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Republic of the Philippines

Department of Energy
PNPC Complex, Merrit Rd., Fort Bonifacio, Taguig City 479-2900 (Trunkline)

OBLIGATION SLIP No: Date: Responsibility Center: F/P.P.A

Payee/Office Address:

DOE-Luzon Field Office

Particulars

Account Code

Amount

Payment of budget allocation for the month of April 2012 chargeable to the regular Fund 101, MOOE of the DOE-LFO

751 755 761 766 767 771 772 773 782 783 786 795 841

85,000.00 10,000.00 14,000.00 10,000.00 20,000.00 800.00 15,000.00 20,000.00 45,000.00 5,000.00 2,000.00 7,000.00 15,000.00

A. Requested by: Certified: Charges to appropriation/allotment necessary, lawful and under my direct supervision Signature: Printed Name: Position: Date: E. L. Balaoing Director, LFO

Total 248,800.00 B. Funds Available Certified: Appropriation/Allotment available and obligated for the purpose as indicated above Signature: Printed Name: Position: Date: A. S. SOLUTA Chief, Budget Division

Republic of the Philippines

Department of Energy
PNPC Complex, Merrit Rd., Fort Bonifacio, Taguig City 479-2900 (Trunkline)

DISBURSEMENT VOUCHER
No: MODE OF PAYMENT Date: MDS check Payee/Office Commercial Check ADA TIN/Employee No: Others OS/BUS No: Date: Responsibility Center Title: Particulars
Code:

Northern Expert Auto Medics


Address:

Amount

Payment for repairs of LFO vehicle

17,300.00 6,150.00 2,300.00 25,750.00

A Certified:

Supporting documents complete and proper Cash available Subject to ADA (where applicable)

Amount Due B Approved for Payment:

25,750.00

Signature: Printed Name: Position: Z. B. Custorio Administrative Aide VI


(Head, Accounting Unit/Authorized Representative)

Signature: Printed Name: Position: Efren L. Balaoing Director, LFO


(Agency Head/Authorized Representative)

Date: C Received Payment:

Date: D Check/ADA No: Date: Bank Name: OR No./Other relevant document Issued: Journal Entry Voucher:

Signature: Printed Name:

Date

No: Date:

Republic of the Philippines

Department of Energy
PNPC Complex, Merrit Rd., Fort Bonifacio, Taguig City 840 - 1401 (Trunkline)

BUDGET UTILIZATION SLIP No: Date: Responsibility Center:

Payee/Office Address:

Particulars

Account Code

Amount

A. Requested by: Certified: Charges to budget necessary lawful and under my direct supervision

Cetified:

Total B. Funds Available Budget available and funds earmarked/ obligated for the purpose as indicated above

Signature: Printed Name: Position: Date:

Signature: Printed Name: Position: Date: A. A. S. SOLUTA Chief, Budget Division

Republic of the Philippines

Department of Energy
PNPC Complex, Merrit Rd., Fort Bonifacio, Taguig City 479-2900 (Trunkline)

OBLIGATION SLIP No: Payee/Office Address: F/P.P.A

Daphne F. Del Mundo

Date: 26-Jul-10 Responsibility Center:

Particulars For Reallignment ALOBS No.101-10-02-0729 ALOBS No.101-10-02-0728 No Cash Advance ALOBS No.101-10-02-0967 No Cash Advance ALOBS No.101-10-02-1126 ALOBS No.101-10-02-1129 ALOBS No.101-10-02-1129 No Cash Advance

Account Code

Amount

Davao City Cebu City Iloilo City Ozamiz City Tuguegarao Baguio City Ilocos Norte Puerto Princesa Makati City

47,983.93 975.00 96,951.85 59,975.15 67,300.53 719.00 11,501.00 28,090.00 47,983.93

A. Requested by: Certified: Charges to appropriation/allotment necessary, lawful and under my direct supervision Signature: Printed Name: Position: Date: J. T. TAMANG Director, EPPB

Total 361,480.39 B. Funds Available Certified: Appropriation/Allotment available and obligated for the purpose as indicated above Signature: Printed Name: Position: Date: A. S. SOLUTA Chief, Budget Division

1956.36

775.5

2731.86

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