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Revised DV Replenishment B. JUYAD
Revised DV Replenishment B. JUYAD
Revised DV Replenishment B. JUYAD
Mode of
MDS Check Commercial Check ADA Others (Please specify) LDDAP-ADA
Payment
TIN / Employee No. ORS/BURS No.:
Payee BRENT JUYAD
Fund Source Code Organizational Code
Office Address DIVISION OFFICE
01 101 101 07 001 08 08006
Responsibility
Particulars Center PREXC (15) Amount
400.00 400.00
400.00 400.00
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper
Signature Signature
Printed Name ULYSSES M. SABANDAL, CPA, MBA Printed Name JOSILYN S. SOLANA, EdD, CESO V
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
BRENT JUYAD
DIVISION OFFICE
400.00 400.00
Prepared by: Certified Correct:
BRENT JUYAD
DIVISION OFFICE
400.00 400.00
Prepared by: Certified Correct:
Total 400.00
Certified:
A. B.
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
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Not Yet Due and
Date Particulars Due Demandable
ADA/TRA No.
(a) (b) (c) (a-b) (b-c)
TO REIMBURSEMENT
of traveling expenses from
July 24-26 2023, in the
400.00 400.00 400.00
amount of…
SPENDING UNITS CODES
Organizational Code Implementing Units Address Location Code
070010908326 Anahawan NVHS Anahawan 086401000
070010908327 Bontoc NHS Bontoc 086402000
070010908328 Canipaan NHS Hinunangan 086403000
Canipaan NHS-Hinunangan Annex
070010908329 Hinunangan 086403000
(Hinunangan NHS)
070010908330 Concepcion NHS Malitbog 086409000
070010908331 Consolacion NHS Sogod 086417000
070010908332 Divisoria NHS Bontoc 086402000
Don Agustin F. Escaño NHS
070010908333 Tomas Oppus 086418000
(DAFENHS)
070010908334 Esperanza NHS San Ricardo 086415000
070010908335 Estela NHS Liloan 086406000
070010908336 Hingatungan NHS Silago 086416000
070010908337 Hilaan NHS Bontoc 086402000
070010908338 Himay-angan NHS Liloan 086406000
070010908339 Himbangan NHS Saint Bernard 086412000
070010908340 Ichon NHS Macrohon 086408000
070010908341 Katipunan NHS Silago 086416000
070010908342 Libas NHS Sogod 086417000
070010908343 Limasawa NHS Limasawa 086419000
070010908344 Lungsodaan NHS Hinundayan 086404000
070010908345 Marayag NHS San Francisco 086413000
070010908346 Mercedes NHS Silago 086416000
070010908347 Nahaong NHS Libagon 086405000
070010908348 Nava NHS Hinunangan 086403000
070010908349 New Guinsaugon NHS Saint Bernard 086412000
070010908350 Paku NHS Bontoc 086402000
070010908351 Pintuyan NHS Pintuyan 086411000
070010908352 Pintuyan NVHS Pintuyan 086411000
070010908353 Pinut-an NHS San Ricardo 086415000
070010908354 Rizal NHS Tomas Oppus 086418000
070010908355 San Isidro NHS Tomas Oppus 086418000
070010908356 San Juan NHS San Juan 086414000
070010908357 San Ricardo NHS San Ricardo 086415000
070010908358 San Roque NHS Macrohon 086408000
070010908359 Silago NVHS Silago 086416000
070010908360 Sogod NHS Sogod 086417000
070010908361 Sta. Cruz NHS Malitbog 086409000
070010908362 Sta. Paz NHS San Francisco 086413000
070010908363 Tambis NHS Saint Bernard 086412000
070010908364 Villa Jacinta NVHS Macrohon 086408000