Apendix 11

Government Accounting Manua

Serial No. :____________

OBLIGATION REQUEST AND STATUS Date :_______________
Republic of the Philippines
Biliran Province State University
ISO 9001:2015 CERTIFIED Fund Cluster :_________

Payee ALCERO, PRECIOUS MAE T., et..all

Office
Naval, Biliran
Address
UACS Object Code/
Responsibility PARTICULARS MFO/PAP
Expenditures
Center

SAS-Contract of Servivce with ATM card

May1-31,2022

TOTAL------------------------------------------->>>>
A. Certified: Charges to appropriation/allotment necessary,lawful and B. Certified: Allotment available and
under my direct supervision; and supporting documents valid, proper purposer/adjustment necessary a
and legal.

Signature :_______________________ Signature :_______________________

Printed Name : SUSAN S. BENTOR, PhD, Printed Name : ATTY. PAHMI HADJI SALIC AMPASO
Position : Vice- President, Academic Affairs
Vice-President Office/ Authorized Representative Position : Chief Administrative Officer(Finance)
Head budget Unit/Authorized representati
Date :____________________ Date :____________________
Signature :_______________________ Signature :_______________________
Printed Name : SUSAN S. BENTOR, PhD, Printed Name : ATTY. PAHMI HADJI SALIC AMPASO
Position : Vice- President, Academic Affairs
Vice-President Office/ Authorized Representative Position : Chief Administrative Officer(Finance)
Head budget Unit/Authorized representati
Date :____________________ Date :____________________

STATUS OF THE OBLIGATION

References

OBRS/JEV/Check/
Date Particular Obligation (a) Payable (b) payment (c)
ADA/ TRA No.

OBLIGATION 111,898.00

TOTAL 111,898.00
 Apendix 11
Government Accounting Manual for NGAs

Serial No. :________________

Date :______________________

Fund Cluster :________________

UACS Object Code/

Amount
Expenditures

111,898.00

----------------->>>> PHP 111,898.00

Certified: Allotment available and obligated for the

purposer/adjustment necessary as indicated above.

___________________

TTY. PAHMI HADJI SALIC AMPASO,CPA.

ministrative Officer(Finance)
udget Unit/Authorized representative
__________
___________________

TTY. PAHMI HADJI SALIC AMPASO,CPA.

ministrative Officer(Finance)
udget Unit/Authorized representative
__________

Balance
payment (c) Due and
Not Yet Due(a-
Demandable(
b)
b-c)