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Republic of the Philippines

DEPARTMENT OF EDUCATION
NATIONAL CAPITAL REGION
DIVISION OF CITY SCHOOLS, LAS PIAS
No.2015-006-006

OBLIGATION REQUEST
Payee

MR. EDUARDO A. TOCAYON

Office

DepEd- MES - MIKESELL ANNEX

Address

Felimon St., Mikesell Subd. Talon V, Las Pias City

Responsibility
Center

Particulars

Account
Code

P.P.A

Amount

Cash withdrawal for the payment of

1. Mandatory Obligations
2. Other Communication
3. Seminars/Trainings
4. Printed Forms
5. Office Supplies
6. Miscellaneous

1,355.00
2,879.00
2,400.00
26,419.20
114.50
4,839.75

Net Amount
A. Certified

TOTAL

38,007.45

B. Certified

Charges to appropriation/allotment necessary lawful

Allotment available and obligated for the purpose

and under my direct supervision

as indicated above

Supporting documents valid proper and legal

Signature

Signature

Printed
Name

MR. EDUARDO A. TOCAYON

Printed
Name

MRS. SHIRLEY P. REGASPI

Position

MT-1 / Teacher-In-Charge

Position

Acting Disbursing Officer

Head, Requesting Office/Authorized Representative

Date

Date

Republic of The Philippines


No.

DISBURSEMENT VOUCHER
DepED- MES - MIKESELL ANNEX
Agency Name
MODE OF PAYMENT
MDS Check

Commercial Check

ADA

Name of Claimant:

EDUARDO A. TOCAYON

Address

Felimon St. Mikesell Subd. Talon V, Las Pias City

Date: 07/4/2015

Others

Responsibility:
Center:

PARTICULAR

Amount

Cash withdrawal for the payment of

1. Mandatory Obligations
2. Other Communication
3. Seminars/Trainings
4. Printed Forms
5. Office Supplies
6. Miscellaneous

1,355.00
2,879.00
2,400.00
26,419.20
114.50
4,839.75

CHARGE TO:
NCA No.
Date of NCA:
Amount of Check:
Amount Charged:

Amount Due
A Certified Expenses/Advances
Necessary, lawful and incurred
Under my direct supervision

Approved for Payment

38,007.45
D Received
Payment:
EDUARDO A. TOCAYON

Signature
Printed Name
Position
Date
B Certified supporting documents
complete and proper

Signature over Printed Name


Date:
7/4/2015
Check No.:
57765
Date:
6/15/2015
Bank Name: Landbank

Cash Available
Subject to ADA

SHIRLEY P. REGASPI
Acting Disbursing Officer

MR. EDUARDO A. TOCAYON

MT-1/Teacher-In-Charge

ALOBS No.
Date
JEV No.
Date

Republic of the Philippines


DEPARTMENT OF EDUCATION
NATIONAL CAPITAL REGION
DIVISION OF CITY SCHOOLS, LAS PIAS
No.

OBLIGATION REQUEST
Payee
Office
Address

Lina P. Enriquez
BOOKMAN, INC
373 Quezon Avenue, 1114 Quezon City

Responsibility
Center

Particulars

P.P.A

Account
Code

Amount

Cash withdrawal for the payment of

1,000.00
300.00
4,465.00
2,339.90
3,298.50
9,783.00
300.00

1. Monthly Internet Bill

2. Prepaid
3. Office Supplies
4. Janitorial Supplies
5. Miscellaneous
7. Physical Facilities
8. Transportation

Net Amount
A. Certified

TOTAL

21,486.40

B. Certified

Charges to appropriation/allotment necessary lawful

Allotment available and obligated for the purpose

and under my direct supervision

as indicated above

Supporting documents valid proper and legal

Signature
Printed
Name
Position
Date

MRS. CELIA F. GASGONIA


PRINCIPAL
Head, Requesting Office/Authorized Representative

Signature
Printed
Name
Position
Date

MRS. SHIRLEY P. REGASPI


Acting Disbursing Officer

Republic of The Philippines


No.

