Republic of the Philippines

DEPARTMENT OF EDUCATION (07001)

Region 02
SCHOOLS DIVISION OF ISABELA (0802003)

Serial No. :_____________

OBLIGATION REQUEST AND STATUS Date :_____________
Fund Cluster______________
PAYEE MAUREEN B. BALABBO
OFFICE SIMANU NATIONAL HIGH SCHOOL
ADDRESS SIMANU NORTE, SAN PABLO, ISABELA
RESPONSIBILITY CENTER PARTICULARS MFO/PAP UACS Amount
Object
Code

To Obligate payments for Salary Differential in

the amount of THIRTY SIX THOUSAND SIX
HUNDRED FORTY SIX AND TWENTY CENTAVOS ₱ 17,044.20
ONLY

₱ 17,044.20
TOTAL

A. Certified: Charges to appropriation/ allotment are necessary, B. Certified: Allotment available and obligated for the
lawful and under my direct supervision, and supporting documents purpose/ adjustment necessary as indicated above
valid, proper and legal

Signature : ________________________________ Signature: _____________________________

Printed Name: ___MARVIC G. MACASADDU_________ Printed Name: RHODORA L. PASCUA________
Position : __ Principal I________________ Position Budget Officer/Administrative Office V
Head, Requesting/Office/Authorized Representative Head, Budget Unit/Authorized Representative
Date : ____________________________________ Date : _________________________________

C. STATUS OF OBLIGATION
REFERENCE AMOUNT

DATE PARTICULARS ORS/JEV/CHECK/ BALANCE

ADA/TRA No. OBLIGATION PAYABL PAYMENT NOT YET DUE & DEMANDABLE
E DUE
(a) (b) (C) ( a-b ) ( b-c )