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Republika ng Pilipinas

KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley
Purok ng Maragusan
MAPAWA NATIONAL HIGH SCHOOL
Mapawa, Maragusan, Compostela Valley
Fund Cluster :
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DANECO INC.

Address KM.100, NATIONAL HIGHWAY, POBLACION, MONTEVISTA


Responsibility
Particulars MFO/PAP Amount
Center

ELECTRIC BILL (MAY 2016,BSHS-MAPAWA NHS


Payment of EXTENSION) 1,002.24
as per supporting papers hereto attachced and made part
of this voucher in the total amount of

Amount Due 1,002.24


A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

EMMANUEL B. CLARION
SIC-BAGONG SILANG HS-MAPAWA NHS EXTENSION

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment


x Cash available
Subject to Authority to Debit Account (when applicable)
x Sup
proper

Signature Signature

Printed
Printed Name
Name ARSENIO V. OPENA ARSENIO V. OPENA
Principal I Principal I
Position Position

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature : DANECO INC.

Official Receipt No. & Date/Other Documents OR# 200359 dated 06/10/2016

92
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley

MAPAWA NATIONAL HIGH SCHOOL


Mapawa, Maragusan, Compostela Valley

Date Purpose of Travel Destination Accomplishment


To attend One-day Pre Bid DPWH Compostela Valley District
05/13/2016 100% accomplished
Conference Engineering Office, Nabunturan

ERWIN B. MANUEL
Employee
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley

BABAG NATIONAL HIGH SCHOOL


Babag, Monkayo, Compostela Valley

Travel

Mandatory Bill
Repair Repair
Mandatory Bill Travel
REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________ Entity Name: Fund Cluster : ________________

Date : RER No. : ___________________ Date : RER No. : ___________________

RECEIVED from _____________________________________________ RECEIVED from _____________________________________________


(Name) (Name)
________________________________________________________ the amount ________________________________________________________ the amount
(Official Designation) (Official Designation)
of _________________________________________________ (P__________) of _________________________________________________ (P__________)
(In Words) (in Figures) (In Words) (in Figures)
in payment for ______________________________________________________ in payment for ______________________________________________________
(Payments for subsistence, services, (Payments for subsistence, services,
_________________________________________________________________ _________________________________________________________________
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,
_________________________________________________________________ _________________________________________________________________
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE
Name/Signature ____________________________________________________ Name/Signature ____________________________________________________
Address _________________________________________________________ Address _________________________________________________________

WITNESS WITNESS
Name/Signature ___________________________________________________ Name/Signature ___________________________________________________
Address _________________________________________________________ Address _________________________________________________________
CERTIFICATION OF TRAVEL COMPLETED

Entity Name: MAPAWA NATIONAL HIGH SCHOOL Fund Cluster:

REYNANTE A. SOLITARIO, Ed.D, CESE


Officer-In-Charge
Office of the Schools Division Superintendent

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel
No. ________ dated ________ under conditions indicated below:

/ x / Strictly in accordance with the approved itinerary.


/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:
______________________________________________________________________________
Evidence of travel: Reimbursement Expense Receipt/Bus Tickets, Certificate of Appearance,
Authority to Travel, Accomplishment Report

Respectfully submitted:

ERWIN B. MANUEL
Employee

On evidence and information of which I have the knowledge, the travel was actually undertaken.

Approved:

ARSENIO V. OPENA
Principal I
CERTIFICATION OF TRAVEL COMPLETED

Entity Name: MAPAWA NATIONAL HIGH SCHOOL Fund Cluster:

REYNANTE A. SOLITARIO, Ed.D, CESE


Officer-In-Charge
Office of the Schools Division Superintendent

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel
No. ________ dated ________ under conditions indicated below:

/ x / Strictly in accordance with the approved itinerary.


/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:
______________________________________________________________________________
Evidence of travel: Reimbursement Expense Receipt/Bus Tickets, Certificate of Appearance,
Authority to Travel, Accomplishment Report

Respectfully submitted:

ARSENIO V. OPENA
Principal I

On evidence and information of which I have the knowledge, the travel was actually undertaken.

