Republic of the Philippines

Province of Zamboanga del Norte

Tampilisan, Zamboanga del Norte

(RF- 1) Philhealth Contributions

Schedule of Remittance
Period: 06/01-30/14
SUMMARY

EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN

ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

RF-1
OFFICE Jun-13
PS GS
1 OFFICE OF THE MUNICIPAL MAYOR 1,675.00 1,675.00
2 OFFICE OF THE VICE MUNICIPAL MAYOR 600.00 600.00
3 OFFICE OF THE SANGGUNIANG BAYAN 4,137.50 4,137.50
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN 437.50 437.50
5 OFFICE OF THE MUNICIPAL TREASURER 1,862.50 1,862.50
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER 800.00 800.00
7 OFFICE OF THE MUNICIPAL ACCOUNTANT 875.00 875.00
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 2,150.00 2,150.00
9 OFFICE OF THE MUNICIPAL ASSESSOR 912.50 912.50
10 OFFICE OF THE MUNICIPAL AGRICULTURIST 1,087.50 1,087.50
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR 612.50 612.50
12 OFFICE OF THE MUNICIPAL ENGINEER 662.50 662.50
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER 575.00 575.00
14 OFFICE OF THE MARKET OPERATION 200.00 200.00
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR 575.00 575.00
16 OFFICE OF THE MOTOR POOL 100.00 100.00
17 ROMEO F. JALOSJOS III -
18 PLANTILLA
SUB - TOTAL 17,262.50 17,262.50
GRAND TOTAL 34,525.00
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
PAYEE PHILHEALTH TIN/Employee No.: Obligation Request No.
RESPONSIBILITY CENTER
ADDRESS Dipolog City
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of Philhealth of the Municipal Employees of Tampilisan, Zamboanga del Norte for the month of May
2014, per supporting papers hereto attached in the total amount of... Php 31,325.00
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name PHILHEALTH Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
150
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

Philhealth 415 31,325.00

Cash in Bank, Local Currency 111 31,325.00

Explanation/s: Remittances for Philhealth of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
Payee: Philhealth
Address: Dipolog City
31,325.00 31,325.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

Philhealth 415 31,325.00

Cash in Bank, Local Currency 111 31,325.00

Explanation/s: Remittances for Philhealth of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
PAYEE: Philhealth
Address: Dipolog City

31,325.00 31,325.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

Philhealth 415 5,800.00

Cash in Bank, Local Currency 111 5,800.00

Explanation/s: Remittances for Philhealth of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
Payee: Philhealth
Address: Dipolog City
5,800.00 5,800.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

Philhealth 415 5,800.00

Cash in Bank, Local Currency 111 5,800.00

Explanation/s: Remittances for Philhealth of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
PAYEE: Philhealth
Address: Dipolog City

5,800.00 5,800.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
 Republic of the Philippines
Province of Zamboanga del Norte
Tampilisan, Zamboanga del Norte

PAG-IBIG PREMIUMS AND LOAN REPAYMENTS

Schedule of Remittance
Period: 06/01-30/14
SUMMARY

EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN

ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

Loan Payments Premium

OFFICE Housing/Lot Policy PS
1 OFFICE OF THE MUNICIPAL MAYOR - 2,455.38 3,000.00
2 OFFICE OF THE VICE MUNICIPAL MAYOR - - 900.00
3 OFFICE OF THE SANGGUNIANG BAYAN 847.09 3,600.00
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN - 300.00
5 OFFICE OF THE MUNICIPAL TREASURER 7,334.45 4,000.00
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER 12,735.58 1,800.00 1,100.00
7 OFFICE OF THE MUNICIPAL ACCOUNTANT 3,660.66 2,300.00
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 1,349.65 2,900.00
9 OFFICE OF THE MUNICIPAL ASSESSOR 2,010.00 1,302.71 1,200.00
10 OFFICE OF THE MUNICIPAL AGRICULTURIST 3,480.91 1,900.00
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR - 600.00
12 OFFICE OF THE MUNICIPAL ENGINEER 14,500.00 5,500.00 900.00
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER 600.00
14 OFFICE OF THE MARKET OPERATION 642.82 600.00
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR 3,000.00 600.00
16 OFFICE OF THE MOTOR POOL - 300.00

GRAND TOTAL 29,245.58 31,373.67 24,800.00

Premium
GS
3,000.00
600.00
3,300.00
300.00
2,700.00
900.00
1,200.00
2,400.00
1,200.00
1,500.00
600.00
900.00
600.00
600.00
600.00
300.00

20,700.00
 Republic of the Philippines
Province of Zamboanga del Norte
Tampilisan, Zamboanga del Norte

