Republic of the Philippines

Department of Education
Region V
SCHOOLS DIVISION OF ALBAY
Ligñon Hill, Bogtong, Legazpi City
Telefax: (052) 481-5939. Website: www.depedalbay.com.ph

Serial No.:
Date:
Fund Cluster :
101101
OBLIGATION REQUEST AND STATUS 101407
104102
Others

Payee
CAMALIG SOUTH CENTRAL SCHOOL -LBP LEG. CA# 0132-1111-54

Office CAMALIG SOUTH CENTRAL SCHOOL -MARSHIA SHEEKY

Address
CAMALIG SOUTH CS CAMALIG SOUTH DISTRICT
Responsibility
Particulars MFO/PAP UACS Object Code Amount
Center

To cash advance for MOOE -JAN/MAR 2022 103001000100000 5020301002 30,942.00

of Camalig South CS, Camalig South District 269002000800000 5020399000 10,000.00
270003020100000 5020502001 3,000.00
261003020500001 5020402000 3,000.00
261003020500002 5020321002 14,999.00
262003020500003

Previous
UACS Gross Amt mo.tax Unliquidated CA Net Amount
5020301002 30,942.00 - 1,419.54 30,942.00
5020399000 10,000.00 - 10,000.00
5020502001 3,000.00 - 3,000.00
5020402000 3,000.00 - 3,000.00 3,000.00
/ 5020321002 14,999.00 14,999.00
- -
-
-
- -
Total 61,941.00 4,419.54 61,941.00
Total 61,941.00

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

Signature : ___________________________________
Signature : ______________________________

Printed Name: LAURO B. MILLANO Printed Name: ALBERT B. BONAGUA, CPA

Position : Assistant Schools Division Superintendent Position : Administrative Officer V (Budget)

Head, Requesting Office/Authorized Representative Budget Officer III

Date :
___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount

Not Balance
Obligation Payable Payment
Yet
Date Particulars ORS/JEV/Check/ ADA/TRA No. Due and Demandable
Du
(a) (b) (c) e
(a-b) (b-c)
 CASH DISBURSEMENT REGISTER

DEPARTMENT OF EDUCATION DIVISION OF ALBAY DATE

NAME OF SCHOOL : BURGOS ELEMENTARY SCHOOL FUND
DARAGA, ALBAY ACCOUNTABLE OFFICER: : I ELEANOR MARCO

BREAKDOWN
CREDIT DEBIT
SEMI
EXPENDABLE
DATE CHECK NO/ DV NO. PAYEE PARTICULARS RECEIPTS PAYMENTS BALANCE W/ TAX Prepaid TRAVEL FUR & FIX ELECTRICITY REPAIRS & MAINT. PRINTING/ OTHER
insurance OTHER STRUCTURE PHOTOCOPY MOOE
2/26/20 INITIAL DEPOSIT 500.00 500.00
3.23.20 MOOE JAN/FEB 2020 59,040.00 0.00 59,540.00
01/22/2020 48901 2020-01-001 Eleanor Marco Reimbursement for photocopy of activity sheets 5,343.75 54,196.25 356.25 0.00 0.00 5,700.00
6/3/2020 48902 2020-03-002 Eleanor Marco Reimbursement for electric bill -Jan-Feb 2020 5,180.76 49,015.49 91.44 5,272.20
11/3/2020 48903 2020-03-003 Eleanor Marco Reimbursement for photocopy of testpapers 3,909.38 45,106.11 260.62 4,170.00
5/6/2020 48904 2020-06-004 Lisay Hardware Payment for materials for repair of Stage 43,100.35 2,005.76 2,308.94 45,409.29

TOTAL 57,534.24 3,017.25 - - - 5,272.20 45,409.29 9,870.00 -

Note: Withholding tax remittance with OR 0769015 and OR#0767369

amounting to P 3,017.25 will be reflected on the next liquidation

Total - - Certified Correct:

ELEANOR MARCO
School Head
 LIQUIDATION REPORT No. 2021-03-004
DEPARTMENT OF EDUCATION, DIVISION OF ALBAY Date: 3/31/21
Agency Responsibility Cente
BALIGANG ELEMENTARY SCHOOL
Fund Source
Organization Code: Location Code Code
PARTICULARS Amount

To Liquidate cash advance of MOOE- January-February, 2021 144,456.50

of BALIGANG ES

Accounting Entry
MFO ACCOUNT CODE DEBIT CREDIT

UNLIQUIDATED CASH ADVANCE, BEGINNING 834.60

CASH ADVANCE GRANTED PER DV No. 144,456.00
TOTAL UNLIQUIDATED CASH ADVANCE 145,290.60
LESS: LIQUIDATION REPORT
TOTAL AMOUNT SPENT 137,576.07
REMITTANCE OF TAXES W/HELD PER OR# 6,856.22
TOTAL AMOUNT LIQUIDATED 144,432.29

UNLIQUIDATED CASH ADVANCE, END 858.31

A: Certified Correctness of the B: Certified Purpose of travel/Cash C.Certified supporting documents

above data advance duly accomplished complete and proper

BERTITO M.LAGANSON NORMA B. SAMANTELA CESO VI RAFAEL B. TRAJANO

Claimant Schools Division Superintendent Division Accountant