Approved:

REYNANTE A. SOLITARIO, Ed.D, CESE


Officer-In-Charge
Office of the Schools Division Superintendent
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG COMPOSTELA VALLEY

ITINERARY OF TRAVEL

Entity Name :MAPAWA NATIONAL HIGH SCHOOL


Fund Cluster: ____________________ No.: _______________
Name : ERWIN B. MANUEL Date of Travel:
Position: Teacher I Purpose of Travel: See attached certificate of appearance
Official Station: Mapawa National High School

TIME Total
Date Places to be visited Means of Transportation Per Diem Others
Departure Arrival Transportation Fare Amount
5/13/2016 OS-Maragusan Terminal 7:00am 7:20am Single Motor 30.00 80.00 160.00 270.00
Maragusan Terminal-Nabunturan 7:25am 8:55am PUV 100.00 100.00
Nabunturan Terminal-Venue 8:55am 9:00am Tricycle 8.00 8.00
Venue-Nabunturan Terminal 12:30pm 12:35pm Tricycle 8.00 8.00
Nabunturan-Maragusan 12:40pm 2:20pm PUV 100.00 100.00
Maragusan Terminal-OS 2:25pm 2:40pm Single Motor 30.00 30.00

TOTAL 276.00 80.00 160.00 516.00


Prepared by :

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

ARSENIO V. OPENA ARSENIO V. OPENA


Principal I Principal I
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG COMPOSTELA VALLEY

ITINERARY OF TRAVEL
Entity Name : MAPAWA NATIONAL HIGH SCHOOL
Fund Cluster: No.: _______________
Name : ARSENIO V. OPENA Date of Travel :
Position : Principal I Purpose of Travel: See attached certificate of appearance
Official Station : Mapawa NHS

TIME Means of Transportation Per Total


Date Places to be visited Transportation Fare
Others
Departure Arrival Diem Amount

Follow up & submit report


4/11/2016 OS-Maragusan Terminal 5:40am 5:55am Single Motor 20.00 80.00 160.00 260.00
Maragusan Terminal-Nabunturan 6:00am 7:30am PUV 100.00 100.00
Nabunturan-Maragusan Terminal 9:30am 11:00am PUV 100.00 100.00
Maragusan Terminal-OS 11:05am 11:20am Single Motor 20.00 20.00

Division Management Committee Meeting-Secondary School Level @ Villa Marina Hotel, Pantukan
4/18/2016 OS-Maragusan Terminal 5:30am 5:50am Single Motor 20.00 20.00
Maragusan Terminal-Tagum 6:00am 8:00am PUV 130.00 130.00
Tagum-Pantukan Terminal 8:05am 8:35am Van 50.00 50.00
Pantukan Terminal-Venue 8:40am 8:55am Single Motor 15.00 15.00
Venue-Pantukan Terminal 5:10pm 5:25pm Single Motor 15.00 15.00
Pantukan Terminal-Tagum 5:30pm 6:00pm Van 50.00 50.00
Tagum-Maragusan Terminal 6:00pm 8:00pm Van 130.00 130.00
Maragusan Terminal-OS 8:05pm 8:20pm Single Motor 20.00 20.00

Registration fee 350.00

4/19/2016 Submit Liquidation Report


OS-Maragusan Terminal 7:45am 8:00am Single Motor 20.00 80.00 160.00 260.00
Maragusan Terminal-Nabunturan 8:05am 8:35am PUV 100.00 100.00
Nabunturan-Maragusan Terminal 10:35am 12:05pm PUV 100.00 100.00
Maragusan Terminal-OS 12:10pm 12:25pm Single Motor 20.00 20.00

Get MOOE check


5/4/2016 OS-Maragusan Terminal 7:55am 8:10am Single Motor 20.00 80.00 160.00 260.00
Maragusan Terminal-Nabunturan 8:15am 9:45am PUV 100.00 100.00
Nabunturan-Maragusan Terminal 11:45am 1:15pm PUV 100.00 100.00
Maragusan Terminal-OS 1:20pm 1:35pm Single Motor 20.00 20.00

