation.
lawful and under my direct supervision
Supporting documents valid, proper and
legal
Signature Signature
Printed Printed
Name ATTY. RHOAN LOUIEGE B. BELGIRA Name DYDU D. BONTIGAO
Position Municipal Legal Officer Position OIC - Municipal Budget Officer
Head Requesting Officer/Authorized Representative Head Requesting Officer/Authorized Representative
Date Date
Annex A
Province of Iloilo
Payee ALLANA A. ASANE
Office

MO To reimbursement of expenses incurred for the bottled water

distributed during the opening of LGU-Barotac Nuevo HINAMPANG -
Inter Departmental Sports Fest 2017 under purchase request
# 1011-5-02-99-030-11-552A-17. 1011 5-02-99-030 2,500.00
AVELINO'S RESTO:
OR# 002781 Amount: 2,500.00
TOTAL 2,500.00
legal
Signature Signature
Printed Printed
Name ALLANA A. ASANE Name DYDU D. BONTIGAO
Position HRMO IV Position OIC - Municipal Budget Officer
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the lechon manok

served during the opening of LGU-Barotac Nuevo HINAMPANG -
Inter Departmental Sports Fest 2017 under purchase request
# 1011-5-02-99-030-11-552B-17. 1011 5-02-99-030 3,000.00
AVELINO'S RESTO:
OR# 002782 Amount: 3,000.00
TOTAL 3,000.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for assorted candies,

biscuits, cup cake and coffee for the visitors of Mayor's Office
under purchase request # 1011-5-02-99-030-12-675-17. 1011 5-02-99-030 3,693.25
SANTIMAR CONVENIENCE STORE:

OR# 000000125313 Amount: 700.50
OR# 000000127873 Amount: 2,992.75
DDDDDDDDDDDDDDDDDDDDDDDDDDDDD3,693.25
TOTAL 3,693.25
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MLO To reimbursement of expenses incurred for the tarpaulin

printing for the seal of Good Local Governance Local Evaluation

OR# 381 Amount: 870.00
OR# 383 Amount: 864.00
OR# 389 Amount: 840.00
OR# 401 Amount: 975.00
OR# 406 Amount: 480.00
0……………………………………………………………… 44,029.00
TOTAL 4,029.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MLO To reimbursement of expenses incurred for the tarpaulin

printing for the seal of Good Local Governance Local Evaluation

OR# 381 Amount: 870.00
OR# 383 Amount: 864.00
OR# 389 Amount: 840.00
OR# 401 Amount: 975.00
OR# 406 Amount: 480.00
0……………………………………………………………… 44,029.00
TOTAL 4,029.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Payee NOVEM FAITH SAZON
Office

MO To reimbursement of expenses incurred for the tarpaulin

used for the Closing Program of Paghiliusa Festival 2017
under purchase request # 1011-5-02-99-990(15-1). 1011 5-02-99-990(15-1) 4,410.00

OR# 731 Amount: 1,440.00
OR# 734 Amount: 2,970.00
………………………………………………………………4,410.00
TOTAL 4,410.00
legal
Signature Signature
Printed Printed
Name NOVEM FAITH SAZON Name DYDU D. BONTIGAO
Position Tourism Officer Designate/Information Officer II Position OIC - Municipal Budget Officer
Date Date
Annex A
Province of Iloilo
Office


used for the Opening Program of Paghiliusa Festival 2017
under purchase request # 1011-5-02-99-990(15-1). 1011 5-02-99-990(15-1) 5,130.00

OR# 738 Amount: 5,130.00
TOTAL 5,130.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office


used for the Youth Day II as part of Paghiliusa Festival 2017
under purchase request # 1011-5-02-99-990(15-1). 1011 5-02-99-990(15-1) 720.00

OR# 820 Amount: 360.00
OR# 843 Amount: 360.00
………………………………………………………………...720.00
TOTAL 720.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the Honorarium

of judges during the Year End Performance Evaluation and
Strategic Planning (2017) under purchase request # 1011-5-02-
99-030-12-661A-17. 1011 5-02-99-030 4,500.00
TOTAL 4,500.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the visitor's of

