Dokumen - Tips - Liquidation Report Form

Republic of the Philippines
ZAMBOANGA CITY WATER DISTRICT

Zamboanga City
Summary of Expenses P
Amount to be reimbursed P
Receipt
Date PARTICULARS Amount Payee
No.
Representation Expenses:
4/14/14 O.R. 0000056992 Meals 1,150.00 Gerry's Grill
4/1/14 O.R. 497986 Snacks 261.00 Jolibee Camins
4/11/14 O.R. 04007845 Meals 858.00 Greenwich
4/15/14 O.R. 05133680 Meals 551.00 Chowking
4/28/14 O.R. 222015 Meals 500.00 Jolibee Zambo Veterans
4/17/14 O.R. 509459 Meals 705.00 Jolibee Camins
4/3/14 O.R. 1228010 Meals 218.00 Mang Inasal
4/19/14 O.R. 697211 Snacks 91.00 Jolibee LB Supermarket
5,071.00
Transportation Expenses:
4/30/14 C.I. 132132 Fuel 1,000.00 Ayala Seaoil Gas Station
4/25/14 O.R. 036478 Fuel 500.00 Petron Gov. Ramos Sta. Maria
4/4/14 C.I. 340453 Fuel 1,300.00 Z.C. Petron San Roque Gas Station & Service
4/17/14 O.R. 075728 Fuel 1,000.00 San Jose Super Shell
4/10/14 S.I. 27918 Fuel 500.00 Z.C. Petron San Roque Gas Station & Service
4/5/14 S.I. 6000109193 Fuel 500.00 Mega Petron Convenience Center
5,300.00
GRAND TOTAL 10,371.00
THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties an
In-charge of the Planning & Design Division.
Prepared by: Approved by:
MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZ

OIC - Planning & Design Division General Manager
ublic of the Philippines
A CITY WATER DISTRICT
Zamboanga City
10,371.00
10,000.00
Payee
Z.C. Petron San Roque Gas Station & Service Center

Mega Petron Convenience Center
bursements have been made in connection with my duties and function as Officer
LEONARDO REY D. VASQUEZ

General Manager
Zamboanga City
Receipt
No.
12/11/13 O.R. 1633 Meals 579.00 Abe's Lechon
12/2/13 O.R. 34552 Meals 386.00 New Lejan Ice Cream House
12/20/13 O.R. 73675 Meals 777.00 Family Fried Chicken
12/20/13 C.I. 2544 Snacks 210.00 Ric & Remy's Bakeshop
12/19/13 O.R. 01294407 Snacks 161.00 Greenwich
12/23/13 C.I. 10478 Meals 590.00 New Lejan Ice Cream House
12/31/13 O.R. 01472689 Meals 1,487.00 Greenwich
5,457.00
12/15/13 O.R. 279762 Fuel 1,500.00 Veterans Super Shell & Service Station 1
12/13/13 C.I. 383354 Fuel 300.00 Veterans Sea Oil Station
5,300.00
Officer In-charge of the Planning & Design Division.

Zamboanga City
10,757.00
10,000.00
Payee
Veterans Super Shell & Service Station 1

sbursements have been made in connection with my duties and function as

General Manager
Zamboanga City
Receipt
No.
2/18/14 O.R. 1207865 Meals 158.00 Mang Inasal
2/26/14 O.R. 58444 Meals 835.00 Hanazono
2/24/14 O.R. 0007304 Meals 140.00 Busy Bee Fastfood and Catering
2/22/14 O.R. 160885 Snacks 106.00 Jolibee LB Supermarket
2/14/14 O.R. 000-0278273 Meals 158.00 Mang Inasal
2/10/14 O.R. 10686 Meals 145.00 New Lejan Ice Cream House
5,387.00
2/26/14 S.I. 1001372421 Fuel 1,000.00 Petron Centenarian Gas Station
2/15/14 O.R. 028555 Fuel 1,000.00 Petron Gov. Ramos Sta. Maria
6,000.00
In-charge of the Planning & Design Division.