5/10/2016 Submit DTR April 2016 ,


OS-Maragusan Terminal 1:05pm 1:20pm Single Motor 20.00 80.00 160.00 260.00
Maragusan Terminal-Nabunturan 1:25pm 2:55pm PUV 100.00 100.00
Nabunturan-Maragusan Terminal 3:00pm 4:30pm PUV 100.00 100.00
Maragusan Terminal-OS 4:35pm 4:50pm Single Motor 20.00 20.00

Conduct of Rollout of E-tool for Senior High School Program (live-out, with meals chargeable to Deped RXI funds)
5/12/2016 OS-Maragusan Terminal 2:20am 2:35am Single Motor 20.00 160.00 180.00
Maragusan Terminal-Davao Terminal 2:40am 7:40am PUV 220.00 220.00
Davao Terminal-DepEd NEAP XI 7:45am 8:00am PUJ 8.00 8.00
DepEd NEAP XI-Boarding House 5:05pm 5:35pm Taxi 60.00 60.00
Board & Lodging 400.00
5/13/2016 Boarding House-DepEd NEAP XI 7:30am 8:00am Taxi 60.00 60.00
DepEd NEAP XI-Davao Terminal 5:05pm 5:20pm PUJ 8.00 8.00
Davao Terminal-Maragusan Terminal 5:25pm 10:25pm PUV 220.00 220.00
Maragusan Terminal-OS 10:25pm 10:40pm Single Motor 20.00 160.00 180.00
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG COMPOSTELA VALLEY

ITINERARY OF TRAVEL
Entity Name : MAPAWA NATIONAL HIGH SCHOOL
Fund Cluster: No.: _______________
Name : ARSENIO V. OPENA Date of Travel :
Position : Principal I Purpose of Travel: See attached certificate of appearance
Official Station : Mapawa NHS

TIME Means of Transportation Per Total


Date Places to be visited Transportation Fare
Others
Departure Arrival Diem Amount

5/25/2016 Submit report


OS-Maragusan Terminal 7:40am 8:00am Single Motor 20.00 80.00 160.00 260.00
Maragusan Terminal-Nabunturan 8:05am 9:35am PUV 100.00 100.00
Nabunturan-Maragusan Terminal 11:35am 1:05pm PUV 100.00 100.00
Maragusan Terminal-OS 1:10pm 1:25pm Single Motor 20.00 20.00

06/06/2016 Submit report/DTR


OS-Maragusan Terminal 12:40pm 12:55pm Single Motor 20.00 80.00 160.00 260.00
Maragusan Terminal-Nabunturan 1:00pm 2:30pm PUV 100.00 100.00
Nabunturan-Maragusan Terminal 4:00pm 5:30pm PUV 100.00 100.00
Maragusan Terminal-OS 5:35pm 5:50pm Single Motor 20.00 20.00

TOTAL 4,996.00
I certify that : (1) I have reviewed the foregoing itinerary, (2) Prepared by :
the travel is necessary to the service, (3) the period covered
is reasonable and (4) the expenses claimed are proper. ARSENIO V. OPENA
Principal I

Approved by:

PHOEBE GAY L. REFAMONTE, CPA


Accountant III REYNANTE A. SOLITARIO,Ed.D, CESE
Officer-In-Charge
Office of the Schools Division Superintendent
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley
MAPAWA NATIONAL HIGH SCHOOL
Purok ng Maragusan
ABSTRACT OF BIDS
Note: With asterisk(****) winning bidder Mode of Procurement: Shopping A
NAME OF BIDDER
No. QTY. Unit(s) DESCRIPTION
GH OFFICE DEPOT

1 reams 10 Paper copy #20 Paper One-Long


2 reams 10 Paper copy #20 Paper One-Short

The undersigned after and evaluating the submitted request for quotation listed above find of the price and terms of
as most advantageous to the government and HOPE approves the purschaseof the described items. This request for quotation is posted at MNHS bulletin
board.