DISBURSEMENT VOUCHER
DepED- AES TS CRUZ ANNEX
Agency Name
MODE OF PAYMENT
MDS Check

Commercial Check

ADA

Date:

6/14/2016

Others

Name of Claimant:

MERALCO

Address

Alabang - Zapote Road, Pamplona III, Las Pinas City

Responsibility:
Center:

PARTICULAR

Amount

Payment for Meralco Bill


for the period covered ( 5/12/ 2016- 06/11/2016)

Gross Amount

19,376.71

VAT SALES
VAT EXEMPT

14,061.91
3,706.15

Less:
2% WHT
5% VAT

355.36
703.10

Net Amount:

18318.25

Amount Due
A Certified

Cash Available
Subject to ADA
Supporting doccumnents complete

Approved for Payment

18318.25
D Received
Payment:

Eighteen Thousand Three Hundred


Eighteen pesos and 25/100

Signature over Printed Name


Date:
Check No.:
Date:
Bank Name:

MECHIEL C. PARAISO
Disbursing Officer

EDUARDO A. TOCAYON

MT-1/Teacher-In-Charge

OR / BUR No.
Date
JEV No.
Date

Republic of The Philippines


No.

DISBURSEMENT VOUCHER
DepED- MES - MIKESELL ANNEX
Agency Name
MODE OF PAYMENT
MDS Check

Name of Claimant:

Commercial Check

ADA

Date:

6/14/2016

Others

Maynilad Water Services Incorporated

MWSS Compound , Katipunan Road , Balara Quezon City

Address

PARTICULAR

Responsibility:
Center:
Muntinlupa
Amount

Payment for the Water Bill

for the period ( 02/ 22/ 2014- 03/24/2014)

Gross Amount

1,319.39

Less:
5% VAT

65.97

Net Amount:

1253.42

Amount Due
A Certified

Cash Available
Subject to ADA
Supporting doccumnents complete

Approved for Payment

1253.42
D Received
Payment:

One Thousand
Two hundred Twenty Seven and 50/100
Signature over Printed Name
Date:
Check No.:
Date:
Bank Name:

SHIRLEY P. REGASPI
Disbursing Officer

MR. EDUARDO A. TOCAYON

MT-1/Teacher-In-Charge

OR / BUR No.
Date
JEV No.
Date

Republic of The Philippines


No.

DISBURSEMENT VOUCHER
DepED- MES - MIKESELL ANNEX
Agency Name
MODE OF PAYMENT
MDS Check

Commercial Check

Date:

ADA

Name of Claimant:

SHIRLEY P. REGASPI

Address

Felimon St. Mikesell Subd. Talon V, Las Pias City

6/16/2010

Others

Responsibility:
Center:

PARTICULAR

Amount

Cash advance for the payment of

43.50
40.00
44.75
111.50
110.00

Daily Time Record


Cartolina Red
Mini Record Book
Acetate Clear
Folder (long)

Groos Amount
Less 1% WHT
3% VAT
Net Amount

Amount Due
A Certified

Approved for Payment

349.75
D Received
Payment:

Cash Available
Subject to ADA
Supporting doccumnents complete

SHIRLEY M. REGASPI
Signature over Printed Name
Date:

6/28/2010

Check N
34846
Date:
6/7/2010
Bank Name:
Landbank Pamplona

SHIRLEY P. REGASPI
Acting Disbursing Officer

MRS. NENITA M. REYES

MT 1 / OIC

OR / BUR No.
Date
JEV No.
Date

Republic of The Philippines


No.

DISBURSEMENT VOUCHER
DepED- MES - MIKESELL ANNEX
Agency Name
MODE OF PAYMENT
MDS Check

Commercial Check

Date:

ADA

Name of Claimant:

SHIRLEY P. REGASPI

Address

Felimon St. Mikesell Subd. Talon V, Las Pias City

6/21/2010

Others

Responsibility:
Center:

PARTICULAR

Amount

Cash advance for the payment of


115.00

Nation Maple

Groos Amount
Less 1% WHT
3% VAT
Net Amount

Amount Due
A Certified

Approved for Payment

115.00
D Received
Payment:

Cash Available
Subject to ADA
Supporting doccumnents complete

SHIRLEY M. REGASPI
Signature over Printed Name
Date:

6/28/2010

Check N
34846
Date:
6/7/2010
Bank Name:
Landbank Pamplona

SHIRLEY P. REGASPI
Acting Disbursing Officer

MRS. NENITA M. REYES

MT 1 / OIC

OR / BUR No.
Date
JEV No.
Date

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