Mayor's office under purchase request # 3-01-001-5-02-99-030
-3-70-18. 3-01-001 5-02-99-030 3,197.00
TOTAL 3,197.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the lunch during

the People's Day on February 21, 2018 under purchase
request # 3-01-001-5-02-99-030-03-62-18. 3-01-001 5-02-99-030 6,000.00
AVELINO'S RESTO
OR#002908 Amount: 6,000.00
TOTAL 6,000.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the lunch during

the People's Day on March 7, 2018 under purchase
request # 3-01-001-5-02-99-030-03-61-18. 3-01-001 5-02-99-030 6,000.00
AVELINO'S RESTO
OR#002909 Amount: 6,000.00
TOTAL 6,000.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the Snacks & Lunch

during the conduct of the Random Drugtest on March 12, 2018
under purchase request # 3-01-001-5-02-99-030-03-69-18. 3-01-001 5-02-99-030 2,313.00
TOTAL 2,313.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the Snacks of Guests

during the opening parade in celebration of Barotac Nuevo
Annual Town Fiesta on June 8, 2018 under purchase
request # 3-01-001-5-02-99-990(15-1)-05-171-AN-18. 3-01-001 5-02-99-990 (15-1) 10,000.00
TOTAL 10,000.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the visitors of

Mayor's Office under purchase request # 3-01-001-5-02-99-030-
08-385-18. 3-01-001 5-02-99-030 3,399.00
TOTAL 3,399.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Payee NILDA M. MAMARION
Office

MO To payment of registration fee while attending 29th WIN Annual Congress

with the theme: "How can the SDGs contribute to Gender Equality"
in Puerto Prinsesa City, Palawan on October 15-17, 2018 with
16 participants at ₱ 8,500.00 each in the amount of. . . . . . . . . 3-01-001 5-02-99-990(20) 136,000.00
Participants Amount
1. HON. BRAEDEN JOHN Q. BIRON - Mun. Mayor
2. HON. JESUS C. DIMAFILES-Sb Member
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Total:
TOTAL 136,000.00
legal
Signature Signature
Printed Printed
Name HON. BRAEDEN JOHN Q. BIRON Name DYDU D. BONTIGAO
Position Municipal Mayor Position OIC - Municipal Budget Officer
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of expenses incurred for the Mangrove

during the 118th Civil Service Commission Anniversary on
September 21, 2018 under purchase request # 3-01-001-5-02-
99-030-09-473-18. 3-01-001 5-02-99-030 2,500.00
TOTAL 2,500.00
legal
Signature Signature
Printed Printed
Date Date
Annex A
Province of Iloilo
Office

MO To reimbursement of tarpauline used during the Year End Evaluation of

Municipal Officials, Employees and Job Hire on December 14, 2018
under the purchase request # 3-01-001-5-02-99-030-11-667-18
in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-01-001 5-02-99-030 3,000.00
TOTAL 3,000.00
legal
Signature Signature
Printed Printed
Name HON. BRAEDEN JOHN Q. BIRON Name DYDU D. BONTIGAO
Position Municipal Mayor Position OIC - Municipal Budget Officer
Date Date
3784.25
Province of Iloilo
No.
DISBURSEMENT VOUCHER
Mode of Check Cash Others
Payment
Payee ATTY. RHOAN LOUIEGE B. BELGIRA TIN/Employee Obligation Request No.
Address Barotac Nuevo, Iloilo Responsibility Center

Office/Unit/Project Code
EXPLANATION AMOUNT
To reimbursement of expenses incurred for the materials for the opening of LGU -
Barotac Nuevo HINAMPANG 2017 - Inter Departmental Sports Fest under purchase
request # 1131-5-02-99-990-11-634-17 for use of the Mayor's Office as per
supporting documents hereto attached in the total amount of . . . . . . . . . . . . . . . . . . P 895.00
Allotment obligated for the purpose as indicated Funds available.
above.
Supporting documents complete.
Signature Signature
Printed Date Printed Date:

Name CELSO D. LUMAWAG, CPA Name NILDA M. MAMARION
Position Municipal Accountant Position Municipal Treasurer
Head Accounting Unit/Authorized Representative Treasurer/Authorized Representative
C. Approved for Payment D. Received Payment
Signature Check no.: Date:
Printed Date Signature Date:

Name HON. BRAEDEN JOHN Q. BIRON Printed Name ATTY. RHOAN LOUIEGE B. BELGIRA
Position Municipal Mayor Position Municipal Legal Officer
Agency Head/ Authorized Representative OR/Other Documents JEV NO. Date:
Province of Iloilo
No.
Payment
Payee ALLANA A. ASANE TIN/Employee Obligation Request No.