Zamboanga City
11,387.00
10,000.00
Payee

bursements have been made in connection with my duties and function as Officer

General Manager
Zamboanga City
Receipt
No.
11/18/13 O.R. 0006653 Meals 380.00 Busy Bee Fastfood and Catering
11/5/13 O.R. 12812 Snacks 272.00 Myrna's Bakehouse Food, Corp.
11/25/13 C.I 0020672 Snacks 679.00 Myrna's Bakehouse Food, Corp.
11/21/13 C.I. 0020252 Snacks 171.00 Myrna's Bakehouse Food, Corp.
11/14/13 O.R. 107194 Meals 1,050.00 Mr. Choi Kitchen
11/2/13 O.R.009717 Snacks 520.00 McDonald's
5,184.00
11/26/13 C.I. 372816 Fuel 500.00 Z.C. Petron San Roque Gas Station & Service
5,150.00

Zamboanga City
10,334.00
10,000.00
Payee


General Manager
Zamboanga City
Receipt
No.
8/10/13 O.R. 00029826 Meals 740.71 Oysterboy
8/14/13 O.R. 23538 Meals 557.00 Freemont Foods Corporation
8/12/13 O.R. 93948 Snacks 500.00 Cinnabon
8/16/13 O.R. 43805 Meals 426.00 Caonanan
8/17/13 O.R. 454836 Snacks 520.00 Calda Pizza
8/17/13 O.R. 625554 Snacks 201.00 Freemont Foods Corporation
8/24/13 O.R. 7886 Meals 800.00 Quaywalk Grillhouse
8/20/13 O.R. 1352 Meals 214.00 Bar Code Grill & Resto bar
8/6/13 O.R. 45150 Meals 282.12 Shakey's Pizza
5,044.83
8/6/13 O.R. 131530 Fuel 2,000.00 Veterans Super Shell & Service Station
8/21/13 O.R. 005846 Fuel 500.00 Petron Gov. Ramos
8/20/13 C.I. 363824 Fuel 503.00 Z.C. Petron San Roque Gas Station & Service
5,003.00

Zamboanga City
10,047.83
10,000.00
Payee
Veterans Super Shell & Service Station


General Manager
LIQUIDATION REPORT No.
ZAMBOANGA CITY WATER DISTRICT Date: January 30, 2016
ZAMBOANGA CITY Responsibility Center Code/Secti
(FOR OFFICIALS AND STAFF BELOW AGM LEV
PARTICULARS AMOUNT
Seminar's Fee Php 2,0
TOTAL AMOUNT SPENT ₌

TOTAL CASH ADVANCE PER CV NO.________DTD________ ₌
AMOUNT REFUNDED PER OR NO. _________DTD________ ₌
AMOUNT TO BE REIMBURSED ₌ Php 2,
A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Docume

the above data advance duly accomplished Documents complete & prope
DANILO M. DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEE

OIC, Area I Assistant General Manager Chief, Corporate Accounta
Claimant for Operations Head-Accounting Unit
anuary 30, 2016
Center Code/Section
D STAFF BELOW AGM LEVEL)
AMOUNT
2,000.00
Php 2,000.00
upporting Documents
complete & proper
LUIS A. WEE
orporate Accountant
d-Accounting Unit
ZAMBOANGA CITY WATER DISTRICT Date: July 21, 2011
ZAMBOANGA CITY Responsibility Center Code/Section
(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)
PARTICULARS AMOUNT
EXPENSES:
FARE: Php 9,308.00
Open dated plane ticket per CV#2010-
11-2943 4,591.00
PAL O.R. No. E0352010133 2,079.00
PAL O.R. No. E0160254100 2,638.00
9,308.00
PER DIEM/DAILY ALLOWANCE: Php 1,120.00

TERMINAL FEE: Php 240.00
TRANSPORTATION ALLOWANCE: Php 700.00
TOTAL AMOUNT SPENT ₌ Php 11,368.00

CASH ADVANCE PER CV NO. 2010-11-2945 DTD______________ ₌ Php 4,591.00
CASH ADVANCE PER CV NO. 2011-07-_____ DTD_____________ ₌ Php 3,227.00
TOTAL CASH ADVANCE Php 7,818.00
AMOUNT REFUNDED PER OR NO. _________DTD________ ₌
AMOUNT TO BE REIMBURSED ₌ Php 3,550.00
A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents

the above data advance duly accomplished Documents complete & proper
MARLI P. ACOSTA-DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEE

