Appendix 2023-CA

CASH ADVANCE REQUEST VOUCHER

JUNIPER 3 PROCUREMENT CORPORATION
Block 62 Lot 32 Soldier Hills, Putatan, Muntinlupa 1702
Project/ Hospital Name/ Location of Activity Date of Request:
DANS PC REPAIR AND SERVICES JUNE 25, 2024
ACTIVITIES Date of Activity

ACER LAPTOP LCD REPLACEMENT (A515-55) JUNE 24, 2024

***please liquidate not more than five (5) days after activity

1. To be filled out upon request (choose if CA is for a. travel, b. bidding, or c. other expenses)

A. Cash Advance for Travel B. Cash Advance for Bidding

Particulars Amount Project/ ITB no. Amount
1. Transportation
a. Air Ticket
b. Car Rental TOTAL

c. Gas C. Cash Advance for Others - Miscellaneous

d. Toll Particulars Amount

2. Lodging
3. Meals LCD for ASPIRE A515-55 4,000.00
4. Others (please breakdown) 1920x1080 FHD
REPLACEMENT LABOR 3,500.00

TOTAL TOTAL 7,500.00

2. Requested by: 4. Special Request and Instructions

JOSHUA MIJARES TRANSFER CA TO: JOSH

Signature over Printed Name
Requestor

3. Approved by: I hereby authorize the Finance Dept. of Juniper 3

Procurement Corporation to deduct from my salary any
unliquidated amount five (5) working days after the end of
MAM JONALYN R. REYBANO the activity.
Signature over Printed Name
Immediate Superior JOSHUA MIJARES
Conforme:
Signature over Printed Name

rev.022723