Rural Bank of Labason

Schedule of Remittance
Period: 06/01-30/14
SUMMARY

EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN

ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

No OFFICE TOTAL OF MONTHLY INSTALLMENTS

1 OFFICE OF THE MUNICIPAL MAYOR 3,615.24

2 OFFICE OF THE VICE MUNICIPAL MAYOR -
3 OFFICE OF THE SANGGUNIANG BAYAN 6,380.58
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN -
5 OFFICE OF THE MUNICIPAL TREASURER -
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER -
7 OFFICE OF THE MUNICIPAL ACCOUNTANT -
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 11,762.15
9 OFFICE OF THE MUNICIPAL ASSESSOR -
10 OFFICE OF THE MUNICIPAL AGRICULTURIST 1,985.77
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR 3,000.00
12 OFFICE OF THE MUNICIPAL ENGINEER -
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER -
14 OFFICE OF THE MARKET OPERATION 1,248.10
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR -
16 OFFICE OF THE MOTOR POOL -

GRAND TOTAL 27,991.84

CERTIFIED CORRECT:

SHERRY LOU P. DAPROSA, CPA

Mun. Accountant
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
PAYEE Rural Bank of Labason TIN/Employee No.: Obligation Request No.
RESPONSIBILITY CENTER
ADDRESS Tampilisan Branch
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of Rural Bank of Labason of the Municipal Employees of Tampilisan, Zamboanga del Norte for
the month of June 2014, per supporting papres hereto attached in the total amount of... Php 27,991.84
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name Rural Bank of Labason Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

RBLabason 439-5 27,991.84

Cash in Bank,Local Currency 111 27,991.84

Explanation/s: Remittances for RBLabason from municpal

employees of Tampilisan Z. N. for the
the month of June 2014
Payee: RBLabason
Address: Tampilisan Branch
27,991.84 27,991.84
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

RBLabason 439-5 27,991.84

Cash in Bank,Local Currency 111 27,991.84

Explanation/s: Remittances for RBLabason from municpal

employees of Tampilisan Z. N. for the
the month of June 2014
PAYEE: RBLabason
Address: Tampilisan Branch

27,991.84 27,991.84
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
-

-
 Republic of the Philippines
Province of Zamboanga del Norte
Tampilisan, Zamboanga del Norte

TAMPILISAN UNITED FARMERS CREDIT COOPERATIVE

Schedule of Remittance
Period: 06/01-30/14
SUMMARY

EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN

ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

No OFFICE TOTAL OF MONTHLY INSTALLMENTS

1 OFFICE OF THE MUNICIPAL MAYOR 22,344.47

2 OFFICE OF THE VICE MUNICIPAL MAYOR -
3 OFFICE OF THE SANGGUNIANG BAYAN 19,066.67
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN -
5 OFFICE OF THE MUNICIPAL TREASURER -
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER 7,082.25
7 OFFICE OF THE MUNICIPAL ACCOUNTANT 4,735.11
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 2,986.25
9 OFFICE OF THE MUNICIPAL ASSESSOR 7,206.77
10 OFFICE OF THE MUNICIPAL AGRICULTURIST 13,487.33
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR 4,714.04
12 OFFICE OF THE MUNICIPAL ENGINEER 2,591.70
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER -
14 OFFICE OF THE MARKET OPERATION -
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR -

GRAND TOTAL 84,214.59

CERTIFIED CORRECT:

SHERRY LOU P. DAPROSA, CPA

Mun. Accountant
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
Tampilisan United Farmers Credit TIN/Employee No.: Obligation Request No.
PAYEE Cooperative
RESPONSIBILITY CENTER
ADDRESS Tampilisan Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of Tampilisan United Farmers Credit Cooperative of the Municipal Employees of Tampilisan,
Zamboanga del Norte for the month of June 2014, per supporting papres hereto attached in the total amount
of... Php 84,214.59
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name Tampilisan United Farmers Credit Cooperative Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

Other Payables /TUFCC 439-4 84,214.59

Cash in Bank, Local Currency 111 84,214.59

Explanation/s: Remittances for TUFCC of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
Payee: Other Payables /TUFCC
Address: Tamp. Z. N.
84,214.59 84,214.59
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

Other Payables /TUFCC 439-4 84,214.59

Cash in Bank, Local Currency 111 84,214.59

Explanation/s: Remittances for TUFCC of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
PAYEE: Other Payables /TUFCC
Address: Tamp. Z. N.

