Fuel, Oil and Lubricant

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TABLE OF CONTENTS

ABSTRACT "A" (2 copies=1 copy attached & 1 copy file)

LIQUIDATIO "B" (4 copies=3 copy attached & 1 copy file)

REPORT OF "C" (4 copies=3 copy attached & 1 copy file)

COPY OF LD "D" (2 copies=1 copy attached & 1 copy file)

PETTY CASH "E" (4 copies=3 copy attached & 1 copy file)

LIQUIDATI "F" original copies


=PCV

=SUPPORTING DOCUMENTS
ABSTRACT NR 2021-08-

PR NR ______________________

AMOUNT P
LIQUIDATION REPORT Serial No. 2021-08
Period Covered: August 7-20, 2021 Date: 08//2021

Entity Name : PNP - PRO7 - BPPO-SBPS Responsibility Center Code:


Fund Cluster : __________________________

PARTICULARS AMOUNT

To liquidate Cash Advance of subject Disbursing Officer as per


Abstract No. 2021-08-00

TOTAL AMOUNT SPENT


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 / C Certified: Supporting
above data cash advance duly accomplished documents complete and proper

PSSg ENRIQUE C. SAGUING PMAJ MARCOS AUXTERIACO LOPEZ________________________


Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor Head, Accounting Division Unit

JEV No.: ___________________


Date: August , 2021 Date: August , 2021 Date: August , 2021
REPORT OF DISBURSEMENT

PHILIPPINE NATIONAL POLICE


Agency Name
Report No. 2021-08
Sheet No. 1 of 1

Date PCV No. Payee Nature of Payment UACS AMOUNT

08//21 PCPL ROLDAN G. To pay for the purchase


BPPOSBPS2021 DOYUGAN of MOOE office
-06-002 /Designation(Supply PNCO) supplies… 5020301000

08//21 To pay for the


PCPL ROLDAN G. purchaser of MOOE fuel
BPPOSBPS2021 DOYUGAN/Designation(Supp to be used for the
-06-003 ly PNCO) conduct of mobile patrol 5020309000

To pay for the purchase


08//21 of MOOE packed meals
distributed during the
BPPOPHQ2021- NAME/Designation( Admin conduct of operations
06-004 PNCO) dtd….. 5020305000

08//21 To pay for the


BPPOPHQ2021- NAME/Designation( Admin purchaser of MOOE
06-005 PNCO) training Expenses. 5020309000

08//21 PCPL ROLDAN To pay for the purchase


BPPOPHQ2021- G.DOYUGAN/Designation(Su of MOOE others
06-006 pply PNCO) Supplies. 5020399000

PCPL ROLDAN G. To pay for the purchase


BPPOSBPS2021 DOYUGAN/Designation(Supp of MOOE other general
-06-007 ly PNCO) expenses. 5020301000

Paid thru LDDAP-ADA#2021-06-0034


Dated:08//21

5020101000 Travel-Local
5020301000 Office Supplies
5020309000 Fuel & Oil Lubricant
5020305000 Food Expenses
5020399000 Other Supplies and Materials Exp
5021299000 Other General Expenses

GRAND TOTAL
Certified by: Received by:

PSSg ENRIQUE C. SAGUING


ASST. ADMIN PNCO Date Accounting Clerk Date
PETTY CASH FUND REGISTER

Department/Agency : PNP Petty Cash Fund Custodian : PSSg GEORGE M. BUTRON

Sub-Office/District/Division: PRO7 Fund Cluster :

Municipality/City/Province: Sierra Bullones, Bohol, Bohol PPO Sheet No. : 1 of 1

BREAKDOW
BREAKDOWN OF PAYMENTS
N OF
PETTY CASH FUND PAYMENTS
'(10101020)
PERSONNEL
MAINTENANCE AND OTHER OPERATING EXPENSES
PCV/ Check SERVICES
Date Particulars
No.
Salaries and
Payments Traveling Office Fuel, Oil, & Other
Wages- Food
Receipts Balan Expenses- Supplies Lubricant Supplies and
Casual/ Expenses
ce Local Expenses Expenses Materials
Contractual

(+) (-) (50101020) (50201010) (50203010) (50203050) (50203090) (50203990)

MOOE received for


the month of April

BPPOSBPS202
08//21 To pay for the purchase
1-06-002 of MOOE office
supplies…

BPPOSBPS202 To pay for the


08//21 purchaser of MOOE
1-06-003
fuel to be used for the
conduct of mobile patrol

To pay for the purchase


BPPOSBPS202 of MOOE packed meals
08//21
1-06-004 distributed during the
conduct of operations
dtd…..