Prepared by: Approved by:

GINA C. CASERA ERWIN A. MANUEL MARISSA T. GUMBAN ARSENIO V. OPENA


BAC Chairman BAC Member BAC Member Principal-I
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley
Purok ng Maragusan
MAPAWA NATIONAL HIGH SCHOOL
Mapawa, Maragusan, Compostela Valley

PURCHASE ORDER

Supplier : GH Office Depot P.O. No. :


Address : T. Monteverde Ave., Davao City Date :
TIN : 000-074-144-000 Mode of Procurement :
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Deliver Mapawa National High School Delivery Term : ________________________


Date of Delivery : ____________________________________ Payment Term : ________________________
Stock/ Property
Unit Description Quantity Unit Cost Amount
No.
1 reams Paper copy #20 Paper One-Long 10 151.20 1,512.00
2 reams Paper copy #20 Paper One-Short 10 127.90 1,279.00

(Total Amount in Words) Two thousand Seven Hundred Ninety-One Pesos Only 2,791.00

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent
for every day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

ARSENIO V. OPENA
Signature over Printed Name of Supplier Principal I
___________________________
Date

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________


Funds Available PHOEBE GAY L. REFAMONTE, CPA Date of the ORS/BURS: _______________
Accountant III Amount : ____________________________
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley
Purok ng Maragusan
MAPAWA NATIONAL HIGH SCHOOL
Mapawa, Maragusan, Compostela Valley

INSPECTION AND ACCEPTANCE REPORT

Supplier : GH OFFICE DEPOT IAR No. : _______________


PO No./Date : ___________________________________________ Date : _________________
Requisitioning Office/Dept. : _______________________________ Invoice No. : ____________
Responsibility Center Code : _______________________________ Date : _________________

Stock/
Description Unit Quantity
Property No.
1 Paper copy #20 Paper One-Long reams 10
2 Paper copy #20 Paper One-Short reams 10

INSPECTION ACCEPTANCE
Date Inspected : ________________________ Date Received : _____________________

x Inspected, verified and found in order as to x Complete


quantity and specifications
x Partial (pls. specify quantity)

ERWIN B. MANUEL
Inspection Officer/Inspection Committee Supply and/or Property Custodian
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley
Purok ng Maragusan
MAPAWA NATIONAL HIGH SCHOOL
Mapawa, Maragusan, Compostela Valley

REQUISITION AND ISSUE SLIP

Division : Compostela Valley Responsibility Center Code:


Office : Bagong Silang High School-Mapawa NHS Extension RIS No. :
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 reams Paper copy #20 Paper One-Long 10 / 10 Good
2 reams Paper copy #20 Paper One-Short 10 / 10 Good

Purpose:

Requested by: Approved by: Issued by: Received by:


Signature :
Printed Name : ARSENIO V. OPENA ERWIN B. MANUEL
Designation : Principal I Supply Officer-Designate
Date :
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley

INVENTORY CUSTODIAN SLIP


Entity Name: MAPAWA NATIONAL HIGH SCHOOL
Fund Cluster : ________________________________ ICS No : ______________

Amount
Inventory Estimated
Quantity Unit Unit Total Description
Item No. Useful Life
Cost Cost

Received from: Received by:

ERWIN B. MANUEL
Supply Officer-Designate
Date: Date:
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley

PURCHASE REQUEST
Entity Name: Fund Cluster: ______________
MAPAWA NATIONAL HIGH SCHOOL
Office/Section :
_____________ PR No.: ______________ Date: ____________
_________________________ Responsibility Center Code :
___________
Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
1 reams Paper copy #20 Pape 10 151.20 1,512.00
2 reams Paper copy #20 Pape 10 127.90 1,279.00

2,791.00
Purpose: For the use of Mapawa NHS

Requested by: Approved by:


Signature : _________________________ ___________________________
Printed Name : ERWIN B. MANUEL ARSENIO V. OPENA

Designation : School Property Custodian Principal I


Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley
Purok ng Maragusan
MAPAWA NATIONAL HIGH SCHOOL

Canvass No.:
Supplier : Date:
Address: Office:

OPEN CANVASS
Please quote your price for each of the following articles below which we may purchase from
you. Should be yout quotation is the most reasonable and advantageous to us:
UNIT
ITEM NO. QTY. UNIT(S) ARTICLES PRICE TOTAL AMOUNT

1 10 reams Paper copy #20 Paper One-Long


2 10 reams Paper copy #20 Paper One-Short

TOTAL

_____________________ Canvassed by:


(Signature of Bidder)
ERWIN A. MANUEL
Supply Officer
(Printed name of bidder)
Approved by:

GINA C. CASERA
BAC- Chairman
CASH DISBURSEMENTS REGISTER
for the month of APRIL 2016
School: MAPAWA NATIONAL HIGH SCHOOL Name of Accountable Officer: ARSENIO V. OPENA
Sub-Office/District/Division: COMPOSTELA VALLEY Official Designation: Principal I
Municipality/City/Province: MARAGUSAN, COMPOSTELA VALLEY Station:
Fund Cluster : Register No. :
Sheet No. :
Advances for
Operating Expenses BREAKDOWN OF PAYMENTS
1990101000

DV/Payroll/ Amount Salaries and OTHERS


Date Particulars Salaries and
Wages
Office
Check No. Wages - Supplies
-Casual/ Account UACS
Cash Advance Payments Balance Regular Expenses Amount
Contractual Description Object Code
(50101010) (50101020) (50203010)
77,425.00 77,425.00 Travelling Expernses 5020101000 7,290.00
06/08/2016 166285
06/10/2016 Payment of Electric bill May 2016 (DANECO) 1,002.24 76,422.76
06/09/2016 Payment of Water bill April 2016 (MAWASCO) 1,018.00 75,404.76
Reimbursement of Office Supplies (A. Opena) 2,791.00 72,613.76
Payment of Supplies (Mars Enterprise) 2,171.75 70,442.01
Payment of Labor 3,500.00 66,942.01
05/18/2016 Payment of Electric bill March 2016 (DANECO) 2,354.44 64,587.57
R/M School
897.77 63,689.80 5021304002 5,671.75
05/03/2016 Payment of Electric bill April 2016 (DANECO) Buildings
Payment of travelling expenses (E. Manuel) 516.00 63,173.80
Other Supplies
4,566.00 58,607.80 5020399000 2,791.00
Payment of travelling expenses (A. Opena) Expenses

516.00 58,091.80 Electricity Expenses 5020402000 4,254.45


Payment of travelling expenses (G. Casera)
Payment of travelling expenses (M. Gumban) 500.00 57,591.80 Water Expenses 5020401000 1,018.00

1,192.00 56,399.80
Payment of travelling expenses (W. Camasura)
Totals 21,025.20 56,399.80 21,025.20

Recapitulation:
Account UACS Object
Amount
Description Code

Travelling Expernses 5020101000 7,290.00


R/M School
Buildings
5021304002 5,671.75

Electricity Expenses 5020402000 4,254.45


Other Supplies 5020399000 2,791.00
Expenses
Water Expenses 5020401000 1,018
Total 21,025.20

The total of the Advances for Operating Expenses Payments column must always be equal to the sum of the totals of the Breakdown of Payments columns.