84,214.59 84,214.59
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
-
 Republic of the Philippines
Province of Zamboanga del Norte
Tampilisan, Zamboanga del Norte

ZAMBOANGA DEL NORTE COOPERATIVE BANK

Schedule of Remittance
Period: 06/01-30/14
SUMMARY
EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN
ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

No OFFICE TOTAL OF MONTHLY INSTALLMENTS

1 OFFICE OF THE MUNICIPAL MAYOR -

2 OFFICE OF THE VICE MUNICIPAL MAYOR -
3 OFFICE OF THE SANGGUNIANG BAYAN -
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN -
5 OFFICE OF THE MUNICIPAL TREASURER -
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER -
7 OFFICE OF THE MUNICIPAL ACCOUNTANT -
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER -
9 OFFICE OF THE MUNICIPAL ASSESSOR 1,085.00
10 OFFICE OF THE MUNICIPAL AGRICULTURIST -
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR -
12 OFFICE OF THE MUNICIPAL ENGINEER -
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER -
14 OFFICE OF THE MARKET OPERATION -
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR -

GRAND TOTAL 1,085.00

CERTIFIED CORRECT:

SHERRY LOU P. DAPROSA, CPA

Mun. Accountant
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
Zamboanga Norte Cooperative Bank TIN/Employee No.: Obligation Request No.
PAYEE (ZNCB)
RESPONSIBILITY CENTER
ADDRESS Dipolog City
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of Zamboanga del Norte Cooperative Bank of the Municipal Employees of Tampilisan,
Zamboanga 0del Norte for the month of June 2014, per supporting papres hereto attached in the total amount Php 1,085.00
of...
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name Zamboanga Norte Cooperative Bank (ZNCB) Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

Other Payables/ ZNCB 439-3 1,085.00

Cash in Bank, Local Currency 111 1,085.00

Explanation/s: Remittances for ZNCB from municpal

employees of Tampilisan Z. N. for the
the month of June 2014
Payee: Other Payables/ ZNCB
Address: Tamp. Z. N.
1,085.00 1,085.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

Other Payables/ ZNCB 439-3 1,085.00

Cash in Bank, Local Currency 111 1,085.00

Explanation/s: Remittances for ZNCB from municpal

employees of Tampilisan Z. N. for the
the month of June 2014
PAYEE: Other Payables/ ZNCB
Address: Tamp. Z. N.

1,085.00 1,085.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
 Republic of the Philippines
Province of Zamboanga del Norte
Tampilisan, Zamboanga del Norte

RURAL BANK OF DIPOLOG INC. (Sindangan Branch)

Schedule of Remittance
Period: 06/01-30/14
SUMMARY
EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN
ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

No OFFICE TOTAL OF MONTHLY INSTALLMENTS

1 OFFICE OF THE MUNICIPAL MAYOR 6,498.35

2 OFFICE OF THE VICE MUNICIPAL MAYOR -
3 OFFICE OF THE SANGGUNIANG BAYAN 80,702.02
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN -
5 OFFICE OF THE MUNICIPAL TREASURER 18,776.52
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER 3,006.25
7 OFFICE OF THE MUNICIPAL ACCOUNTANT 5,004.76
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 15,816.64
9 OFFICE OF THE MUNICIPAL ASSESSOR 17,200.00
10 OFFICE OF THE MUNICIPAL AGRICULTURIST 13,110.93
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR 17,477.79
12 OFFICE OF THE MUNICIPAL ENGINEER -
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER 20,331.51
14 OFFICE OF THE MARKET OPERATION -
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR -
16 OFFICE OF THE MOTORPOOL -

GRAND TOTAL 197,924.77

CERTIFIED CORRECT:

SHERRY LOU P. DAPROSA, CPA

Mun. Accountant
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
Rural Bank of Dipolog Inc. (Sindangan TIN/Employee No.: Obligation Request No.
PAYEE Branch)
RESPONSIBILITY CENTER
ADDRESS Dipolog City
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of Rural Bank of Dipolog Incorporated of the Municipal Employees of Tampilisan, Zamboanga
del Norte for the month of June 2014, per supporting papres hereto attached in the total amount of... Php ###
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name
Rural Bank of Dipolog Inc. (Sindangan Branch)
Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

Other Payables/ RBDI 439-12 197,924.77

Cash in Bank, Local Currency 111 197,924.77

Explanation/s: Remittances for RBDI from municpal

employees of Tampilisan Z. N. for the
the month of June 2014
Payee: Other Payables/ RBDI
Address: Tamp. Z. N.
197,924.77 197,924.77
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

Other Payables/ RBDI 439-12 197,924.77

Cash in Bank, Local Currency 111 197,924.77

Explanation/s: Remittances for RBDI from municpal

employees of Tampilisan Z. N. for the
the month of June 2014
PAYEE: Other Payables/ RBDI
Address: Tamp. Z. N.

