Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao

MINISTRY OF PUBLIC WORKS
Basilan District Engineering Office
Lamitan City, Basilan

ITINERARY OF TRAVEL
(Appendix A) Date

Name: PHILIP P. FERNANDO III Station:

Designation: Accountant III Purpose:
To proceed to Cotabato City to on official
transaction at MPW-BARMM Regional Office
on May19-21, 2022

Time Means of
Date Place to visit Per Diem Total
Departure Arrival Transportation

05/18/2022 Res.-Wharf Tricycle 50.00 Php 50.00

Isabela-Zambo Stephanie 90.00 1,500.00 Php 1,590.00
Zambo-Cotabato - -

on official transaction at
05/19-21/2022 MPW-BARMM Regional 1500X3days Php 4,500.00
Office

05/22/2022 Cotabato-Zambo - 1,500.00 Php 1,500.00

ZamboIsabela Stephanie 90.00 Php 90.00
Wharf-Res. Tricycle 50.00 Php 50.00
Terminal Fee

TOTAL Php 7,780.00

Prepared by: Approved by:

HAIMA S. CAMUAK KASIM A. HASANIN, MPA

Computer Operator Acting District Engineer
 Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF PUBLIC WORKS
Basilan District Engineering Office
Lamitan City, Basilan

ITINERARY OF TRAVEL
(Appendix A) Date

Name: MARIBEL E. SILVA Station:

Designation: Admin Assistant II Purpose: To proceed to Cotabato City to on official
transaction at MPW-BARMM Regional Office
on May19-21, 2022

Time Means of
Date Place to visit Per Diem Total
Departure Arrival Transportation

05/18/2022 Res.-Wharf Tricycle 50.00 Php 50.00

Isabela-Zambo Stephanie 90.00 1,500.00 Php 1,590.00
Zambo-Cotabato - -

on official transaction at
05/19-21/2022 MPW-BARMM Regional 1500X3days Php 4,500.00
Office

05/22/2022 Cotabato-Zambo - 1,500.00 Php 1,500.00

ZamboIsabela Stephanie 90.00 Php 90.00
Wharf-Res. Tricycle 50.00 Php 50.00
Terminal Fee

TOTAL Php 7,780.00

Prepared by: Approved by:

HAIMA S. CAMUAK KASIM A. HASANIN, MPA

Computer Operator Acting District Engineer
 Liquidation Report No:
Date:
MPW-Basilan District Engineering Office
Responsibility Center
Agency
Code:
PARTICULARS Amount

For TEV Liquidation

May 19-21, 2022

Total Amount Spent: Php 7,780.00

Amount of Cash Advance Per DV No.: DTD.

Amount Refunded Per OR No:

Amount to be Reimbursed:

A B Certified: C Certified: Supporting documents

Certified: Correctness of Purpose of complete and proper
the above data travel/cash
advance duly
accomplished
MARIBEL E. SILVA KASIM A. HASANIN PHILIP P. FERNANDO III, CPA
Admin Assistant II Immediate Supervisor Accountant III
 OBLIGATION REQUEST AND STATUS
Serial No

Republic of the Philippines Date

Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF PUBLIC WORKS
Basilan District Engineering Office Fund Cluster:
Lamitan City, Basilan
PAYEE MARIBEL E. SILVA
Office
Address
Responsibility UACS Object
Particulars MFO/PAP AMOUNT
Centre Code

OBLIGATION FOR: Php 7,780.00

For Obligation for payment of TEV:

May 19-21, 2022

TOTAL Php 7,780.00

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

Signature Signature

Printed Name SAADA J. SALIH Printed Name AL-MY-RHADZ A. JALJALIS

Administrative Officer V Administrative Officer III

Position Chief, Administrative Section Position
Head, Requesting Office/Authorized Representative Head, Accounting Unit/Authorized Representative

Date Date

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet due
ADA/TRA No. Demandable
(a) (b) © (a-b) (b-c)
 Appendix 32

Republic of the Philippines Fund Cluster :

Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF PUBLIC WORKS
Basilan District Engineering Office
Lamitan City, Basilan Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
Payment
MDS Check Commercial Check ADA Others (Please specify)
TIN/Employee No.: ORS/BURS No.:
Payee MARIBEL E. SILVA

Address MPW BARMM

Responsibility
Particulars MFO/PAP Amount
Center

P 7,780.00
To payment of travelling expenses Re: official
transaction at MPW-BARMM Regional Office on May
19-21, 2022 in the amount of Seven Thousand Seven
Hundred Eighty Pesos Only

Charge to:

Amount Due P 7,780.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

SAADA J. SALIH
Administrative Officer V
Chief, Administrative Section
B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Suppor

Signature Signature

Printed
Printed Name
Name
PHILIP P. FERNANDO III, CPA KASIM A. HASANIN, MPA
 Accountant III Acting District Engineer
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Annex C

Back-to-Office Report

Reporting Officer/Personnel: MARIBEL E. SILVA

Place(s) Visited: Cotabato City Date of Visit: May 19-21, 2022

Purpose of Visit:

To proceed to Cotabato City to on official transaction at MPW-BARMM Regional Office on

May19-21, 2022

Brief Summary of Outcomes (where travel is for monitoring and inspection of projects, include
problems met):

Key Recommendations/Actions to be taken (where travel is for monitoring and inspection of projects):

Proposed Date of Re-echo

Received Date by
(where travel is for training,
Records Section:
seminars and convention):

MARIBEL E. SILVA KASIM A. HASANIN, MPA

Signature over Name of Reporting Officer Signature over Name of team Leader or
Immediate Supervisor