Vous êtes sur la page 1sur 10

Republic of the Philippines

Province of Eastern Samar


Municipality of Llorente

No.

OBLIGATION REQUEST AND STATUS Date:


LGU -Llorente
Agency Fund:
PayeMTO Personnel
Offic MTO
Address: LGU-Llorente
Responsibility Account
Center Particulars F.P.P. Code Amount

1091 Payment OF RATA for the Month of September 1-30, 2018 5-01-01-010 ₱205,146.00

ACA/PERA 5-01-02-010 20,000.00


GSIS 5-01-03-020 24,617.52
Philhealth 5-01-03-030 2,395.77
Pag-ibig 5-01-03-020 1,000.00
ECC 5-01-03-040 978.89

Total ₱254,138.18
A. Certified : Charges to appropriation/allotment necessary, lawful B. Certified : Allotment availabel and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

JESSE D. CONTADO EDILBERTO G. CARDONA


Municipal Treasurer Mun. Budget Officer

_________________________ _________________________
Date Date

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV No Obligation Payment Payable Balance
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente

No.

OBLIGATION REQUEST AND STATUS Date:


LGU -Llorente
Agency Fund:
PayeROXANIE B. BORMATE
Offic Municipal Treasurer's Office
Address: LGU-Llorente
Responsibility Account
Center Particulars F.P.P. Code Amount

1091 Payment/Reimbursement of Accountable Form ₱12,540.00

Total ₱12,540.00
A. Certified : Charges to appropriation/allotment necessary, lawful B. Certified : Allotment availabIe and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

ROXANIE B. BORMATE EDILBERTO G. CARDONA


Acting Mun. Treasurer Mun. Budget Officer

_________________________ _________________________
Date Date

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV No Obligation Payment Payable Balance
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente

No.

OBLIGATION REQUEST Date:


LGU -Llorente
Agency Fund:
PayeROXANIE B. BORMATE
Offic MTO
Address: LGU-Llorente
Responsibility Account
Center Particulars F.P.P. Code Amount

1011 Payment/Reimbursement of Accountable Form #0016 ₱6,000.00

Total ₱6,000.00
A. Certified : Charges to appropriation/allotment necessary, lawful B. Certified : Allotment availabel and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

HON. DANIEL C. BOCO EDILBERTO G. CARDONA


Municipal Mayor Mun. Budget Officer

_________________________ _________________________
Date Date
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente

No.

OBLIGATION REQUEST AND STATUS Date:


LGU -Llorente
Agency Fund:
Payee: CHANDA C. GOPOLE
Office: Municipal Treasurer's Office
Address: LGU-Llorente
Responsibility Account
Center Particulars F.P.P. Code Amount

1091 Payment/Reimbursement of TEV ###

Total ###
A.Certified : Charges to appropriation/allotment necessary, lawful B. Certified : Allotment availabIe and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

JESSE D. CONTADO EDILBERTO G. CARDONA


Municipal Treasurer Mun. Budget Officer

_________________________ _________________________
Date Date

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV No Obligation Payment Payable Balance
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente

No.

OBLIGATION REQUEST AND STATUS Date:


LGU -Llorente
Agency Fund:
Payee: JESSE D. CONTADO
Office: MTO
Address: LGU-Llorente
Responsibility Account
Center Particulars F.P.P. Code Amount

1091 Payment/Reimbursement of Accountable Form #0016 1091 ₱4,500.00

Total ₱4,500.00
A. Certified : Charges to appropriation/allotment necessary, lawful B. Certified : Allotment availabel and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

JESSE D. CONTADO EDILBERTO G. CARDONA


Municipal Treasurer Mun. Budget Officer

_________________________ _________________________
Date Date

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV No Obligation Payment Payable Balance
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente

No.

OBLIGATION REQUEST AND STATUS Date:


LGU -Llorente
Agency Fund:
PayeMARICAR L. SILLA
OfficMunicipal Treasurer's Office
Address: LGU-Llorente
Responsibility Account
Center Particulars F.P.P. Code Amount

1091 Liquidation/Payment of TEV 5-02-01-010 ₱490.00

Actual expense 20,200.00


less: Pre-payment 19,710.00
₱490.00

Total ₱490.00
A. Certified : Charges to appropriation/allotment necessary, lawful B. Certified : Allotment availabel and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

JESSE D. CONTADO EDILBERTO G. CARDONA


Municipal Treasurer Mun. Budget Officer

_________________________ _________________________
Date Date

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV No Obligation Payment Payable Balance
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente

No.

OBLIGATION REQUEST AND STATUS Date:


LGU -Llorente
Agency Fund:
PayeEdito B. Busa Jr. & et.al,
OfficPublic Market Maintenance
Address: LGU-Llorente
Responsibility Account
Particulars F.P.P. Amount
Center Code

1091 Payment of Wages for the Month of June 1-30,,2018 5-02-01-010 ₱23,400.00

Total ₱23,400.00
A. Certified : Charges to appropriation/allotment necessary, B. Certified : Allotment availabel and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

JESSE D. CONTADO EDILBERTO G. CARDONA


Municipal Treasurer Mun. Budget Officer

_________________________ _________________________
Date Date

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV No Obligation Payment Payable Balance
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente

No.

OBLIGATION REQUEST AND STATUS Date:

Agency Fund:
PayeVIRGINIA COPADA & et.,al
OfficMTO
Address: LGU-Llorente
Responsibility Account
Center Particulars F.P.P. Code Amount

Payment of Wages for the Month of June 1-30,


1091 2018 5-02-01-010 ₱6,660.00

Total ₱6,660.00
A. Certified : Charges to appropriation/allotment necessary, B. Certified : Allotment availabel and obligated
and under my direct supervision and supporting documents for the purpose/adjusment necessary as
valid, proper and legal indicated above.

JESSE D. CONTADO EDILBERTO G. CARDONA


Municipal Treasurer Mun. Budget Officer

_________________________ _________________________
Date Date

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV No Obligation Payment Payable Balance

Vous aimerez peut-être aussi