OIC, Planning & Design Division Assistant General Manager Chief, Corporate Accountant
PARTICULARS AMOUNT
EXPENSES:
FARE: Php 6,445.00
SEMINAR FEE: (Free being the Incumbent VP for
Technical Affairs of IIEE-Zambasulta Chapter) Php -

CASH ADVANCE PER CV NO. 2011-09- DTD______________ ₌ Php 13,855.00
AMOUNT REFUNDED PER OR NO. _________DTD________ ₌ Php 2,950.00
AMOUNT TO BE REIMBURSED ₌ Php -


Zamboanga City
Amount of Cash Advance P

Summary of Expenses
Amount to Reimbursed P
Receipt
Date PARTICULARS Amount
No.
Fare:
6/14/13 Zamboanga-Davao; Davao-Zamboanga 4,303.92
4,303.92
Terminal Fees:
6/18/13 O.R. 0011762726 Zamboanga International Airport 40.00
6/27/13 O.R. 0008758496 Davao International Airport 200.00
240.00
Seminar Fee:
6/19/13 O.R. No. 479366 Seminar Fee 5,000.00
5,000.00
Accommodation:
6/22/13 O.R. No. 3065 Accommodation From April 18-22, 2013 6,000.00
10,885.00
Transportation:
6/25/13 O.R. No. 00028333 Fare 64.50
6/23/13 O.R. No. 0029368 Fare 131.00
6/20/13 O.R. No. 00001004 Fare 54.00
6/18/13 O.R. No. 00014040 Fare 191.00
6/19/13 O.R. No. 00018639 Fare 50.50
6/26/13 O.R. No. 00023091 Fare 71.50
6/22/13 O.R. No. 0023480 Fare 91.50
6/23/13 O.R. No. 00028870 Fare 250.00
6/24/13 O.R. No. 018766 Fare 131.00
6/25/13 O.R. No. 014228 Fare 78.50
6/27/13 O.R. No. 015487 Fare 148.50
1,262.00
Meals:
6/19/13 C.I. No. 346 Meals 313.00
6/19/13 O.R. No. 00203782 Meals 1,050.01
6/20/13 O.R. No. 0998 Meals 327.00
6/21/13 C.I. No.1414 Meals 302.00
6/21/13 C.I. No. 262062 Snacks 198.00
6/22/13 C.I. No.1416 Meals 232.00
6/22/13 O.R. No. 5636 Meals 1,083.84
6/23/13 O.R. No. 1418 Meals 118.00
6/22/13 S.I. No. 245702 Snacks 40.00
6/22/13 S.I. No. 245703 Snacks 29.50
6/23/13 O.R. No. 1417 Meals 60.00
6/24/13 O.R. No. 7687 Meals 835.00
6/25/13 O.R. No. 47264 Meals 967.00
6/26/13 O.R. No. 568 Snacks 66.00
6/26/13 O.R. No. 0028731 Meals 395.00
6/26/13 O.R. No. 0028733 Snacks 185.00
6,201.35
THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with
the Itinerary of travel no. 2013-108 dated June 14, 2013.
Prepared by: Recommending Approval: Approved by:
MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LEONARDO RE

OIC, Planning & Design Division Department Manager C, Maintenance General M
Head, Technical Services Group
public of the Philippines
Zamboanga City
15,840.00
27,892.27
12,052.27
Payee
Cebu Pacific Air
Civil Aviation Authority of the Phils.

