Professional Documents
Culture Documents
DEPARTMENT OF AGRICULTURE
Regional Field Office No. 02
Tuguegarao City
DISBURSEMENT VOUCHER
Mode of
Payment
ADA
Commercial Check
MDS Check
Payee
Address
TUGUEGARAO CITY
EXPLANATION
To obligate payment of labor and materials for the installation of 2 units split type ai
as per supporting papers hereto attached in the amount of ..
Attachments:
1. Canvass
2. PR
3. ORS
4. Abstract of Canvass
Certified
Approv
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
MDS Check
ADA
Commercial Check
Payee
Address
EXPLANATION
Signature
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Approv
Printed Name
Printed Name
Position
Date
C
Check/
Position
Date
Received Payment
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
Payee
MDS Check
Commercial Check
ADA
GINA M. CONSIGNA
Tuguegarao City, Cagayan
Address
EXPLANATION
1.
2.
3.
4.
Itinerary of Travel
Approved TO
DV
ORS
CERTIFICATION:
Thi is certify that Ms. Gina M. Consigna has no pending unliquidated cas
this date.
Certified
Approv
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Signature
Printed Name
Position
Date
Printed Name
Position
Date
Received Payment
C
Check/
ADA No.
Signature
Official Receipt/Other Documents
Bank Name
Date
Printed Name
Date
DISBURSEMENT VOUCHER
Mode of
Payment
MDS Check
ADA
Commercial Check
MARICEL F. CAMAPANO
Payee
EXPLANATION
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
Payee
MDS Check
Commercial Check
ADA
BRYAN S. SIBAYAN
Tuguegarao City, Cagayan
Address
EXPLANATION
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
Payee
MDS Check
Commercial Check
CARELAB
Tuguegarao City, Cagayan
Address
EXPLANATION
ADA
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Check/
Position
Date
Received Payment
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
ADA
Commercial Check
MDS Check
Payee
EXPLANATION
Payment of contractual services for the month of July 2015 as per supporting paper
attach in the amount of .
Attachments
1.
2.
3.
4.
Bill of collection
ORS
Output and timeframe
Certificate of acceptance
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Check/
Position
Date
Received Payment
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
MDS Check
Commercial Check
Payee
Address
EXPLANATION
ADA
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
Payee
MDS Check
Commercial Check
ADA
HOTEL ROMA
Tuguegarao City, Cagayan
Address
EXPLANATION
Attachments:
1. PR
2. Canvass
3. Abstract of Canvass
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
ADA
Commercial Check
MDS Check
HOTEL ROMA
Payee
EXPLANATION
1. PR
2. Canvass
3. Abstract of Canvass
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
Payee
MDS Check
ADA
Commercial Check
Address
EXPLANATION
To fund transfer for payment of 2 laborer from August 2 to October 6, 2015 for ga
and feeding of imported goat at Sta Fe in the amount of . . .
Attachments:
1. PR
2. Canvass
3. Abstract of Canvass
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
Payee
MDS Check
Commercial Check
Address
EXPLANATION
ADA
Certified
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Approv
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Date
Signature
Date
Bank Name
Printed Name
DISBURSEMENT VOUCHER
Mode of
Payment
Payee
MDS Check
Commercial Check
Address
EXPLANATION
TO payment of of contract services for the month of November 2015
in the amount of . . . . . .
Attachment:
1. ORS
2. Contract of Manpower Services
3. Manpower Deployment
4. Certificate of Acceptance
5. Bill of Colllection
ADA
Certified
Approv
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Signature
Printed Name
Printed Name
Position
Date
C
Position
Date
Received Payment
Check/
ADA No.
Signature
Official Receipt/Other Documents
Date
Bank Name
Date
Printed Name
Annex B
pines
ULTURE
o. 02
No.
ADA
Others
TIN/Employee No.
OR/BUR No.
Responsibility Center
Office/Unit Project
AMOUNT
me
Code
P12,800.00
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
Others
TIN/Employee No.
Office/Unit Project
OR/BUR No.
Responsibility Center
Code
AMOUNT
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
Others
TIN/Employee No.
Office/Unit Project
OR/BUR No.
Responsibility Center
Code
..
AMOUNT
Php
23,589.00
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
Others
TIN/Employee No.