197,924.77 197,924.77
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
 Republic of the Philippines
Province of Zamboanga del Norte
Tampilisan, Zamboanga del Norte

RURAL BANK OF KATIPUNAN INC.

Schedule of Remittance
Period: 06/01-30/14
SUMMARY

EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN

ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

No OFFICE TOTAL OF MONTHLY INSTALLMENTS

1 OFFICE OF THE MUNICIPAL MAYOR -

2 OFFICE OF THE VICE MUNICIPAL MAYOR -
3 OFFICE OF THE SANGGUNIANG BAYAN -
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN -
5 OFFICE OF THE MUNICIPAL TREASURER -
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER -
7 OFFICE OF THE MUNICIPAL ACCOUNTANT -
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 2,000.00
9 OFFICE OF THE MUNICIPAL ASSESSOR -
10 OFFICE OF THE MUNICIPAL AGRICULTURIST -
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR -
12 OFFICE OF THE MUNICIPAL ENGINEER -
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER -
14 OFFICE OF THE MARKET OPERATION -
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR -

GRAND TOTAL 2,000.00

CERTIFIED CORRECT:

SHERRY LOU P. DAPROSA, CPA

Municipal Accountant
.
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
PAYEE Rural Bank of Katipunan TIN/Employee No.: Obligation Request No.
RESPONSIBILITY CENTER
ADDRESS Dipolog City
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of Rural Bank of Katipunan of the Municipal Employees of Tampilisan, Zamboanga del Norte for
the month of April 2014, per supporting papres hereto attached in the total amount of... Php 2,000.00

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:

Signature Check No.: Bank Name: Date:

Printed Date: Signature Date:
ANGELES R. CARLOTO II Printed Name Rural Bank of Katipunan
Name Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

Other Payables (RB Katipunan) 439-6 2,000.00

Cash in Bank, Local Currency 111 2,000.00

Explanation/s: Remittances for RBKatipunan of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
Payee: Other Payables (RB Katipunan)
Address: Tamp. Z. N.
2,000.00 2,000.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

Other Payables (RB Katipunan) 439-6 2,000.00

Cash in Bank, Local Currency 111 2,000.00

Explanation/s: Remittances for RBKatipunan of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
PAYEE: Other Payables (RB Katipunan)
Address: Tamp. Z. N.

2,000.00 2,000.00
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
-

-
 Republic of the Philippines
Province of Zamboanga del Norte
Tampilisan, Zamboanga del Norte

1ST VALLEY BANK

Schedule of Remittance
Period: 06/01-30/14
SUMMARY

EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN

ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

No OFFICE TOTAL OF MONTHLY INSTALLMENTS

1 OFFICE OF THE MUNICIPAL MAYOR 19,739.14

2 OFFICE OF THE VICE MUNICIPAL MAYOR 5,850.00
3 OFFICE OF THE SANGGUNIANG BAYAN 34,996.00
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN 10,900.00
5 OFFICE OF THE MUNICIPAL TREASURER 48,062.78
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER 12,002.44
7 OFFICE OF THE MUNICIPAL ACCOUNTANT 6,002.64
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 34,517.00
9 OFFICE OF THE MUNICIPAL ASSESSOR 15,613.87
10 OFFICE OF THE MUNICIPAL AGRICULTURIST 11,570.32
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR 13,375.00
12 OFFICE OF THE MUNICIPAL ENGINEER 6,980.00
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER 19,268.85
14 OFFICE OF THE MARKET OPERATION 3,635.00
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR 4,360.00
16 OFFICE OF THE MOTORPOOL 4,365.00

GRAND TOTAL 251,238.04

CERTIFIED CORRECT:

SHERRY LOU P. DAPROSA, CPA

Municipal Accountant
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
PAYMENT
PAYEE 1st Valley Bank TIN/Employee No.: Obligation Request No.
RESPONSIBILITY CENTER
ADDRESS Liloy, Z. N.
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of 1st Valley Bank of the Municipal Employees of Tampilisan, Zamboanga del Norte for the
month of June 2014, per supporting papres hereto attached in the total amount of... Php ###

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:

Signature Check No.: Bank Name: Date:

Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name 1st Valley Bank Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

1st Valley Bank 439-13 251,238.04

Cash in Bank, Local Currency 111 251,238.04

Explanation/s: Remittances of 1st Valley Bank of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
Payee: 1st Valley Bank
Address: Liloy. Z. N.
251,238.04 251,238.04
Prapared by: Approved by:
SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

1st Valley Bank 439-13 251,238.04

Cash in Bank, Local Currency 111 251,238.04

Explanation/s: Remittances of 1st Valley Bank of municpal

employees fo Tampilisan Z. N. for the
the month of June 2014
PAYEE: 1st Valley Bank
Address: Liloy. Z. N.