BPPOSBPS202
08//21
1-06-005 To pay for the
purchaser of MOOE
training Expenses.

BPPOSBPS202
08//21 To pay for the purchase
1-06-006
of MOOE others
Supplies.

BPPOPHQ2021 To pay for the purchase


-06-007 of MOOE other general
expenses.

Certified Correct:

PSSg George M. Butron


Name Petty Cash Fund Custodian
No. : BPPOSBPS 2021-08-
PETTY CASH VOUCHER
Entity Name : PNP -PRO7-BPPO-SBPS Date : 8//2021
Fund Cluster:

Payee/Office : PNP-Sierra Bullones Responsibility Center Code:


Address : Sierra Bullones, Bohol
______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
To pay for the purchase of Total Amount Granted
fuel, oil and lubricant
supplies… Total Amount Paid per
OR/Invoice No.

Amount Refunded/
(Reimbursed)

A Requested by: C

Received Refund
PSSg ENRIQUE C. SAGUING
ADMIN PNCO Reimbursement Paid

Approved by:
PMAJ MARCOS AUXTERIACO LOPEZ PSSg. GEORGE M. BUTRON
CHIEF OF POLICE Petty Cash Custodian

B Paid by: D

Liquidation Submitted
PSSg. GEORGE M. BUTRON
Petty Cash Custodian Reimbursement Received by:

Cash Received by:

PSSg ENRIQUE C. SAGUING PSSg ENRIQUE C. SAGUING


Payee Payee

Date: August, 2021 Date: August, 2021


PURCHASE REQUEST

Entity Name: PNP-PRO7-BPPO-SBPS Fund Cluster:


Office/Section :PNP-
Sierra Bullones PR No.: 2021-08- Date: 8//2021
Responsibility Center Code :
___________
Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.

TOTAL
Purpose: food packs for
barangayanihan____________________________________________________________
_______________________________________________________________
_______________________________________________________________

Requested by: Approved by:


Signature :
Printed Name PSSg ENRIQUE C. SAGUING PMAJ MARCOS AUXTERIACO LOPEZ
:
Designation : ADMIN PNCO CHIEF OF POLICE
Appendix 61

PURCHASE ORDER
PNP - PRO7
Entity Name

Supplier : P.O. No. : 2021-08-


Address : SIERRA BULLONES Date : AUGUST , 2021
TIN : 135-839-663-000 Mode of Procurement : CASH
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : SIERRA BULLONES POLICE STATION Delivery Term : PICK-UP
Date of Delivery : 08//2021 Payment Term : CASH
Stock/
Unit Description Quantity Unit Cost Amount
Property No.

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every
day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

PMAJ MARCOS AUXTERIACO LOPEZ


Signature over Printed Name of Authorized
Signature over Printed Name of Supplier
Official
___________________________ CHIEF OF POLICE
Date

Fund Cluster : ___________________________________ ORS/BURS No. : ___________


Funds Available : _________________________________ Date of the ORS/BURS: __________
________________________________________ Amount : ______________
Signature over Printed Name of Chief Accountant/Head of
Accounting Division/Unit
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
POLICE REGIONAL OFFICE 7
Camp Sergio Osmena Sr., Osmena Blvd., Cebu City

CANVASS PROPOSAL

August , 2021
Date

Gentlemen/Madam:
Kindly qoute the best price(s) of the item listed below. This is a request for quotation and not an order. The terms among others shall be in
accordance with the following:

1. Submit your quotation on this form not later than 2 days;


2. Price shall be valid within 13 days; and
3. Payments shall be within COD days after acceptance of the item/s.

PMAJ MARCOS AUXTERIACO LOPEZ


CHIEF OF POLICE

QTY UNIT COMPLETE NOMENCLATURE UNIT PRICE TOTAL PRICE

TOTAL

This is to certify that I have personally conducted the canvass and that the prices indicated herein is true and correct.

