Liquidation Report Form

42
Republic of the Philippines ZAMBOANGA CITY WATER DISTRICT Zamboanga City Summary of Expenses P Amount to be reimbursed P Date Receipt PARTICULARS Amount P No. Representation Expenses: 4/14/14 O.R. 0000056992 Meals 1,150.00 Gerry's Grill 4/1/14 O.R. 497986 Snacks 261.00 Jolibee Camins 4/4/14 O.R. 511583 Snacks 180.00 Jolibee Camins 4/11/14 O.R. 04007845 Meals 858.00 Greenwich 4/20/14 O.R. 9151 Meals 557.00 Greenwich 4/15/14 O.R. 05133680 Meals 551.00 Chowking 4/28/14 O.R. 222015 Meals 500.00 Jolibee Zambo Veterans 4/17/14 O.R. 509459 Meals 705.00 Jolibee Camins 4/3/14 O.R. 1228010 Meals 218.00 Mang Inasal 4/19/14 O.R. 697211 Snacks 91.00 Jolibee LB Supermarket 5,071.00 Transportation Expenses: 4/30/14 C.I. 132132 Fuel 1,000.00 Ayala Seaoil Gas Station 4/25/14 O.R. 036478 Fuel 500.00 Petron Gov. Ramos Sta. Maria 4/4/14 C.I. 340453 Fuel 1,300.00 Z.C. Petron San Roque Gas Statio 4/17/14 O.R. 075728 Fuel 1,000.00 San Jose Super Shell 4/10/14 S.I. 27918 Fuel 500.00 Z.C. Petron San Roque Gas Statio 4/5/14 S.I. 6000109193 Fuel 500.00 Mega Petron Convenience Center 4/6/14 S.I. 27526 Fuel 500.00 Z.C. Petron San Roque Gas Statio 5,300.00 GRAND TOTAL 10,371.00 Prepared by: Approved by: MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VAS OIC - Planning & Design Division General Manager THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my In-charge of the Planning & Design Division.

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Transcript of Liquidation Report Form

Page 1: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to be reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:4/14/14 O.R. 0000056992 Meals 1,150.00 Gerry's Grill 4/1/14 O.R. 497986 Snacks 261.00 Jolibee Camins 4/4/14 O.R. 511583 Snacks 180.00 Jolibee Camins

4/11/14 O.R. 04007845 Meals 858.00 Greenwich 4/20/14 O.R. 9151 Meals 557.00 Greenwich 4/15/14 O.R. 05133680 Meals 551.00 Chowking 4/28/14 O.R. 222015 Meals 500.00 Jolibee Zambo Veterans 4/17/14 O.R. 509459 Meals 705.00 Jolibee Camins 4/3/14 O.R. 1228010 Meals 218.00 Mang Inasal

4/19/14 O.R. 697211 Snacks 91.00 Jolibee LB Supermarket 5,071.00

Transportation Expenses:4/30/14 C.I. 132132 Fuel 1,000.00 Ayala Seaoil Gas Station 4/25/14 O.R. 036478 Fuel 500.00 Petron Gov. Ramos Sta. Maria 4/4/14 C.I. 340453 Fuel 1,300.00 Z.C. Petron San Roque Gas Station & Service Center

4/17/14 O.R. 075728 Fuel 1,000.00 San Jose Super Shell 4/10/14 S.I. 27918 Fuel 500.00 Z.C. Petron San Roque Gas Station & Service Center 4/5/14 S.I. 6000109193 Fuel 500.00 Mega Petron Convenience Center 4/6/14 S.I. 27526 Fuel 500.00 Z.C. Petron San Roque Gas Station & Service Center

5,300.00

GRAND TOTAL 10,371.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Planning & Design Division General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Planning & Design Division.

Page 2: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

10,371.00 10,000.00

Payee

Z.C. Petron San Roque Gas Station & Service Center

Z.C. Petron San Roque Gas Station & Service Center Mega Petron Convenience Center Z.C. Petron San Roque Gas Station & Service Center

LEONARDO REY D. VASQUEZGeneral Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer

Page 3: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to be reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:12/22/13 O.R. 423071 Snacks 251.00 Jolibee Camins 12/11/13 O.R. 1633 Meals 579.00 Abe's Lechon 12/2/13 O.R. 34552 Meals 386.00 New Lejan Ice Cream House 12/2/13 O.R. 407084 Snacks 749.00 Jolibee Camins

12/15/13 O.R. 417020 Snacks 267.00 Jolibee Camins 12/20/13 O.R. 73675 Meals 777.00 Family Fried Chicken 12/20/13 C.I. 2544 Snacks 210.00 Ric & Remy's Bakeshop 12/19/13 O.R. 01294407 Snacks 161.00 Greenwich 12/23/13 C.I. 10478 Meals 590.00 New Lejan Ice Cream House 12/31/13 O.R. 01472689 Meals 1,487.00 Greenwich

5,457.00

Transportation Expenses:12/15/13 O.R. 279762 Fuel 1,500.00 Veterans Super Shell & Service Station 1 12/24/13 O.R. 292856 Fuel 1,500.00 Veterans Super Shell & Service Station 1 12/13/13 C.I. 383354 Fuel 300.00 Veterans Sea Oil Station 12/30/13 O.R. 022328 Fuel 500.00 Petron Gov. Ramos Sta. Maria 12/8/13 O.R. 019231 Fuel 500.00 Petron Gov. Ramos Sta. Maria

12/22/13 O.R. 021428 Fuel 500.00 Petron Gov. Ramos Sta. Maria 12/28/13 O.R. 022046 Fuel 500.00 Petron Gov. Ramos Sta. Maria

5,300.00

GRAND TOTAL 10,757.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Planning & Design Division General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Planning & Design Division.