CERTIFIED CORRECT: RECEIVED BY:


ARSENIO V. OPENA GEZZAN DIANE V. ALEGRO
Principal I Administrative Assistant III

Date: ____________________ Date: __________________


JOURNAL ENTRY VOUCHER JEV No.:
DIVISION OF COMPOSTELA VALLEY
Date :
ACCOUNTING ENTRIES
Responsibility
Center UACS Object Amount
Accounts and Explanation
Code Debit Credit
Travelling Expernses 5020101000 7,290.00
R/M School Buildings 5021304002 5,671.75
Other Supplies Expenses 5020399000 2,791.00
Advances for 1990101000 77,425.00
Operating Expenses

TOTAL 15,752.75 77,425.00


To record liquidation of ARSENIO V. OPENA for payment of MOOE for the month of APRIL 2016
of MAPAWA NHS, MARAGUSAN with check no. 166285 dated 6/8/2016
Prepared by: Certified Correct:

GEZZAN DIANE V. ALEGRO PHOEBE GAY L. REFAMONTE, CPA


Administrative Assistant III Accountant III

JOURNAL ENTRY VOUCHER JEV No.:


DIVISION OF COMPOSTELA VALLEY
Date :
ACCOUNTING ENTRIES
Responsibility
Center UACS Object Amount
Accounts and Explanation
Code Debit Credit
Travelling Expernses 5020101000 P 7,290.00
R/M School Buildings 5021304002 5,671.75
Other Supplies Expenses 5020399000 2,791.00
Advances for 1990101000 77,425.00
Operating Expenses

TOTAL 15,752.75 77,425.00


To record liquidation of ARSENIO V. OPENA for payment of MOOE for the month of MARCH 2016
of MAPAWA NHS, MARAGUSAN with check no. 166285 dated 6/8/2016
Prepared by: Certified Correct:

GEZZAN DIANE V. ALEGRO PHOEBE GAY L. REFAMONTE, CPA


Administrative Assistant III Accountant III
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG COMPOSTELA VALLEY

LIQUIDATION REPORT Serial No.: _________________


Period Covered APRIL 2016 Date: _____________________

Entity Name : MAPAWA NATIONAL HIGH SCHOOL Responsibility Center Code:


Fund Cluster : _____________________________________________ __________________________

PARTICULARS AMOUNT

To liquidate cash advance of ARSENIO V. OPENA 77,425.00


for payment of MOOE for the month of APRIL 2016
with check no. 166285 dated June 08, 2016

TOTAL AMOUNT SPENT


AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______ 77, 425
AMOUNT REFUNDED PER OR NO. ________DTD. ___________
AMOUNT TO BE REIMBURSED
A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting documents
above data cash advance duly accomplished complete and proper

ARSENIO V. OPENA ARSENIO V. OPENA PHOEBE GAY L. REFAMONTE, CPA


Principal I Principal I Division Accountant III

JEV No.: ___________________


Date: ______________________Date: _____________________ Date: _____________________
MAPAWA NATIONAL HIGH SCHOOL
Documents Attached: Qty Total

CDR
Pie Chart
Check Photocopy
MOOE Request
Justification
DV
OR/SI/CSI/CI
PR
APR
Price Quotation-DBM
Open Canvass
Abstract of Bids
PO
IAR
RIS
ICS
Billing
DR
IT
COTC
Memo
ATT
CA
Bus/Taxi Tickets
RER
OIC/SIC
Designation(School Head)
Cert.who will handle
classes(Teachers)
Accomplishment Report
Attendance Sheet
Training Design
Pictures
POW
Certificate of Completion
Pakyaw Agreement
Undertake Pakyaw
Pre-Repair
Post Repair
DTR
JO Contract
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
Sangay ng Compostela Valley

MAPAWA NATIONAL HIGH SCHOOL


Mapawa, Maragusan, Compostela Valley

CERTIFICATE OF COMPLETION

Nature of Project: Electrification at Bagong Silang HS-Mapawa NHS Extension


Total Project Cost: P 30,000.00
Source of Funds: School MOOE April 2016

This is to certify that the above-stated project has been satisfactorily completed in accordance
with the approved Program of Works (POW).

Issued this ______ day of _____________, 2016 at Bagong Silang, Maragusan, Compostela
Valley.

ARSENIO V. OPEA
Principal I

Inspected by:

_____________________
Chairman, School Inspectorate Committee

_____________________
Member, School Inspectorate Committee

_____________________
Member, School Inspectorate Committee

See attached picture (before, during, after)

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