ROUTINARY SLIP

LA PAZ MEDICARE AND COMMUNITY HOSPITAL

Originating Office : La Paz Medicare & Community Hospital

Date Started/Forwarded for Processing :
Note :

PURCHASE REQUEST
Control I N O U T
OFFICE No. DATE TIME SIGNATURE DATE TIME SIGNATURE
G S D
BUDGET
ACCOUNTING
TREASURY
P A
P GO

PURCHASE ORDER
G S D
ACCOUNTING
P A
P G O

VOUCHER
Control I N O U T
OFFICE No. DATE TIME SIGNATURE DATE TIME SIGNATURE
G S D
BUDGET
ACCOUNTING
TREASURY
P A
P G O

LIST OF SUPPORTING DOCUMENTS

1. CAFOA
2. DISBURSEMENT VOUCHER
3. STATEMENT OF ACCOUNT

CERTIFIED CORRECT:

Administrative Officer V