Page 4: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

10,757.00 10,000.00

Payee

Veterans Super Shell & Service Station 1 Veterans Super Shell & Service Station 1

LEONARDO REY D. VASQUEZGeneral Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as

Page 5: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to be reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:2/19/14 O.R. 1953 Meals 271.00 Abe's Lechon 2/16/14 O.R. 01481624 Snacks 799.00 Greenwich 2/18/14 O.R. 1207865 Meals 158.00 Mang Inasal 2/13/14 O.R. 02293557 Meals 217.00 Greenwich 2/26/14 O.R. 58444 Meals 835.00 Hanazono 2/15/14 O.R. 463264 Snacks 145.00 Jolibee Camins 2/6/14 O.R. 456426 Snacks 198.00 Jolibee Camins

2/13/14 O.R. 461721 Snacks 159.00 Greenwich 2/13/14 O.R. 461402 Snacks 263.00 Jolibee Camins 2/1/14 O.R. 452307 Snacks 328.00 Jolibee Camins 2/8/14 O.R. 457633 Snacks 186.00 Jolibee Camins

2/24/14 O.R. 0007304 Meals 140.00 Busy Bee Fastfood and Catering 2/26/14 O.R. 471819 Snacks 88.00 Jolibee Camins 2/17/14 O.R. 03071651 Snacks 998.00 Greenwich 2/23/14 O.R. 469595 Snacks 193.00 Jolibee Camins 2/22/14 O.R. 160885 Snacks 106.00 Jolibee LB Supermarket 2/14/14 O.R. 000-0278273 Meals 158.00 Mang Inasal 2/10/14 O.R. 10686 Meals 145.00 New Lejan Ice Cream House

5,387.00

Transportation Expenses:2/25/14 S.I. 04357 Fuel 500.00 Z.C. Petron San Roque Gas Station & Service Center 2/1/14 C.I. 337735 Fuel 2,500.00 Z.C. Petron San Roque Gas Station & Service Center

2/26/14 S.I. 1001372421 Fuel 1,000.00 Petron Centenarian Gas Station 2/15/14 O.R. 028555 Fuel 1,000.00 Petron Gov. Ramos Sta. Maria 2/6/14 O.R. 027459 Fuel 500.00 Petron Gov. Ramos Sta. Maria 2/8/14 O.R. 027683 Fuel 500.00 Petron Gov. Ramos Sta. Maria

6,000.00

GRAND TOTAL 11,387.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Planning & Design Division General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Planning & Design Division.

Page 6: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

11,387.00 10,000.00

Payee

Z.C. Petron San Roque Gas Station & Service Center Z.C. Petron San Roque Gas Station & Service Center

LEONARDO REY D. VASQUEZGeneral Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer

Page 7: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to be reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:11/18/13 O.R. 0006653 Meals 380.00 Busy Bee Fastfood and Catering 11/21/13 O.R. 1539 Meals 685.00 Abe's Lechon 11/23/13 O.R. 1542 Meals 590.00 Abe's Lechon 11/20/13 O.R. 1538 Meals 288.00 Abe's Lechon 11/5/13 O.R. 12812 Snacks 272.00 Myrna's Bakehouse Food, Corp.

11/25/13 C.I 0020672 Snacks 679.00 Myrna's Bakehouse Food, Corp. 11/21/13 C.I. 0020252 Snacks 171.00 Myrna's Bakehouse Food, Corp. 11/24/13 O.R. 03068462 Snacks 549.00 Greenwich 11/14/13 O.R. 107194 Meals 1,050.00 Mr. Choi Kitchen 11/2/13 O.R.009717 Snacks 520.00 McDonald's

5,184.00

Transportation Expenses:11/3/13 O.R. 4223430 Fuel 2,150.00 Veterans Super Shell & Service Station 1

11/17/13 C.I. 363800 Fuel 2,500.00 Z.C. Petron San Roque Gas Station & Service Center 11/26/13 C.I. 372816 Fuel 500.00 Z.C. Petron San Roque Gas Station & Service Center

5,150.00

GRAND TOTAL 10,334.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Planning & Design Division General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Planning & Design Division.

Page 8: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

10,334.00 10,000.00

Payee

Veterans Super Shell & Service Station 1 Z.C. Petron San Roque Gas Station & Service Center Z.C. Petron San Roque Gas Station & Service Center

LEONARDO REY D. VASQUEZGeneral Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as

Page 9: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to be reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:8/10/13 O.R. 00029826 Meals 740.71 Oysterboy 8/14/13 O.R. 23538 Meals 557.00 Freemont Foods Corporation 8/12/13 O.R. 93948 Snacks 500.00 Cinnabon 8/16/13 O.R. 43805 Meals 426.00 Caonanan 8/17/13 O.R. 454836 Snacks 520.00 Calda Pizza 8/17/13 O.R. 625554 Snacks 201.00 Freemont Foods Corporation 8/24/13 O.R. 7886 Meals 800.00 Quaywalk Grillhouse 8/31/13 O.R. 22251 Meals 372.00 Freemont Foods Corporation 8/20/13 O.R. 1352 Meals 214.00 Bar Code Grill & Resto bar 8/6/13 O.R. 45150 Meals 282.12 Shakey's Pizza

8/28/13 O.R. 22244 Meals 432.00 Freemont Foods Corporation 5,044.83

Transportation Expenses:8/6/13 O.R. 131530 Fuel 2,000.00 Veterans Super Shell & Service Station

8/28/13 O.R. 160650 Fuel 2,000.00 Veterans Super Shell & Service Station 8/21/13 O.R. 005846 Fuel 500.00 Petron Gov. Ramos 8/20/13 C.I. 363824 Fuel 503.00 Z.C. Petron San Roque Gas Station & Service Center

5,003.00

GRAND TOTAL 10,047.83

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Planning & Design Division General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Planning & Design Division.

