Republic of the Philippines

Provincial Government of Batangas

Capitol Bldg., Kumintang Ibaba, Bats. City No.

OBLIGATION REQUEST Payee Office Address

Responsibility Center

Benilda P. Burog Office of the Provincial Accountant Capitol Hill, Batangas City Particulars Travelling Expense F.P.P
Account Code

Amount 30,000.00

751

Total
A. Certified
Charges to appropriation/allotment necessary lawful and under my direct supervision Supporting documents valid, proper and legal Signature Printed Name Position Date Signature

30,000.00

B. Certified
Existence of available appropriation

MARITES S. CASTILLO
Provincial Accountant
Head, Requesting Office/Authorized Representative

Printed Name
Position Date

VICTORIA B. CULIAT
Provincial Budget Officer
Head, Budget Unit/Authorized Representative

Republic of the Philippines

Provincial Government of Batangas

Capitol Bldg., Kumintang Ibaba, Bats. City No.
Others Obligation Request No. Responsibility Center

DISBURSEMENT VOUCHER
Mode of Payment Payee
Check Cash TIN/Employee No.

GLORIA RABANO
Office / Unit/ Project Code

Address

EXPLANATION

AMOUNT

To liquidate and reimburse expenses incurred during the 17th Annual Convention at Plaza del Norte, Paoay, Ilocos Norte last March 19 to 22, 2013.

774.23

Total
A. Certified
Allotment obligated for the purpose as indicated above Supporting documents complete

774.23

B. Certified

Funds Available

Signature Printed Name Position Date

Signature

MARITES S. CASTILLO
PROVINCIAL ACCOUNTANT
Head, Accounting Unit/Authorized Representative

Printed Name Position

FORTUNATA G. LAT
PROVINCIAL TREASURER
Treasurer / Authorized Representative

A. C.
Signature Printed Name Position Date

B. Received Payment D. Check No. Bank Name

Signature
Printed Name

ROSA VILMA SANTOS RECTO

Governor
Agency Head / Authorized Representative

OR/Other Documents

GLORIA B. RABANO Date JEV No.

JOURNAL ENTRY VOUCHER

Province of Batangas

No.: Date:

Collection

Check Disbursement

Cash Disbursement

Others

ACCOUNTING ENTRIES Responsibility Center Accounts and Explanation Account Code Debit Credit

Training Expenses

Traveling Expenses
Gasoline OMOE Advances to Officers & Employees Cash Disbursing Officer

753 751 761 969 148 103

24,000.00 19,214.00 5,310.23 8,750.00 56,500.00 774.23

TOTAL

57,274.23

57,274.23

Prepared by:

Approved by:

MARITES S. CASTILLO Provincial Accountant

LIQUIDATION REPORT PROVINCIAL GOVERNMENT OF BATANGAS

No. Responsibility Center Code:

PARTICULARS Training Expenses Traveling Expenses Gasoline OMOE

AMOUNT 24,000.00 19,214.00 5,310.23 8,750.00

TOTAL AMOUNT SPENT TOTAL AMOUNT OF CHECK AMOUNT REFUNDABLE PER OR NO. _______dtd _____ AMOUNT TO BE REIMBURSED
A. Certified: Correctness of the above date:

57,274.23 56,500.00

774.23

B. Certified: Purpose of C. Certified: Supporting travel/cash advance duly documents complete and accomplished proper.

GLORIA B. RABANO Claimant

MARITES S. CASTILLO Immediate Supervisor

MARITES S. CASTILLO Head Accounting Unit

JEV No. ___