Davao City Water District
Grand Amber Country Inn

Lorluz Properties Inc.
Siycha Transport
City Master Cab
Rosie I. Tan RGSM
Ayah Macsindel
Blue Taxi
Midvalley Taxi
Blue Taxi
Blue Taxi
Holiday Taxi
MARG Taxi
Krizia Taxi Star
Mang Inasal Restaurant

Grand Regal Hotel
Freemont Foods Corporation
Tee Mel Food Counter
Davao Central Convenience Store
T.G.I. Fridays
Robinsons Supermarket
Robinsons Supermarket
Quaywalk Grillhouse
Dencio's Kamayan
Jollibee SM City Davao
Yellow Cab Pizza
Yellow Cab Pizza
d disbursements have been made in connection with

General Manager
PARTICULARS AMOUNT
To attend the Seminar on Gemder-Responsive Planning &
Budgeting on June 19-21, 2013 and to acquire an in-depth
information and technical know-how on certain technologies
relative to WD Operation on June 24-27, 2013 in Davao City
EXPENSES:
FARE: Php 4,303.92
SEMINAR FEE: Php 5,000.00
ACCOMODATION: Php 10,885.00
TRANSPORTATION: Php 1,262.00
MEALS & SNACKS: Php 6,201.35


MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LUIS A. WEE

OIC, Planning & Design Division Department Manager C Chief, Corporate Accountant
Claimant Maintenance Head-Accounting Unit
Zamboanga City
Receipt
No.
6/2/13 O.R. 587129 Drinks & Snacks 557.10 LB Supermarket
6/9/13 O.R. 673961 Snacks 732.00 Jollibee Camins
6/13/13 O.R. 27112 Snacks 260.00 New ABC Bakery
6/17/13 S.I. 08712528 Drinks & Snacks 2,854.00 Southway Square
6/29/13 O.R. 309222 Snacks 182.00 LB Supermarket
5,208.71
6/10/13 C.I. 233407 Fuel 500.00 Veterans Seaoil Station
6/10/13 O.R. 1001065908 Fuel 500.00 Petron Centenarian Gas Station
6/15/13 C.I. 223449 Fuel 1,000.00 Veterans Seaoil Station
6/17/13 C.I. 74201 Fuel 500.00 Veterans Super Shell & Service Station
6/29/13 O.R. 078921 Fuel 500.00 Veterans Super Shell & Service Station
5,000.00
function as Officer In-charge of the Planning & Design Division.

Zamboanga City
10,208.71
10,000.00
Payee

nd disbursements have been made in connection with my duties and

ivision.

General Manager
PARTICULARS AMOUNT
EXPENSES:
FARE: Php 10,172.40
ACCOMODATION: Php 1,934.34
TRANSPORTATION: Php 841.00
MEALS: Php 960.00
TERMINAL FEES: Php 280.00
Note:
See attached Summary of Expenses

CASH ADVANCE PER CV NO. 2012-05-1484 DTD 5/30/2012 ₌ Php 12,632.40


ZAMBOANGA CITY WATER DISTRICT Date: November 13, 2012
PARTICULARS AMOUNT
To attend the Seminar on Non-Revenue Water Reduction and
Waste Water Management on November 7-9, 2012 in Quezon City
EXPENSES:
FARE: Php 15,978.00
SEMINAR FEE: Php -

AMOUNT REFUNDED PER O.R. No. ___________DTD ____________ Php 80.00

DANILO M. DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEE

OIC, Area I Assistant General Manager Chief, Corporate Accountant
PARTICULARS AMOUNT
To attend the IIEE 39th Annual National Convention on

November 26-29, 2013 in Pasay City
EXPENSES:
FARE: Php 7,129.00

CASH ADVANCE PER CV NO. 2014-11-___ DTD Nov. _________ ₌ Php 10,570.00
AMOUNT TO BE REIMBURSED Php 129.00


OIC, Planning & Design Division Assistant General Manager Department Manager C
Claimant for Technical Services Accounting & Treasury Department
Zamboanga City

Summary of Expenses
To attend the JVSC Meeting on Non-Revenue Water on P
November 15, 2013 in Manila.
No.
Fare:
4/8/13 Zamboanga-Manila; Manila-Zamboanga 8,554.00
8,554.00
Terminal Fees:
4/8/13 O.R. 1634922 Zamboanga International Airport 40.00
40.00
Accommodation:
7,607.04
Transportation:
4/10/13 O.R. No. 0020107 Fare 106.50
4/10/13 O.R. No. 00012263 Fare 92.50
4/11/13 O.R. No. 011233 Fare 169.50
4/11/13 O.R. No. 1479 Car Rental 618.00
986.50
Meals:
4/11/13 O.R. 340614 Meals 414.00
4/8/13 S.I. 502642 Snacks 179.00
4/10/13 S.I. 0000133776 Snacks 333.95
926.95
the Itinerary of travel no. 2013-056 dated April 3, 2013.
ARNULFO A. ALFONSO LEONARDO REY