Page 10: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

10,047.83 10,000.00

Payee

Veterans Super Shell & Service Station Veterans Super Shell & Service Station

Z.C. Petron San Roque Gas Station & Service Center

LEONARDO REY D. VASQUEZGeneral Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as

Page 11: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: January 30, 2016 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNT

Seminar's Fee Php 2,000.00

TOTAL AMOUNT SPENT ₌TOTAL CASH ADVANCE PER CV NO.________DTD________ ₌

AMOUNT REFUNDED PER OR NO. _________DTD________ ₌

AMOUNT TO BE REIMBURSED ₌ Php 2,000.00

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

DANILO M. DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEEOIC, Area I Assistant General Manager Chief, Corporate AccountantClaimant for Operations Head-Accounting Unit

Page 12: Liquidation Report Form

January 30, 2016Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

AMOUNT

Php 2,000.00

Php 2,000.00

C. Certified: Supporting Documents Documents complete & proper

LUIS A. WEEChief, Corporate Accountant

Head-Accounting Unit

Page 13: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: July 21, 2011 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNT

EXPENSES:FARE: Php 9,308.00

4,591.00 PAL O.R. No. E0352010133 2,079.00 PAL O.R. No. E0160254100 2,638.00

9,308.00

PER DIEM/DAILY ALLOWANCE: Php 1,120.00 TERMINAL FEE: Php 240.00 TRANSPORTATION ALLOWANCE: Php 700.00

TOTAL AMOUNT SPENT ₌ Php 11,368.00 ₌ Php 4,591.00 ₌ Php 3,227.00

TOTAL CASH ADVANCE Php 7,818.00

AMOUNT REFUNDED PER OR NO. _________DTD________ ₌

AMOUNT TO BE REIMBURSED ₌ Php 3,550.00

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

MARLI P. ACOSTA-DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEEOIC, Planning & Design Division Assistant General Manager Chief, Corporate Accountant

Claimant for Operations Head-Accounting Unit

Open dated plane ticket per CV#2010-11-2943

CASH ADVANCE PER CV NO. 2010-11-2945 DTD______________

CASH ADVANCE PER CV NO. 2011-07-_____ DTD_____________

Page 14: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: January 30, 2016 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNT

EXPENSES:FARE: Php 6,445.00 PER DIEM/DAILY ALLOWANCE: Php 3,520.00 TERMINAL FEE: Php 240.00 TRANSPORTATION ALLOWANCE: Php 700.00

Php -

TOTAL AMOUNT SPENT ₌ Php 10,905.00 ₌ Php 13,855.00

AMOUNT REFUNDED PER OR NO. _________DTD________ ₌ Php 2,950.00

AMOUNT TO BE REIMBURSED ₌ Php -

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

MARLI P. ACOSTA-DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEEOIC, Planning & Design Division Assistant General Manager Chief, Corporate Accountant

Claimant for Operations Head-Accounting Unit

SEMINAR FEE: (Free being the Incumbent VP for Technical Affairs of IIEE-Zambasulta Chapter)

CASH ADVANCE PER CV NO. 2011-09- DTD______________

Page 15: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Amount of Cash Advance P Summary of Expenses Amount to Reimbursed P

DateReceipt

PARTICULARS AmountNo.

Fare:6/14/13 Zamboanga-Davao; Davao-Zamboanga 4,303.92

4,303.92 Terminal Fees:

6/18/13 O.R. 0011762726 Zamboanga International Airport 40.00 6/27/13 O.R. 0008758496 Davao International Airport 200.00

240.00 Seminar Fee:

6/19/13 O.R. No. 479366 Seminar Fee 5,000.00 5,000.00

Accommodation:6/22/13 O.R. No. 3065 Accommodation From April 18-22, 2013 6,000.00 6/24/13 O.R. No. 1564 Accommodation From April 23-27, 2013 4,885.00

10,885.00 Transportation:

6/25/13 O.R. No. 00028333 Fare 64.50 6/23/13 O.R. No. 0029368 Fare 131.00 6/20/13 O.R. No. 00001004 Fare 54.00 6/18/13 O.R. No. 00014040 Fare 191.00 6/19/13 O.R. No. 00018639 Fare 50.50 6/26/13 O.R. No. 00023091 Fare 71.50 6/22/13 O.R. No. 0023480 Fare 91.50 6/23/13 O.R. No. 00028870 Fare 250.00 6/24/13 O.R. No. 018766 Fare 131.00 6/25/13 O.R. No. 014228 Fare 78.50 6/27/13 O.R. No. 015487 Fare 148.50

1,262.00 Meals:

6/19/13 C.I. No. 346 Meals 313.00 6/19/13 O.R. No. 00203782 Meals 1,050.01 6/20/13 O.R. No. 0998 Meals 327.00 6/21/13 C.I. No.1414 Meals 302.00 6/21/13 C.I. No. 262062 Snacks 198.00 6/22/13 C.I. No.1416 Meals 232.00 6/22/13 O.R. No. 5636 Meals 1,083.84 6/23/13 O.R. No. 1418 Meals 118.00 6/22/13 S.I. No. 245702 Snacks 40.00 6/22/13 S.I. No. 245703 Snacks 29.50 6/23/13 O.R. No. 1417 Meals 60.00 6/24/13 O.R. No. 7687 Meals 835.00 6/25/13 O.R. No. 47264 Meals 967.00 6/26/13 O.R. No. 568 Snacks 66.00 6/26/13 O.R. No. 0028731 Meals 395.00

Page 16: Liquidation Report Form

6/26/13 O.R. No. 0028733 Snacks 185.00 6,201.35

GRAND TOTAL 27,892.27

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with the Itinerary of travel no. 2013-108 dated June 14, 2013.