251,238.04 251,238.04
Prapared by: Approved by:
________________________ SHERRY LOU P. DAPROSA
Municipal Accountant
 Republic of the Philippines
Province of Zamboanga del Norte

INCOME TAX WITHHELD (COMPENSATION)

Schedule of Remittance
Period: 06/01-30/14
SUMMARY

EMPLOYER'S NAME: LOCAL GOVERNMENT OF TAMPILISAN

ADDRESS: TAMPILISAN, ZAMBOANGA DEL NORTE

TOTAL OF MONTHLY
No OFFICE
INSTALLMENTS

1 OFFICE OF THE MUNICIPAL MAYOR 15,175.66

2 OFFICE OF THE MUNICIPAL VICE MAYOR 7,739.22
3 OFFICE OF THE SANGGUNIANG BAYAN 59,773.89
4 OFFICE OF THE SECRETARY TO THE SANGGUNIANG BAYAN 5,822.98
5 OFFICE OF THE MUNICIPAL TREASURER 14,393.42
6 OFFICE OF THE MUNICIPAL BUDGET OFFICER 9,786.40
7 OFFICE OF THE MUNICIPAL ACCOUNTANT 8,472.61
8 OFFICE OF THE MUNICIPAL HEALTH OFFICER 28,713.82
9 OFFICE OF THE MUNICIPAL ASSESSOR 10,379.31
10 OFFICE OF THE MUNICIPAL AGRICULTURIST 10,332.35
11 OFFICE OF THE MUNICIPAL PLANNING AND DEVELOPMENT COORDINATOR 7,692.08
12 OFFICE OF THE MUNICIPAL ENGINEER 5,818.93
13 OFFICE OF THE MUNICIPAL SOCIAL WORK & DEVELOPMENT OFFICER 7,123.53
14 OFFICE OF THE MARKET OPERATION 267.36
15 OFFICE OF THE MUNICIPAL CIVIL REGISTRAR 7,443.66
16 OFFICE OF THE MOTOR POOL -

GRAND TOTAL 198,935.22

CERTIFIED CORRECT:

SHERRY LOU P. DAPROSA, CPA

Municipal Accountant
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYEE Bureau of Internal Revenue (BIR) TIN/Employee No.: Obligation Request No.
RESPONSIBILITY CENTER
ADDRESS Dipolog City
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Remittances of INCOME TAX WITHHELD of the Municipal Employees of Tampilisan, Zamboanga del Norte for the
month of June 2014, per supporting papres hereto attached in the total amount of...
Php 198,935.22
CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated above
Funds Available
Supporting documents complete and paper
Signature Signature
Printed
SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Name
Mun. Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:

Signature Check No.: Bank Name: Date:

Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name Bureau of Internal Revenue (BIR) Date:
Municipal Mayor OR. No./Other Documents JEV No.Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Personal Services)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I First Salary
Appointment
Certificate of Assumption to Office
Daily Time Record
Statement of Assets and Liabilities
Oath of Office
Received copy of CSC transmittal
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
-
 JOURNAL ENTRY VOUCHER NO: ____________
MUNICIPALITY OF TAMPILISAN - ZN Date:____________
LGU
Collection Check Disbursement Cash Disbursement Others
ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanations Account Code PR Debit Credit

Due to BIR 412-1 198,935.22

Cash in Bank, Local Currency 111 198,935.22

Explanation/s: Remittances of BIR of the Municpal

Employees fo Tampilisan Z. N. for
the month of June 2014
Payee: BIR
Address: Dipolog City
198,935.22 198,935.22
Prapared by: Approved by:
SHERRY LOU P. DAPROSA
Municipal Accountant

JOURNAL ENTRY VOUCHER NO: ____________

MUNICIPALITY OF TAMPILISAN - ZN Date:_____________

Collection Check Disbursement Cash Disbursement Others

ACCOUNTING ENTRIES
Amount
Responsibily Center Accounts and Explanation Account Code PR Debit Credit

Due to BIR 412-1 198,935.22

Cash in Bank, Local Currency 111 198,935.22

Explanation/s: Remittances of BIR of the Municpal

Employees fo Tampilisan Z. N. for
the month of June 2014
PAYEE: BIR
Address: Dipolog City

198,935.22 198,935.22
Prapared by: Approved by:
SHERRY LOU P. DAPROSA
Municipal Accountant