Department Manager C, Maintenance General M
epublic of the Philippines
GA CITY WATER DISTRICT
Zamboanga City
12,934.00
18,114.49
5,180.49
Philippine Airlines
Go Hotels
Izumo Taxi Services

Jose Rizal Pangilinan - 457 Trans.
Aida Villamor - Elda Trans.
Go Hotels
Max's Restaurant
Mini Stop
Panciteria Lido

General Manager
PARTICULARS AMOUNT
To attend the JVSC Meeting on Non-Revenue Water on
June 24-25, 2014 in Manila and to travel to Cebu to be exposed
on the proper insatllation mechanics of ductile iron pipes
on June 26-27, 2014
EXPENSES:
FARE: Php 11,037.76
PER DIEM: Php 4,240.00
TRANSPORTATION: Php 1,200.00



Claimant Technical Services Group Head-Accounting Unit
Zamboanga City

Summary of Expenses
Receipt
Date PARTICULARS Amount
No.
Fare:
6/13/12 E-017-2135863 Zamboanga-Manila; Manila-Iloilo 4,582.00
6/15/12 O.R. No. 0762 Iloilo-Kalibo 700.00
6/18/12 4570045749176 Kalibo-Manila 1,672.40
6/18/12 2112168379019 Manila-Zamboanga 3,218.00
10,172.40
Accomodation:
6/14/12 O.R. No. 335151 Accommodation From June 13 - 15, 2012 1,934.34
1,934.34
Transportation:
6/15/12 O.R. No. 7066 Fare - Iloilo City 135.00
6/15/12 O.R. No. 6108 Fare - Iloilo City 100.00
6/15/12 BPR No. 5092 Fare - Iloilo City 500.00
6/18/12 Fare - Manila 106.00
841.00
Meals:
6/13/12 O.R. No. 181633 Meals 210.00
6/13/12 O.R. No. 34650 Snacks 120.00
6/15/12 O.R. 6124 Meals 240.00
6/15/12 O.R. 13021 Meals 390.00
960.00
Terminal Fees:
6/13/12 O.R. No. 0010619671 Zamboanga International Airport 40.00
6/15/12 O.R. No. 0010495560 Aklan International Airport 40.00
6/15/12 O.R. No. 6985193 Manila International Airport 200.00
280.00
the Itenerary of travel no. 109 dated June 5, 2012.
MARLI P. ACOSTA-DE FIESTA LEONARDO REY

Officer In-charge General M
Planning & Design Division
epublic of the Philippines
GA CITY WATER DISTRICT
Zamboanga City
12,632.40
14,187.74
1,555.34
Payee
Philippine Airlines
Paradise Island Transport
Zest Airways, Inc.
Airphil Express
Sarabia Manor Hotel Corp.
Meriam Transport
Five-O Transport Service, Inc.
GDR Taxi
Triangle Philippines
Sbarro
Princeworld
Teds' Batchoy
Aquafresh Sea Foods