Prepared by: Recommending Approval: Approved by:

MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LEONARDO REY D. VASQUEZOIC, Planning & Design Division Department Manager C, Maintenance General Manager

Head, Technical Services Group

Page 17: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

15,840.00 27,892.27 12,052.27

Payee

Cebu Pacific Air

Civil Aviation Authority of the Phils. Civil Aviation Authority of the Phils.

Davao City Water District

Grand Amber Country Inn Lorluz Properties Inc.

Siycha Transport City Master Cab Rosie I. Tan RGSM Ayah Macsindel Blue Taxi Midvalley Taxi Blue Taxi Blue Taxi Holiday Taxi MARG Taxi Krizia Taxi Star

Mang Inasal Restaurant Grand Regal Hotel Freemont Foods Corporation Tee Mel Food Counter Davao Central Convenience Store Tee Mel Food Counter T.G.I. Fridays Tee Mel Food Counter Robinsons Supermarket Robinsons Supermarket Tee Mel Food Counter Quaywalk Grillhouse Dencio's Kamayan Jollibee SM City Davao Yellow Cab Pizza

Page 18: Liquidation Report Form

Yellow Cab Pizza

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with

LEONARDO REY D. VASQUEZGeneral Manager

Page 19: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: January 30, 2016 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNTTo attend the Seminar on Gemder-Responsive Planning & Budgeting on June 19-21, 2013 and to acquire an in-depth information and technical know-how on certain technologiesrelative to WD Operation on June 24-27, 2013 in Davao City

EXPENSES:FARE: Php 4,303.92 SEMINAR FEE: Php 5,000.00 ACCOMODATION: Php 10,885.00 TRANSPORTATION: Php 1,262.00 TERMINAL FEE: Php 240.00 MEALS & SNACKS: Php 6,201.35

TOTAL AMOUNT SPENT ₌ Php 27,892.27 ₌ Php 15,840.00

AMOUNT TO BE REIMBURSED ₌ Php 12,052.27

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LUIS A. WEEOIC, Planning & Design Division Department Manager C Chief, Corporate Accountant

Claimant Maintenance Head-Accounting Unit

CASH ADVANCE PER CV NO. 2013-06- DTD______________

Page 20: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to Reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:6/2/13 O.R. 2871 Meals 261.61 Freemont Foods Corporation 6/2/13 O.R. 587129 Drinks & Snacks 557.10 LB Supermarket 6/3/13 O.R. 292961 Snacks 70.00 Jolibee Camins 6/7/13 O.R. 295391 Snacks 190.00 Jolibee Camins 6/9/13 O.R. 673961 Snacks 732.00 Jollibee Camins

6/12/13 O.R. 298317 Snacks 102.00 Jollibee Camins 6/13/13 O.R. 27112 Snacks 260.00 New ABC Bakery 6/17/13 S.I. 08712528 Drinks & Snacks 2,854.00 Southway Square 6/29/13 O.R. 309222 Snacks 182.00 LB Supermarket

5,208.71

Transportation Expenses:6/10/13 C.I. 233407 Fuel 500.00 Veterans Seaoil Station 6/10/13 O.R. 1001065908 Fuel 500.00 Petron Centenarian Gas Station 6/13/13 O.R. 056462 Fuel 2,000.00 Veterans Super Shell & Service Station 6/15/13 C.I. 223449 Fuel 1,000.00 Veterans Seaoil Station 6/17/13 C.I. 74201 Fuel 500.00 Veterans Super Shell & Service Station 6/29/13 O.R. 078921 Fuel 500.00 Veterans Super Shell & Service Station

5,000.00

GRAND TOTAL 10,208.71

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Planning & Design Division General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Planning & Design Division.

Page 21: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

10,208.71 10,000.00

Payee

Veterans Super Shell & Service Station

Veterans Super Shell & Service Station Veterans Super Shell & Service Station

LEONARDO REY D. VASQUEZGeneral Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Planning & Design Division.

Page 22: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: January 30, 2016 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNT

EXPENSES:FARE: Php 10,172.40 ACCOMODATION: Php 1,934.34 TRANSPORTATION: Php 841.00 MEALS: Php 960.00 TERMINAL FEES: Php 280.00 Note:

See attached Summary of Expenses

TOTAL AMOUNT SPENT ₌ Php 14,187.74 ₌ Php 12,632.40

AMOUNT TO BE REIMBURSED ₌ Php 1,555.34

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

MARLI P. ACOSTA-DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEEOIC, Planning & Design Division Assistant General Manager Chief, Corporate Accountant

Claimant for Operations Head-Accounting Unit

CASH ADVANCE PER CV NO. 2012-05-1484 DTD 5/30/2012

Page 23: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: November 13, 2012 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNT

To attend the Seminar on Non-Revenue Water Reduction andWaste Water Management on November 7-9, 2012 in Quezon City