Office/Unit Project
OR/BUR No.
Responsibility Center
Code
AMOUNT
Php
36,000.00
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
TIN/Employee No.
Office/Unit Project
Others
OR/BUR No.
Responsibility Center
Code
AMOUNT
Php
28,800.00
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
TIN/Employee No.
Office/Unit Project
Others
OR/BUR No.
Responsibility Center
Code
AMOUNT
me
Php
JEV No.
Date:
9,999.00
Annex B
pines
ULTURE
o. 02
No.
ADA
Others
TIN/Employee No.
Office/Unit Project
OR/BUR No.
Responsibility Center
Code
AMOUNT
me
Php
JEV No.
Date:
14,931.00
Annex B
pines
ULTURE
o. 02
No.
ADA
TIN/Employee No.
Office/Unit Project
Others
OR/BUR No.
Responsibility Center
Code
AMOUNT
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
Others
TIN/Employee No.
Office/Unit Project
OR/BUR No.
Responsibility Center
Code
AMOUNT
20,320.00
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
Others
TIN/Employee No.
Office/Unit Project
OR/BUR No.
Responsibility Center
Code
AMOUNT
me
Php
JEV No.
Date:
5,080.00
Annex B
pines
ULTURE
o. 02
No.
ADA
TIN/Employee No.
Office/Unit Project
Others
OR/BUR No.
Responsibility Center
Code
AMOUNT
32,000.00
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
TIN/Employee No.
Office/Unit Project
Others
OR/BUR No.
Responsibility Center
Code
AMOUNT
me
JEV No.
Date:
Annex B
pines
ULTURE
o. 02
No.
ADA
TIN/Employee No.
Office/Unit Project
Others
OR/BUR No.
Responsibility Center
Code
AMOUNT
Php
13,890.00
me
JEV No.
Date:
Office
Address
Tuguegarao City
Responsibility
Center
Particulars
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
STATUS OF OBLIGATIO
C.
Reference
Date
Particulars
Totals
Obligation
ML FROST
Office
Address
Responsibility
Center
Particulars
To obligate payment of labor and materials for the
installation of 2 units split type and 1 unit window type
aircon.
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Totals
Obligation
GINA M. CONSIGNA
Office
Address
Responsibility
Center
Particulars
To CASH ADVANCDE payment of airfare & per diems
amounting to.
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Totals
Obligation
GERONIMA G. LUDAN
Office
Address
Responsibility
Center
Particulars
To CASH ADVANCDE payment of airfare & per diems
amounting to.
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Obligation
Totals
et.al.
Office
Address
Responsibility
Center
Particulars
To obligate payment of contractual services
for the month of July - December 2015 amounting to ..
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Totals
Obligation
Anthony Cordova
Office
DA-RFO
Address
Tuguegarao City
Responsibility
Center
Particulars
Payment of TEV for the period of July 13-17
2015 as per supporting papers hereto attached
in the amount of . . . . . . . . . . .
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Obligation
Totals
Office
Address
Responsibility
Center
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Obligation
GREGORIO SORIANO
Office
Address
Responsibility
Center
Tuguegarao City
Particulars
To obligate payment of labor and materials
for the fabrication and installation of one (1) screen
door od the Liquid Nitrogen Plant Building
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Obligation
Office
Address
Tuguegarao City
Responsibility
Center
Particulars
To payment of Advanced Cash
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF OBLIGATIO
Reference
Date
Particulars
Obligation
ATUS (ORS)
MFO / PAP
No.
Date
Fund
:
:
UACS Code /
Expenditure
Amount
Php
B.
12,800.00
Signature:
Printed Name:
MACARIO B. ANDAL
Position:
Date:
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
P 22,000.00
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
23,589.00
23,589.00
Certified: Allotment available and obligated
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
20,989.00
20,989.00
Certified: Allotment available and obligated
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
Php
172,926.00
172,926.00
Certified: Allotment available and obligated
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
Php
3,360.00
3,360.00
Certified: Allotment available and obligated
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
Php
B.