Manila International Airport Authority

General Manager
Zamboanga City
Receipt
No.
3/19/13 O.R. 620115 Meals 228.00 Jollibee Camins
3/10/13 O.R. 197367 Snacks 80.00 JB Yubenco Starmall
3/3/13 O.R. 76135 Snacks 152.00 Jolibee Zambo Veterans
3/15/13 O.R. 97841 Snacks 206.00 Jolibee Zambo Veterans
3/15/13 O.R. 28973 Meals 390.00 Jolibee Zambo Veterans
3/19/13 O.R. 137253 Drinks 50.00 Jollibee Camins
3/7/13 C.I. 76374 Snacks 308.00 Mang Tinapay
3/14/13 C.I. 6728 Meals 282.00 Chowking - Camins
3/17/13 O.R. 605121 Drinks & Snacks 1,425.75 LB Supermarket
3/10/13 O.R. 130007558 Drinks & Snacks 1,605.10 Grand Mega Supermart
7,631.56
3/8/13 Official Cash Ticket Parking Fee 10.00 City of Zamboanga
3/4/13 C.I. 219880 Bio Diesel 500.00 Veterans Seaoil Station
3/18/13 C.I. 222371 Bio Diesel 1,000.00 Veterans Seaoil Station
3/20/13 C.I. 2230064 E10 Premium 500.00 Veterans Seaoil Station
3/10/13 C.I. 330203 XCS Plus 340.23 Z.C. Petron San Roque Gas Station
3/16/13 O.R. 1000947813 Petron Diesel Max 200.00 Petron Centenarian gas Station
3/19/13 O.R. 1000952329 Petron XCS 57.00 Petron Centenarian gas Station
3/19/13 O.R. 0000631270 Petron Xtra 300.00 Mega Petron Station Convenience Center
3/10/13 C.I. 898882 Diesel Fuel 200.00 Putik Petron Station
3/16/13 C.I. 107042 BioXceed Diesel 150.00 AAN Seaoil Gas Station
3/18/13 C.I. 19810 Fuel 506.00 PRB Check Point Caltex Station
3/18/13 C.I. 19809 Fuel 1,565.00 PRB Check Point Caltex Station
3/20/13 O.R. 106880 Fuel 100.00 AAN Seaoil Gas Station
3/22/13 O.R. 328388 Fuel 300.00 Z.C. Petron San Roque Gas Station
7,703.82

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection
with my duties and function as Officer In-charge of the Engineering Department.

OIC - Engineering Department General Manager
Zamboanga City
15,335.38
15,000.00
Payee
Z.C. Petron San Roque Gas Station

Mega Petron Station Convenience Center

General Manager
Zamboanga City

Receipt
No.
2/21/13 O.R. 9488 Snacks 1,156.00 Myrna's Bake House Corp.
2/7/13 O.R. 197367 Meals 3,141.00 Mano-Mano na Greenfield Restaurant
2/27/13 O.R. 211089 Snacks 2,127.50 Shopper's Center. The Gateway
2/21/13 O.R. 251977 Meals 2,145.00 Hacienda de Palmeras Restaurant
8,816.50
2/18/13 C.I. 328002 Fuel 500.00 Z.C. Petron San Roque Gas Station
2/8/13 C.I. 558040 Fuel 1,000.00 Petron Centenarian gas Station
7,504.82
THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection
with my duties and function as Officer In-charge of the Engineering Department.

ic of the Philippines
CITY WATER DISTRICT
amboanga City
15,000.00
16,321.32
-
Payee
Mano-Mano na Greenfield Restaurant
Hacienda de Palmeras Restaurant

General Manager
Zamboanga City
Receipt
No.
4/1/13 O.R. 218827 Meals 445.00 Grand Astoria Hotel - Lotus Restaurant
4/1/13 O.R. 0004437 Meals 90.00 Chinito's
4/2/13 S.I. 06689034 Snacks 151.00 Southway Square
4/3/13 C.I. 0775 Meals 486.00 Mang Inasal Restaurant
4/6/13 O.R. 002-0000000086 Meals 1,177.00 Hacienda de Palmeras Restaurant
4/8/13 O.R. 4585 Meals 384.00 Joyfoods Corporation
4/11/13 C.I. 9553 Snacks 163.00 Myrna's Bakehouse Food, Corp.
4/12/13 C.I. 0475 Meals 660.00 Big Dawgs Bistro
4/13/13 O.R. 558307 Drinks & Snacks 1,354.00 LB Supermarket
4/16/13 O.R. 280029 Snacks 460.00 Jollibee Zambo San Jose Gusu
4/20/13 S.I. 140005990 Drinks & Snacks 229.00 Grand Mega Supermart
4/22/13 C.I. 5281 Meals 542.00 La Clarita Fusion Restaurant
4/25/13 O.R. 4701 Meals 230.00 Joyfoods Corporation
7,697.00
4/5/13 C.I. 225016 Fuel 500.00 Veterans Seaoil Station
4/16/13 C.I. 579188 Fuel 500.00 R. San Agustin Enterprises - Shell Camins
4/20/13 O.R. 000670179 Fuel 500.00 Mega Petron Station Convenience Center
4/24/13 O.R. 1000998888 Fuel 500.00 Petron Centenarian gas Station
7,637.00
function as Officer In-charge of the Engineering Department.