PSSg ENRIQUE C. SAGUING


ADMIN PNCO
Entity Name : PNP - PRO7-BPPO-SBPS Fund Cluster :

Supplier : IAR No. : 2021-08-


PO No./Date : 2021-08 Date : AUGUST , 2021
Requisitioning Office/Dept. : PNP-SIERRA BULLONES Invoice No. : 004666/021784
Responsibility Center Code : Date : AUGUST , 2021

Stock/
Description Unit Quantity
Property No.

INSPECTION
Date Inspected : AUGUST , 2021 AUGUST , 2021

X Inspected, verified and found in order as to quantity and


specifications

PSSg ENRIQUE C. SAGUING


Admin PNCO
ABSTRACT OF CANVASS AND RECOMMENDATION OF AWARD

Procuring Agency: PNP-PRO7 Date: AUGUST , 2021

Qty Unit Particulars Name and Address of Dealer/Contractor and Unit Price Offered

TOTAL
WE HEREBY CERTIFY that the above abstract of canvass and that the price offered are the lowest fair and complying offer and therefore recommend the
award to GENARO'S GRILL AND N & N RESTAURANT.

PCpl ROLDAN G. DOYUGAN PSSg GEORGE M. BUTRON PSSg ENRIQUE C. SAGUING


Assistant Supply PNCO Finance PNCO Admin PNCO

The Recommendation of Award is Approved.

PMAJ MARCOS AUXTERIACO LOPEZ


CHIEF OF POLICE
Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : Fund Cluster :

Division : PRO7 Responsibility Center Code : __________


Office : PNP-Sierra Bullones RIS No. : 2021-05-
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks

Purpose:

Requested by: Approved by: Issued by: Received by:


Signature :

PCpl ROLDAN G. PSSg GEORGE M.


Printed Name : PSSg ENRIQUE C. SAGUING PMAJ MARCOS AUXTERIACO LOPEZ DOYUGAN BUTRON
Designation : Admin PNCO Chief of Police Supply PNCO Finance PNCO
Date : AUGUST , 2021 AUGUST , 2021 AUGUST , 2021 AUGUST , 2021
Appendix 45

ITINERARY OF TRAVEL

Entity Name : PNP - PRO 7- BPPO-SBPS


Fund Cluster: ____________________ No.: _______________

Name : ENRIQUE C. SAGUING Date of Travel : August , 2021


Position :ADMIN PNCO Purpose of Travel : TO CONDUCT SURVEY
Official Station : SBPS ___________________________________________

Places to be visited TIME Means of Per


Date Transpo Others
(Destination) Departure Arrival Transportation r-station Diem Total Amount
Brgy. Anibongan Return to 8:00AM- 9:00AM-
AUGUST , 2021 Station 4:00PM 5:00PM MOTORCYCLE 1,000 1,000 1,000
(HABAL-HABAL)
Brgy. Santa Cruz Return to 8:00AM- 9:30AM-
AUGUST , 2021 Station 4:00PM 5;00PM MOTORCYCLE 500 500 500

(HABAL-HABAL)
Brgy. Villa Garcia Raturn to 8:00AM- 8:30AM-
AUGUST , 2021 Station 4:00PM 4:30PM MOTORCYCLE 500 500 500
(HABAL-HABAL)

TOTAL 2,000.00
Prepared by :

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

PSSg ENRIQUE C. SAGUING PMAJ MARCOS AUXTERIACO LOPEZ


Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative

.
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: PNP-PRO7-BPPO-SBPS Fund Cluster : ________________


Date : _______________________ RER No. : ___________________

RECEIVED from ______________________________________


(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)

PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS
Name/Signature __________________________________________

Address ________________________________________________

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