EXPENSES:FARE: Php 15,978.00 PER DIEM/DAILY ALLOWANCE: Php 3,040.00 TERMINAL FEE: Php 40.00 TRANSPORTATION ALLOWANCE: Php 700.00 SEMINAR FEE: Php -

TOTAL AMOUNT SPENT ₌ Php 19,758.00 ₌ Php 19,838.00

Php 80.00

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

DANILO M. DE FIESTA ALEJO S. ROJAS, JR. LUIS A. WEEOIC, Area I Assistant General Manager Chief, Corporate AccountantClaimant for Operations Head-Accounting Unit

CASH ADVANCE PER CV NO. 2012-11- DTD______________

AMOUNT REFUNDED PER O.R. No. ___________DTD ____________

Page 24: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: January 30, 2016 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNT

To attend the IIEE 39th Annual National Convention onNovember 26-29, 2013 in Pasay City

EXPENSES:FARE: Php 7,129.00 PER DIEM/DAILY ALLOWANCE: Php 2,720.00 TERMINAL FEE: Php 150.00 TRANSPORTATION ALLOWANCE: Php 700.00

TOTAL AMOUNT SPENT ₌ Php 10,699.00 ₌ Php 10,570.00

AMOUNT TO BE REIMBURSED Php 129.00

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LUIS A. WEEOIC, Planning & Design Division Assistant General Manager Department Manager C

Claimant for Technical Services Accounting & Treasury Department

CASH ADVANCE PER CV NO. 2014-11-___ DTD Nov. _________

Page 25: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Amount of Cash Advance P Summary of Expenses To attend the JVSC Meeting on Non-Revenue Water on P November 15, 2013 in Manila.

No.

Fare:4/8/13 Zamboanga-Manila; Manila-Zamboanga 8,554.00

8,554.00

Terminal Fees:4/8/13 O.R. 1634922 Zamboanga International Airport 40.00

40.00

Accommodation:4/8/13 O.R. No. 064695 Accommodation From April 8-12, 2013 7,607.04

7,607.04

Transportation:4/10/13 O.R. No. 0020107 Fare 106.50 4/10/13 O.R. No. 00012263 Fare 92.50 4/11/13 O.R. No. 011233 Fare 169.50 4/11/13 O.R. No. 1479 Car Rental 618.00

986.50

Meals:4/11/13 O.R. 340614 Meals 414.00 4/8/13 S.I. 502642 Snacks 179.00

4/10/13 S.I. 0000133776 Snacks 333.95 926.95

GRAND TOTAL 18,114.49

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with the Itinerary of travel no. 2013-056 dated April 3, 2013.

Prepared by: Approved by:

ARNULFO A. ALFONSO LEONARDO REY D. VASQUEZDepartment Manager C, Maintenance General Manager

Page 26: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

12,934.00 18,114.49 5,180.49

Philippine Airlines

Civil Aviation Authority of the Phils.

Go Hotels

Izumo Taxi Services Jose Rizal Pangilinan - 457 Trans. Aida Villamor - Elda Trans. Go Hotels

Max's Restaurant Mini Stop Panciteria Lido

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with

LEONARDO REY D. VASQUEZGeneral Manager

Page 27: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: January 30, 2016 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNTTo attend the JVSC Meeting on Non-Revenue Water onJune 24-25, 2014 in Manila and to travel to Cebu to be exposed on the proper insatllation mechanics of ductile iron pipeson June 26-27, 2014

EXPENSES:FARE: Php 11,037.76 PER DIEM: Php 4,240.00 TRANSPORTATION: Php 1,200.00 TERMINAL FEE: Php 150.00

TOTAL AMOUNT SPENT ₌ Php 16,627.76 ₌ Php 16,627.76

AMOUNT TO BE REIMBURSED ₌ Php -

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LUIS A. WEEOIC, Planning & Design Division Assistant General Manager Chief, Corporate Accountant

Claimant Technical Services Group Head-Accounting Unit

CASH ADVANCE PER CV NO. 2014-06- DTD______________

Page 28: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Amount of Cash Advance P Summary of Expenses Amount to Reimbursed P

DateReceipt

PARTICULARS AmountNo.

Fare:6/13/12 E-017-2135863 Zamboanga-Manila; Manila-Iloilo 4,582.00 6/15/12 O.R. No. 0762 Iloilo-Kalibo 700.00 6/18/12 4570045749176 Kalibo-Manila 1,672.40 6/18/12 2112168379019 Manila-Zamboanga 3,218.00

10,172.40

Accomodation:6/14/12 O.R. No. 335151 Accommodation From June 13 - 15, 2012 1,934.34

1,934.34

Transportation:6/15/12 O.R. No. 7066 Fare - Iloilo City 135.00 6/15/12 O.R. No. 6108 Fare - Iloilo City 100.00 6/15/12 BPR No. 5092 Fare - Iloilo City 500.00 6/18/12 Fare - Manila 106.00

841.00

Meals:6/13/12 O.R. No. 181633 Meals 210.00 6/13/12 O.R. No. 34650 Snacks 120.00 6/15/12 O.R. 6124 Meals 240.00 6/15/12 O.R. 13021 Meals 390.00

960.00

Terminal Fees:6/13/12 O.R. No. 0010619671 Zamboanga International Airport 40.00 6/15/12 O.R. No. 0010495560 Aklan International Airport 40.00 6/15/12 O.R. No. 6985193 Manila International Airport 200.00

280.00

GRAND TOTAL 14,187.74

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with the Itenerary of travel no. 109 dated June 5, 2012.