Zamboanga City
15,334.00
15,000.00
Payee
Grand Astoria Hotel - Lotus Restaurant
Hacienda de Palmeras Restaurant


R. San Agustin Enterprises - Shell Camins
Mega Petron Station Convenience Center
nd disbursements have been made in connection with my duties and

ment.

General Manager
Zamboanga City
Receipt
No.
3/1/2015 O.R. No. 267831 Meals 85.00 Freemont Foods Corp (Jolibee Camins)
3/7/2015 C.I. No. 11482 Snacks 748.00 Idol Foods Marketing
3/6/2015 C.I. No. 5046 Meals 435.00 Birds Shawarma & Refreshment Parlor
3/8/2015 O.R. No. 166466 Grocery 214.50 Cecile's Pharmacy & Convenience Store
3/12/2015 O.R. No. 167515 Snacks 53.00 Freemont Foods Corp (Jolibee Camins)
3/13/2015 O.R. No. 04067901 Meals 354.00 Greenwich/ Fresh N' Famous Foods Inc.
3/13/2015 O.R. No. 04067905 Meals 258.00 Greenwich/ Fresh N' Famous Foods Inc.
3/21/2015 C.I. 11913 Meals 435.00 Idol Foods Marketing
3/23/2015 C.I. No. 11882 Meals 810.00 Idol Foods Marketing
3/25/2015 O.R. No. 951699 Meals 107.00 Triple L. Food Corp.
3/25/2015 O.R. 119169 Meals 230.00 Army Navy Burger + Burrito
3/27/2015 O.R. No. 251396 Meals 436.00 Mr. Kimbob
3/28/2015 O.R. N0. 001-0000026012 Snacks 160.00 Seatle's Best Coffee
3/28/2015 O.R. N0. 128692 Snacks 290.00 Army Navy Burgger + Burrito
TOTAL 5,091.50
3/8/2015 C.I. No. 71665 Fuel 1,500.00 Z.C. Petron San Roque Gas Station & Serv
3/10/2015 S. I. No. 56210 Fuel 700.00 Z.C. Petron San Roque Gas Station & Serv
3/19/2015 S.I. No. 56908 Fuel 1,550.00 Z.C. Petron San Roque Gas Station & Serv
3/28/2015 S.I. No. 64467 Fuel 1,500.00 Z.C. Petron San Roque Gas Station & Serv
TOTAL 5,250.00
THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties a
In-charge of the Engineering Department.
EDITO M. BAUTISTA, JR. ARNULFO A. ALFONSO

OIC - Design Division Assistant General Manager
CITY WATER DISTRICT
amboanga City
10,341.50
10,000.00
Payee
Freemont Foods Corp (Jolibee Camins)

Idol Foods Marketing
Birds Shawarma & Refreshment Parlor
Cecile's Pharmacy & Convenience Store
Greenwich/ Fresh N' Famous Foods Inc.
Greenwich/ Fresh N' Famous Foods Inc.
Army Navy Burger + Burrito
Z.C. Petron San Roque Gas Station & Services Center