Signature:
Printed Name:
Position:
Date:
32,000.00
32,000.00
Certified: Allotment available and obligated
for the purpose / adjustment necessary as
indicated above
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
Php
4,500.00
4,500.00
Certified: Allotment available and obligated
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
ATUS (ORS)
:
:
:
MFO / PAP
UACS Code /
Expenditure
Amount
0.00
Certified: Allotment available and obligated
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
STATUS OF OBLIGATION
Amount
Payment
HOTEL ROMA
Office
Address
Tuguegarao City
Responsibility
Center
Particulars
TOTAL
A.
Certified:
Date:
STATUS OF UTILIZATION
C.
Reference
Date
Particulars
Totals
Utilization
Office
DA-RFO 02
Address
Tuguegarao City
Responsibility
Center
Particulars
To obligate payment for Travelling Expenses incured
while on official travel to PRDP-Subprojects sites
covering the period rofm July 23-25, Month of August
and Sept. 1-4, 2015 as per supporting papers
hereto attached in the amount . . . . . .
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Utilization
Totals
Office
DA-RFO 02
Address
Tuguegarao City
Responsibility
Center
Particulars
To obligate payment for Travelling Expenses incured
while on official travel to PRDP-Subprojects sites
covering the period rofm July 23-25, Month of August
and Sept. 1-4, 2015 as per supporting papers
hereto attached in the amount . . . . . .
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Utilization
Totals
Office
Address
Responsibility
Center
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Utilization
Totals
Payee
Office
Address
Responsibility
Center
Particulars
To obligate payment of Laboratory
supplies of DA-RADDL amounting to . . . .
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Totals
Utilization
BUSANIA ENTERPRISES
Office
Address
Maddela, Quirino
Responsibility
Center
Particulars
To obligate payment of training kit and tokens used
in the training of setting up of Grievances Redress Mechanism
Provinces of Isabela and Quirino (GRM) in the
on August 25-27, 2015 in the amount of . . . .
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Utilization
Totals
BUSANIA ENTERPRISES
Office
Address
Maddela, Quirino
Responsibility
Center
Particulars
To obligate payment of training kit and tokens used
in the training of setting up of Grievances Redress Mechanism
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Utilization
Totals
QDA EMPC
Office
Address
Responsibility
Center
Maddela, Quirino
Particulars
To obligate payment of catering services served during
the training of setting up of Grievances Redress Mechanism
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Utilization
Totals
QDA EMPC
Office
Address
Responsibility
Center
Maddela, Quirino
Particulars
To obligate payment of catering services served during
the training of setting up of Grievances Redress Mechanism
TOTAL
A.
Signature:
Printed Name:
Position:
Date:
C.
STATUS OF UTILIZATION
Reference
Date
Particulars
Totals
Utilization
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
BURS)
MFO / PAP
No.
Date
Fund
:
:
UACS Code /
Expenditure
Amount
20,320.00
B.
Signature:
Printed Name:
MACARIO B. ANDAL
Position:
Date:
OF UTILIZATION
Amount
Payment
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
No.
Date
Fund
BURS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
7,296.00
B.
7,296.00
Certified: Budget available and utilized
for the purpose / adjustment necessary as
indicated above
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
No.
Date
Fund
BURS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
1,824.00
1,824.00
Certified: Budget available and utilized
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
No.
Date
Fund
BURS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
9,535.00
9,535.00
Certified: Budget available and utilized
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment
hilippines
GRICULTURE
ffice No. 02
City
BURS)
:
:
:
UACS Code /
Expenditure
Amount
15,584.00
15,584.00
Certified: Budget available and utilized
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
No.
Date
Fund
BURS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
1,600.00
8,000.00
Certified: Budget available and utilized
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment
20
8000
1600
80
6400
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
No.
Date
Fund
BURS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
6,400.00
8,000.00
Certified: Budget available and utilized
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
No.
Date
Fund
BURS)
:
:
:
20
80
MFO / PAP
UACS Code /
Expenditure
Amount
23,400.00
138,600.00
117000
23400
93600
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment
hilippines
GRICULTURE
ffice No. 02
City
COA Circular 2015 -002: Annex G
No.
Date
Fund
BURS)
MFO / PAP
:
:
:
UACS Code /
Expenditure
Amount
93,600.00
138,600.00
Certified: Budget available and utilized
for the purpose / adjustment necessary as
indicated above
B.
Signature:
Printed Name:
Position:
Date:
MACARIO B. ANDAL
Chief, Budget Section
OF UTILIZATION
Amount
Payment