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the bottled water distributed during the opening of LGU -
Barotac Nuevo HINAMPANG - Inter Departmental Sports Fest 2017 under purchase
request # 1011-5-02-99-030-11-552A-17 for use of the Mayor's Office as per
supporting documents hereto attached in the total amount of . . . . . . . . . . . . . . . . . . P 2,500.00
above.
Signature Signature


Name ATTY. GEORGE P. DEMAISIP Printed Name ALLANA A. ASANE
Position Acting Municipal Mayor Position HRMO IV
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the lechon manok served during the opening of LGU -
Barotac Nuevo HINAMPANG - Inter Departmental Sports Fest 2017 under purchase
request # 1011-5-02-99-030-11-552B-17 for use of the Mayor's Office as per
supporting documents hereto attached in the total amount of . . . . . . . . . . . . . . . . . . P 3,000.00
above.
Signature Signature


Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the materials for the opening of LGU -
Barotac Nuevo HINAMPANG 2017 - Inter Departmental Sports Fest under purchase
request # 1131-5-02-99-990-11-634-17 for use of the Mayor's Office as per
supporting documents hereto attached in the total amount of . . . . . . . . . . . . . . . . . . P 895.00
above.
Signature Signature


Name HON. BRAEDEN JOHN Q. BIRON Printed Name ATTY. RHOAN LOUIEGE B. BELGIRA
Position Municipal Mayor Position HRMO IV
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for assorted candies, biscuits, cup cake and
coffee for the visitors of Mayor's Office under purchase request # 1011-5-02-99-030-12-675-17
in the total amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 3,693.25
above.
Signature Signature


Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the tarpaulin printing for the seal of
Good Local Governance Local Evaluation under purchase request # 1131-5-02-99-990-11-643-17
for use of the Mayor's Office as per supporting documents hereto attached in
the total amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 4,029.00
above.
Signature Signature


Name ATTY. GEORGE P. DEMAISIP Printed Name ATTY. RHOAN LOUIEGE B. BELGIRA
Position Acting Municipal Mayor Position Mun. Legal Officer
Province of Iloilo
No.
Payment
Payee NOVEM FAITH SAZON TIN/Employee Obligation Request No.

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the tarpaulin used for the Youth Day II as
part of the Paghiliusa Festival 2017 under purchase request # 1011-5-02-99-990(15-1)
in the total amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 720.00
above.
Signature Signature


Name HON. BRAEDEN JOHN Q. BIRON Printed Name NOVEM FAITH SAZON
Position Municipal Mayor Tourism Officer Designate/IO II
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the tarpaulin used for the Opening Program
of Paghiliusa Festival 2017 under purchase request # 1011-5-02-99-990(15-1)
above.
Signature Signature


Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the tarpaulin used for the Closing Program
of Paghiliusa Festival 2017 under purchase request # 1011-5-02-99-990(15-1)
above.
Signature Signature


Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the Honorarium of judges during the Year
End Performance Evaluation and Strategic Planning (2017) under purchase request #
1011-5-02-99-030-12-661A-17 in the total amount of . . . . . . . . . . . . . . . . . . . . . . . . . P 4,500.00
above.
Signature Signature


Name HON. GEORGE P. DEMAISIP Printed Name ALLANA A. ASANE
Position Acting Municipal Mayor HRMO IV
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the lunch during the People's Day on
February 21, 2018 under purchase request # 3-01-001-5-02-99-030-03-62-18
in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 6,000.00
above.
Signature Signature


Position OIC-Municipal Mayor HRMO IV
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the visitor's of Mayor's office

under purchase request # 3-01-001-5-02-99-030-03-70-18 in the amount of . . . . . . . . . P 3,197.00
above.
Signature Signature


Position OIC-Municipal Mayor HRMO IV
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the lunch during the People's Day on
March 7, 2018 under purchase request # 3-01-001-5-02-99-030-03-61-18. P 6,000.00
AVELINO'S RESTO
OR#002909 Amount: 6,000.00
above.
Signature Signature

Name NEMA J. BRAGA,CPA Name NILDA M. MAMARION
Position MBO/MEEDO,Mun. Accountant Designate Position Municipal Treasurer

Name HON. BRAEDEN JOHN Q. BIRON Printed Name ALLANA A. ASANE
Position Municipal Mayor HRMO IV
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the Snacks & Lunch during the conduct
of the Random Drugtest on March 12, 2018 under purchase request
# 3-01-001-5-02-99-030-03-69-18 in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . P 2,313.00
above.
Signature Signature