sements have been made in connection with my duties and function as Officer
ARNULFO A. ALFONSO
Assistant General Manager
Zamboanga City
Receipt
No.
6/3/2015 C.I. No. 026721 Meals 1,366.00 Larsian Grill & Bar
6/8/2015 O.R. No. 10884 Meals 845.00 Café El Dorado
6/8/2015 O.R. No. 377543 Meals 320.00 Wok Inn Restaurant
6/19/2015 O.R. No. 12263 Meals 1,307.00 Freemont Foods Corporation
6/25/2015 C.I. No. 3559 Meals 655.00 Esther S. Alcarde
6/28/2015 OR No. 218622 Grocery 243.25 Cecile's Pharmacy & Convenience Store
6/29/2015 C.I. No.32288 Meals 337.00 Golden Aches Dev./ Mc Donald Zamboanga
5,073.25
6/5/2015 C.I. No. 347764 Fuel 100.00 Veterans Super Shell
6/3/2015 S.I. No. 70906 Fuel 1,700.00 ZC Petron San Roque Gas Station
6/9/2015 S.I. No. 58225 Fuel 1,550.00 ZC Petron San Roque Gas Station
6/17/2015 S.I. No. 15594 Fuel 1,550.00 Bellfuel Gasoline Station
6/22/2015 S.I. No. 201092 Fuel 120.00 PMI Fuel Express
5,020.00
THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties a
In-charge of the Design Division.
Prepared by:
EDITO M. BAUTISTA, JR.

OIC - Design Division
CITY WATER DISTRICT
amboanga City
10,093.25
10,000.00
Payee
Larsian Grill & Bar

Café El Dorado
Cecile's Pharmacy & Convenience Store

Golden Aches Dev./ Mc Donald Zamboanga
ZC Petron San Roque Gas Station

ZC Petron San Roque Gas Station
Bellfuel Gasoline Station
PMI Fuel Express
sements have been made in connection with my duties and function as Officer
ZAMBOANGA CITY WATER DISTRICT Date: March 07, 2013
PARTICULARS AMOUNT
Representation Expenses Php 8,816.50

Transportation Expenses Php 7,504.82
Note:
See attached Summary of Expenses

CASH ADVANCE PER CV NO. 2012-02-____________ DTD ________________ ₌ Php 15,000.00


OIC, Engineering Department Department Manager C Chief, Corporate Accountant
Claimant Maintenance Head-Accounting Unit

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Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICT

GRAND TOTAL 10,371.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZ

Z.C. Petron San Roque Gas Station & Service Center

Z.C. Petron San Roque Gas Station & Service Center

LEONARDO REY D. VASQUEZ

GRAND TOTAL 10,757.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZ

Veterans Super Shell & Service Station 1

sbursements have been made in connection with my duties and function as

LEONARDO REY D. VASQUEZ

GRAND TOTAL 11,387.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZ

Z.C. Petron San Roque Gas Station & Service Center

LEONARDO REY D. VASQUEZ

GRAND TOTAL 10,334.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZ

Veterans Super Shell & Service Station 1

sbursements have been made in connection with my duties and function as

LEONARDO REY D. VASQUEZ

GRAND TOTAL 10,047.83

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZ

Veterans Super Shell & Service Station

Z.C. Petron San Roque Gas Station & Service Center

sbursements have been made in connection with my duties and function as

LEONARDO REY D. VASQUEZ

Seminar's Fee Php 2,0

TOTAL AMOUNT SPENT ₌

AMOUNT REFUNDED PER OR NO. _________DTD________ ₌

AMOUNT TO BE REIMBURSED ₌ Php 2,

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Docume

DANILO M. DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEE

PER DIEM/DAILY ALLOWANCE: Php 1,120.00

TOTAL AMOUNT SPENT ₌ Php 11,368.00

AMOUNT TO BE REIMBURSED ₌ Php 3,550.00

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents

MARLI P. ACOSTA-DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEE

TOTAL AMOUNT SPENT ₌ Php 10,905.00

AMOUNT TO BE REIMBURSED ₌ Php -

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents

MARLI P. ACOSTA-DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEE

Amount of Cash Advance P

GRAND TOTAL 27,892.27

Prepared by: Recommending Approval: Approved by:

MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LEONARDO RE

Cebu Pacific Air

Civil Aviation Authority of the Phils.

Davao City Water District

Grand Amber Country Inn

Mang Inasal Restaurant

d disbursements have been made in connection with

LEONARDO REY D. VASQUEZ

TOTAL AMOUNT SPENT ₌ Php 27,892.27

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents

MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LUIS A. WEE

GRAND TOTAL 10,208.71

AMOUNT REFUNDED PER OR NO. _DTD ₌

AMOUNT REFUNDED PER O.R. No. _DTD __ Php 80.00