Republic of the Philippines

Department of Public Works and Highways

Cordillera Administrative Region
ABRA ENGINEERING DISTRICT
Bangued, Abra

Date
MEMORANDUM
TO:

THE BUDGET OFFICER

Comptrollership and Financial Management
This Office

SUBJECT:

MEMORANDUM REQUEST

This is to request for the issuance of an Obligation Request for the following:
Fund:
Amount:
Payee:

4,159.00

ERNESTO B. BELMES

Payee Office/Address:

DPWH ABRA
`

Particulars:

To Payment of per diem while on official travel to Baguio City- DPWH-CAR to attend Workshop on the
preparation of CY2017 Annual Maintenance Work Program/Performance Budget (AMWP/PB) for the
Maint. of National Roads and Bridges Based on Actual Needs for the period October 24 to 29, 2016 a
supporting paper in the amount of ***Four Thousand One Hundred Fifty Nine Pesos Only***

SARO/SAA Number: _______________________________

Date:
P.P.A.
Legal Basis:
I certify that charges to appropriation / allotment are necessary , lawful and under my
direct supervision. I also certify that supporting documents are valid, proper and legal.
Your attention to this matter would be appreciated.

EDWIN T. BRINGAS
Chief,Maintenance Section

LORETO B. DACOROON
Assistant District Engineer
(Caretaker)

nd Workshop on the
AMWP/PB) for the Repair &
ber 24 to 29, 2016 as per
os Only***

Appendix
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

Fund Cluster:

CORDILLERA ADMINISTRATIVE REGION

Abra District Engineering Office

DISBURSEMENT VOUCHER

Mode of
Payment

MDS Check

Commercial Check

Address

ADA

Others (Please specify)

_________________

TIN/Employee No.:
316-736-382/15B0050

ERNESTO B.BELMES

Payee

DATE:
DV NO.:

ORS/BURS No.:

Bangued, Abra
Responsibility
Center

Particulars

MFO/PAP

Amount

To Payment of per diem while on official travel to Baguio

City- DPWH-CAR to attend Workshop on the
preparation of CY2017 Annual Maintenance Work
Program/Performance Budget (AMWP/PB) for the
Repair & Maint. of National Roads and Bridges Based
on Actual Needs for the period October 24 to 29, 2016
as per supporting paper in the amount of ***Four
Thousand One Hundred Fifty Nine Pesos Only***

4,159

Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
EDWIN T. BRINGAS
Chief, Maintenance Section
B. Accounting Entry:
Account Title

C. Certified:
Cash available

UACS Code

D. Approved for Payment

Subject to Authority to Debit Account (when applicable)

Supp
proper
Signature
Printed

Debit

Signature

Credit

Printed
Name
Position

NERIO P. PLURAD
Accountant III
Head, Accounting Unit/Authorized Representative

Date
E. Receipt of Payment
Check/
ADA No. :
Signature :
Official Receipt No. & Date/Other Documents

Printed Name
Position

LORETO B. DACOROON
Caretaker

Agency Head/Authorized Representative

Date
JEV No.
Date :
Date :

Bank Name & Account Number:

1036-1215-79
Printed Name:
ERNESTO B. BELMES

Date

Appendix 32

ORS/BURS No.:

Amount

4,159.00

4,159.00

curred under my direct supervision.

Credit

LORETO B. DACOROON
Caretaker
Agency Head/Authorized Representative

ITINERARY OF TRAVEL

Entity Name :
Fund Cluster:

DPWH-ABRA

Name :
ERNESTO B. BELMES
Position : Engineer II
Official Station :
DPWH-ABRA

Date

Places to be visited
(Destination)

October 24,
2016

TO Baguio City

October 25,
2016

At Baguio City

October 26,
2016

Still at Baguio City

October 27,
2016

Still at Baguio City

October 28,
2016

Still at Baguio City

October 29,
2016

BACK TO STATION

Date of Travel :
Purpose of Travel :

TIME
Departure Arrival

October 24 to29, 2016

To attend Workshop on
Annual Maintenance Wo
Budget (AMWP/PB) fo
National Roads and Brid

Means of
Transportation

Transporstation

7:00 P.M.

PUV

PHP 319.00

5:00 P.M. 10:00 P.M.

PUV

PhP 314.00

2:00 P.M.

TOTAL
Prepared by :
I certify that : (1) I have reviewed the foregoing
itinerary, (2) the travel is necessary to the service,
(3) the period covered is reasonable and (4) the
expenses claimed are proper.

EDWIN T. BRINGAS
Chief, Maintenance Section

ERNESTO B. BELMES

Engineer II
Approved by:

LORETO B. DACOROON
Caretaker

Appendix 45

ERARY OF TRAVEL

No.: _______________
October 24 to29, 2016
To attend Workshop on the preparation of Cy 2017
Annual Maintenance Work Program /Performance
Budget (AMWP/PB) for the Repair & Maintenance of
National Roads and Bridges Based On Actual Needs
Per
Diem

Others

Total Amount

PHP 640.00

PHP

959.00

PhP

800.00

PHP

800.00

PHP 800.00

PHP

800.00

PhP

800.00

PHP

800.00

PhP

800.00

PHP

800.00

PHP 240.00

PHP

554.00

PHP

ERNESTO B. BELMES

Engineer II

LORETO B. DACOROON
Caretaker

4,159.00