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOfficer In-charge General ManagerPlanning & Design Division

Page 29: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

12,632.40 14,187.74 1,555.34

Payee

Philippine Airlines Paradise Island Transport Zest Airways, Inc. Airphil Express

Sarabia Manor Hotel Corp.

Meriam Transport Five-O Transport Service, Inc. GDR Taxi Triangle Philippines

Sbarro Princeworld Teds' Batchoy Aquafresh Sea Foods

Civil Aviation Authority of the Phils. Civil Aviation Authority of the Phils. Manila International Airport Authority

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with

LEONARDO REY D. VASQUEZGeneral Manager

Page 30: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to Reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:3/19/13 O.R. 620115 Meals 228.00 Jollibee Camins 3/10/13 O.R. 197367 Snacks 80.00 JB Yubenco Starmall 3/3/13 O.R. 233609 Snacks 302.00 Jollibee Camins

3/10/13 O.R. 211089 Snacks 249.00 JB Yubenco Starmall 3/10/13 O.R. 211090 Snacks 75.71 JB Yubenco Starmall 3/3/13 O.R. 76135 Snacks 152.00 Jolibee Zambo Veterans 3/2/13 O.R. 232776 Snacks 354.00 Jollibee Camins

3/15/13 O.R. 97841 Snacks 206.00 Jolibee Zambo Veterans 3/16/13 O.R. 241909 Snacks 248.00 Jollibee Camins 3/15/13 O.R. 28973 Meals 390.00 Jolibee Zambo Veterans 3/19/13 O.R. 137253 Drinks 50.00 Jollibee Camins 3/17/13 O.R. 242599 Snacks 322.00 Jollibee Camins 3/17/13 O.R. 243022 Snacks 283.00 Jollibee Camins 3/14/13 O.R. 01251237 Meals 178.00 Greenwich 3/7/13 C.I. 76374 Snacks 308.00 Mang Tinapay 3/4/13 C.I. 9427 Meals 893.00 New Lejan Ice Cream House

3/14/13 C.I. 6728 Meals 282.00 Chowking - Camins 3/17/13 O.R. 605121 Drinks & Snacks 1,425.75 LB Supermarket 3/10/13 O.R. 130007558 Drinks & Snacks 1,605.10 Grand Mega Supermart

7,631.56

Transportation Expenses:3/8/13 Official Cash Ticket Parking Fee 10.00 City of Zamboanga 3/4/13 C.I. 219880 Bio Diesel 500.00 Veterans Seaoil Station

3/14/13 C.I. 221883 Bio Diesel 300.00 Veterans Seaoil Station 3/18/13 C.I. 222494 Bio Diesel 300.00 Veterans Seaoil Station 3/18/13 C.I. 222371 Bio Diesel 1,000.00 Veterans Seaoil Station 3/19/13 C.I. 222801 Bio Diesel 433.00 Veterans Seaoil Station 3/20/13 C.I. 2230064 E10 Premium 500.00 Veterans Seaoil Station 3/10/13 C.I. 330203 XCS Plus 340.23 Z.C. Petron San Roque Gas Station 3/11/13 C.I. 331075 XCS Plus 342.00 Z.C. Petron San Roque Gas Station 3/15/13 C.I. 342651 XCS Plus 341.00 Z.C. Petron San Roque Gas Station 3/16/13 O.R. 1000947813 Petron Diesel Max 200.00 Petron Centenarian gas Station 3/19/13 O.R. 1000952329 Petron XCS 57.00 Petron Centenarian gas Station 3/19/13 O.R. 0000631270 Petron Xtra 300.00 Mega Petron Station Convenience Center 3/10/13 C.I. 898882 Diesel Fuel 200.00 Putik Petron Station 3/16/13 C.I. 107042 BioXceed Diesel 150.00 AAN Seaoil Gas Station 3/18/13 C.I. 19810 Fuel 506.00 PRB Check Point Caltex Station 3/18/13 C.I. 19809 Fuel 1,565.00 PRB Check Point Caltex Station 3/16/13 O.R. 000171 Fuel 259.59 Veterans Super Shell & Service Station 3/20/13 O.R. 106880 Fuel 100.00 AAN Seaoil Gas Station 3/22/13 O.R. 328388 Fuel 300.00 Z.C. Petron San Roque Gas Station

7,703.82

GRAND TOTAL 15,335.38

Page 31: Liquidation Report Form

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Engineering Department.

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Engineering Department General Manager

Page 32: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

15,335.38 15,000.00

Payee

Z.C. Petron San Roque Gas Station Z.C. Petron San Roque Gas Station Z.C. Petron San Roque Gas Station

Mega Petron Station Convenience Center

Veterans Super Shell & Service Station

Z.C. Petron San Roque Gas Station

Page 33: Liquidation Report Form

LEONARDO REY D. VASQUEZGeneral Manager

Page 34: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Amount of Cash Advance P Summary of Expenses P Amount to Reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:2/21/13 O.R. 9488 Snacks 1,156.00 Myrna's Bake House Corp.

2/7/13 O.R. 197367 Meals 3,141.00 Mano-Mano na Greenfield Restaurant 2/26/13 O.R. 230238 Snacks 247.00 Jollibee Camins 2/27/13 O.R. 211089 Snacks 2,127.50 Shopper's Center. The Gateway 2/21/13 O.R. 251977 Meals 2,145.00 Hacienda de Palmeras Restaurant

8,816.50

Transportation Expenses:2/9/13 C.I. 216314 Fuel 2,299.60 Veterans Seaoil Station

2/14/13 C.I. 217081 Fuel 1,056.42 Veterans Seaoil Station 2/17/13 C.I. 216949 Fuel 1,173.80 Veterans Seaoil Station 2/15/13 C.I. 217309 Fuel 1,000.00 Veterans Seaoil Station 2/18/13 C.I. 328002 Fuel 500.00 Z.C. Petron San Roque Gas Station

2/8/13 C.I. 558040 Fuel 1,000.00 Petron Centenarian gas Station 3/10/13 C.I. 330203 Fuel 475.00 Z.C. Petron San Roque Gas Station

7,504.82

GRAND TOTAL 16,321.32

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Engineering Department.