Position Acting Municipal Mayor HRMO IV
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the Snacks of Guests during the opening
parade in celebration of Barotac Nuevo Annual Town Fiesta on June 8, 2018 under
purchase request # 3-01-001-5-02-99-990(15-1)-05-171-AN-18 in the amount of . . . . . . . P. . 10,000.00
above.
Signature Signature


Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the visitors of Mayor's Office under purchase
request # 3-01-001-5-02-99-030-08-385-18 in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . P 3,399.00
above.
Signature Signature


Province of Iloilo
No.
Payment
Payee Women Involve in Nation-Building, TIN/Employee Obligation Request No.
Inc.
EXPLANATION AMOUNT
To payment of registration fee while attending 29th WIN Annual Congress with the
theme: "How can the SDGs contribute to Gender Equality" 'in Puerto Prinsesa City,
Palawan on October 15-17, 2018 with '16 participants at ₱ 8,500.00 each in the
amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 136,000.00
above.
Signature Signature


Name HON. BRAEDEN JOHN Q. BIRON Printed Name WIN, Inc.
Position Municipal Mayor
Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of expenses incurred for the Mangrove during the 118th Civil Service
Commission Anniversary on September 21, 2018 under purchase request # 3-01-001-
5-02-99-030-09-473-18 in the amount of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 2,500.00
above.
Signature Signature


Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To cash advance payment of labor incurred during the 118th Civil Service Commission
Anniversary on September 21, 2018 under purchase request # 3-01-001-5-02-99-
030-09-471-18 in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 1,500.00
above.
Signature Signature


Province of Iloilo
No.
Payment

EXPLANATION AMOUNT
To reimbursement of tarpauline used during the Year End Evaluation of Municipal Officials,
Employees and Job Hire on December 14, 2018 under the purchase request # 3-01-
001-5-02-99-030-11-667-18 in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 3,000.00
CREWEAR PRINTING SERVICES

OR No.: 0000458 Date issued: December 14, 2018
above.
Signature Signature

Name NEMA J. BRAGA, CPA Name NILDA M. MAMARION
Position Municipal Accountant Designate Position Municipal Treasurer


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Sheet _____________ of _____________Sheets

DAILY WAGE PAYROLL

NUMBER RATE Community Tax

ALLANA A. ASANE HON. BRAEDEN JOHN Q. BIRON NILDA M. MAMARION

Agency: LGU, Barotac Nuevo, Iloilo Period: May 16-31, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

THIRTY FOUR THOUSAND

ALLANA A. ASANE DR. RONI PHILIP D. BRODIT

Account Debit Credit Certified Correct

Agency: LGU, Barotac Nuevo, Iloilo Period: April 16-30, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

TOTALS Fifteen Thousand Seven Hundred Fifty Pesos.

ESTRELLA B. JARA ALLANA A. ASANE

Account Debit Credit Certified Correct

Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

TOTALS Six Thousand Nine Hundred Thirty Pesos.

ALBERT B. DELMO ALLANA A. ASANE

Account Debit Credit Certified Correct

Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

Seventy Two Thousand

TOTALS Seventy Two Thousand Seven Hundred Sixty Five Pesos.

REY JOHN P. PAGO ENGR. CYRIL M. SAZON

Account Debit Credit Certified Correct

General Form No.6

Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

TOTALS Three Thousand Seven Hundred Eighty Pesos.

ANTHONY C. ELBANBUENA ENGR. NORMAN P. LUSTRIA

Account Debit Credit Certified Correct

General Form No.6

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

THERESE R. MIRANDA CATALINA V. BELONIO

Account Debit Credit Certified Correct

General Form No.6

Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017

Fifty Six Thousand

TOTALS Fifty Six Thousand Seventy Pesos.

THERESE R. MIRANDA CATALINA V. BELONIO

Account Debit Credit Certified Correct

General Form No.6

Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

TOTALS Four Thousand Ninety Five Pesos.

REY JOHN P. PAGO ENGR. CYRIL M. SAZON

Account Debit Credit Certified Correct

General Form No.6

Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

Sixty One Thousand

ESTRELLA B. JARA ALLANA A. ASANE

Account Debit Credit Certified Correct

General Form No.6

Agency: LGU, Barotac Nuevo, Iloilo Period: March 1-15, 2017

Amount of Rolls Amount of Paid Amount Unpaid on Rolls

TOTALS Three Thousand Seven Hundred Eighty Pesos.

ALLANA A. ASANE ENGR. CESARIO B. PANAGUITON

Sheet _ of _Sheets