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Engineering Department General Manager

Page 35: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

15,000.00 16,321.32 -

Payee

Mano-Mano na Greenfield Restaurant

Hacienda de Palmeras Restaurant

Z.C. Petron San Roque Gas Station

Z.C. Petron San Roque Gas Station

LEONARDO REY D. VASQUEZGeneral Manager

Page 36: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to Reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:4/1/13 O.R. 218827 Meals 445.00 Grand Astoria Hotel - Lotus Restaurant 4/1/13 O.R. 0004437 Meals 90.00 Chinito's 4/2/13 S.I. 06689034 Snacks 151.00 Southway Square 4/3/13 C.I. 0775 Meals 486.00 Mang Inasal Restaurant 4/6/13 O.R. 002-0000000086 Meals 1,177.00 Hacienda de Palmeras Restaurant 4/5/13 O.R. 255115 Snacks 238.00 Jollibee Camins 4/8/13 O.R. 4585 Meals 384.00 Joyfoods Corporation

4/10/13 C.I. 4759 Meals 375.00 New Lejan Ice Cream House 4/11/13 C.I. 9553 Snacks 163.00 Myrna's Bakehouse Food, Corp. 4/12/13 C.I. 0475 Meals 660.00 Big Dawgs Bistro 4/13/13 O.R. 558307 Drinks & Snacks 1,354.00 LB Supermarket 4/16/13 O.R. 280029 Snacks 460.00 Jollibee Zambo San Jose Gusu 4/20/13 S.I. 140005990 Drinks & Snacks 229.00 Grand Mega Supermart 4/22/13 C.I. 5281 Meals 542.00 La Clarita Fusion Restaurant 4/25/13 O.R. 4701 Meals 230.00 Joyfoods Corporation 4/27/13 O.R. 22503 Meals 713.00 Freemont Foods Corporation

7,697.00

Transportation Expenses:4/1/13 C.I. 24220 Fuel 1,500.00 Veterans Seaoil Station 4/3/13 C.I. 363111 Fuel 500.00 Z.C. Petron San Roque Gas Station 4/4/13 C.I. 362999 Fuel 337.00 Z.C. Petron San Roque Gas Station 4/5/13 C.I. 225016 Fuel 500.00 Veterans Seaoil Station 4/8/13 O.R. 969429 Fuel 2,000.00 Veterans Super Shell & Service Station

4/16/13 C.I. 579188 Fuel 500.00 R. San Agustin Enterprises - Shell Camins 4/16/13 C.I. 333213 Fuel 150.00 Z.C. Petron San Roque Gas Station 4/19/13 C.I. 332375 Fuel 150.00 Z.C. Petron San Roque Gas Station 4/20/13 O.R. 000670179 Fuel 500.00 Mega Petron Station Convenience Center 4/20/13 C.I. 333760 Fuel 200.00 Z.C. Petron San Roque Gas Station 4/23/13 O.R. 010424 Fuel 600.00 Veterans Super Shell & Service Station 4/24/13 O.R. 1000998888 Fuel 500.00 Petron Centenarian gas Station 4/27/13 C.I. 334791 Fuel 200.00 Z.C. Petron San Roque Gas Station

7,637.00

GRAND TOTAL 15,334.00

Prepared by: Approved by:

MARLI P. ACOSTA-DE FIESTA LEONARDO REY D. VASQUEZOIC - Engineering Department General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Engineering Department.

Page 37: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

15,334.00 15,000.00

Payee

Grand Astoria Hotel - Lotus Restaurant

Hacienda de Palmeras Restaurant

Z.C. Petron San Roque Gas Station Z.C. Petron San Roque Gas Station

Veterans Super Shell & Service Station R. San Agustin Enterprises - Shell Camins Z.C. Petron San Roque Gas Station Z.C. Petron San Roque Gas Station Mega Petron Station Convenience Center Z.C. Petron San Roque Gas Station Veterans Super Shell & Service Station

Z.C. Petron San Roque Gas Station

LEONARDO REY D. VASQUEZGeneral Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Engineering Department.

Page 38: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to Reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:3/1/2015 O.R. No. 267831 Meals 85.00 Freemont Foods Corp (Jolibee Camins) 3/7/2015 C.I. No. 11482 Snacks 748.00 Idol Foods Marketing 3/6/2015 C.I. No. 5046 Meals 435.00 Birds Shawarma & Refreshment Parlor 3/8/2015 O.R. No. 166466 Grocery 214.50 Cecile's Pharmacy & Convenience Store 3/12/2015 O.R. No. 113114 Meals 78.00 Freemont Foods Corp (Jolibee Camins)

3/12/2015 O.R. No. 167515 Snacks 53.00 Freemont Foods Corp (Jolibee Camins) 3/12/2015 O.R. No. 113110 Meals 398.00 Freemont Foods Corp (Jolibee Camins) 3/13/2015 O.R. No. 04067901 Meals 354.00 Greenwich/ Fresh N' Famous Foods Inc. 3/13/2015 O.R. No. 04067905 Meals 258.00 Greenwich/ Fresh N' Famous Foods Inc. 3/21/2015 C.I. 11913 Meals 435.00 Idol Foods Marketing 3/23/2015 C.I. No. 11882 Meals 810.00 Idol Foods Marketing 3/25/2015 O.R. No. 951699 Meals 107.00 Triple L. Food Corp. 3/25/2015 O.R. 119169 Meals 230.00 Army Navy Burger + Burrito 3/27/2015 O.R. No. 251396 Meals 436.00 Mr. Kimbob 3/28/2015 O.R. N0. 001-0000026012 Snacks 160.00 Seatle's Best Coffee 3/28/2015 O.R. N0. 128692 Snacks 290.00 Army Navy Burgger + Burrito

TOTAL 5,091.50

Transportation Expenses:3/8/2015 C.I. No. 71665 Fuel 1,500.00 Z.C. Petron San Roque Gas Station & Services Center3/10/2015 S. I. No. 56210 Fuel 700.00 Z.C. Petron San Roque Gas Station & Services Center3/19/2015 S.I. No. 56908 Fuel 1,550.00 Z.C. Petron San Roque Gas Station & Services Center3/28/2015 S.I. No. 64467 Fuel 1,500.00 Z.C. Petron San Roque Gas Station & Services Center

TOTAL 5,250.00 GRAND TOTAL 10,341.50

Prepared by: Approved by:

EDITO M. BAUTISTA, JR. ARNULFO A. ALFONSOOIC - Design Division Assistant General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Engineering Department.

Page 39: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

10,341.50 10,000.00

Payee

Freemont Foods Corp (Jolibee Camins) Idol Foods Marketing Birds Shawarma & Refreshment Parlor Cecile's Pharmacy & Convenience Store Freemont Foods Corp (Jolibee Camins) Freemont Foods Corp (Jolibee Camins) Freemont Foods Corp (Jolibee Camins) Greenwich/ Fresh N' Famous Foods Inc. Greenwich/ Fresh N' Famous Foods Inc. Idol Foods Marketing Idol Foods Marketing

Army Navy Burger + Burrito

Z.C. Petron San Roque Gas Station & Services CenterZ.C. Petron San Roque Gas Station & Services CenterZ.C. Petron San Roque Gas Station & Services CenterZ.C. Petron San Roque Gas Station & Services Center

ARNULFO A. ALFONSOAssistant General Manager

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer

Page 40: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

Summary of Expenses P Amount to Reimbursed P

DateReceipt

PARTICULARS Amount PayeeNo.

Representation Expenses:6/3/2015 C.I. No. 026721 Meals 1,366.00 Larsian Grill & Bar 6/8/2015 O.R. No. 10884 Meals 845.00 Café El Dorado 6/8/2015 O.R. No. 377543 Meals 320.00 Wok Inn Restaurant 6/19/2015 O.R. No. 12263 Meals 1,307.00 Freemont Foods Corporation 6/25/2015 C.I. No. 3559 Meals 655.00 Esther S. Alcarde 6/28/2015 OR No. 218622 Grocery 243.25 Cecile's Pharmacy & Convenience Store

6/29/2015 C.I. No.32288 Meals 337.00 Golden Aches Dev./ Mc Donald Zamboanga 5,073.25

Transportation Expenses:6/5/2015 C.I. No. 347764 Fuel 100.00 Veterans Super Shell6/3/2015 S.I. No. 70906 Fuel 1,700.00 ZC Petron San Roque Gas Station 6/9/2015 S.I. No. 58225 Fuel 1,550.00 ZC Petron San Roque Gas Station 6/17/2015 S.I. No. 15594 Fuel 1,550.00 Bellfuel Gasoline Station 6/22/2015 S.I. No. 201092 Fuel 120.00 PMI Fuel Express

5,020.00 GRAND TOTAL 10,093.25

Prepared by:

EDITO M. BAUTISTA, JR.OIC - Design Division

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer In-charge of the Design Division.

Page 41: Liquidation Report Form

Republic of the Philippines

ZAMBOANGA CITY WATER DISTRICTZamboanga City

10,093.25 10,000.00

Payee

Larsian Grill & Bar Café El Dorado

Cecile's Pharmacy & Convenience Store Golden Aches Dev./ Mc Donald Zamboanga

ZC Petron San Roque Gas Station ZC Petron San Roque Gas Station Bellfuel Gasoline Station PMI Fuel Express

THIS IS TO CERTIFY that the above true and correct and disbursements have been made in connection with my duties and function as Officer

Page 42: Liquidation Report Form

LIQUIDATION REPORT No.

ZAMBOANGA CITY WATER DISTRICT Date: March 07, 2013 ZAMBOANGA CITY Responsibility Center Code/Section

(FOR OFFICIALS AND STAFF BELOW AGM LEVEL)

PARTICULARS AMOUNT

Representation Expenses Php 8,816.50 Transportation Expenses Php 7,504.82

Note:See attached Summary of Expenses

TOTAL AMOUNT SPENT ₌ Php 16,321.32 ₌ Php 15,000.00

AMOUNT TO BE REIMBURSED ₌ Php -

A. Certified: Correctness of B. Certified: Purpose of Cash C. Certified: Supporting Documents the above data advance duly accomplished Documents complete & proper

MARLI P. ACOSTA-DE FIESTA ARNULFO A. ALFONSO LUIS A. WEEOIC, Engineering Department Department Manager C Chief, Corporate Accountant

Claimant Maintenance Head-Accounting Unit

CASH ADVANCE PER CV NO. 2012-02-____________ DTD ________________