Reimbursement of Ink

8/8/2019 Reimbursement of Ink

1/12

Republic of the PhilippinesMunicipality of Dimasalang

Province of Masbate

DISBURSEMENT VOUCHER No.

Mode ofPayment Check Cash Others

PayeeMELBA G. VALLENA

TIN/Employee No: Obligation Request No.

Address:Dimasalang, Masbate

Responsibilty CenterOffice/Unit/Project Code:

EXPLANATION AMOUNT

To reimbursement of miscellaneous expenses as per

attached official receipt in the total amount of . Php 1,150.00

Total Php 1,150.00

Certified CertifiedAllotment obligation for the purpose as indicated above Funds Available

Supporting documents complete

Signature Signature

PrintedMELBA G. VALLENA

Date PrintedMELBA G. VALLENA

DateName Name

Position: Position:Treasurer,ICO Municipal Treasurer

Head, Treasurer's Office/Authorized Representative Treasurer/Authorized RepresentativeApproved for Payment Received Payment

Signature Check No. Bank Name Date

PrintedHENRY J. NAGA

Date SignatureName Printed MELBA G. VALLENA Date

Position:

Name Claimant

Municipal Mayor OR/Other Documents JEV No. Date

Agency Head/Authorized Representative

A B

C D


2/12


Province of Masbate

OBLIGATION REQUEST No.

Payee MELBA G. VALLENA

OFFICE Treasurer, ICO

AddressLGU-Dimasalang, Masbate

ResponsibilityParticulars F.P.P

AccountAmount

Center Code

Reimbursement- Misc. Exp. Php 1,150.00

TOTAL Php 1,150.00Certified: Certified:

Charges to appropriation/allotment necessary,lawful and under my direct supervision. Existence of available appropriationSupporting documents valid, proper and legal

Signature Signature

PrintedMELBA G. VALLENA

PrintedNATHANIEL T. ARREGADAS

Name Name

Position PositionTreasurer, ICO Municipal Budget OfficerHead, Requesting Office/Authorized Representative Head, Budget Office/Authorized Representative

Date Date

A B


3/12


4/12


Province of Masbate

DISBURSEMENT VOUCHER No.Mode of

Payment Check Cash Others

PayeeALEJANDRO A. TAMAYO

Obligation Request No.

Address:DIM., MAS.

Responsibilty CenterOffice/Unit/Project Code:

EXPLANATION AMOUNT

To payment of my travelling expenses to attend the special National Conferen

& Seminar Workshop on Oct. 14-17, 2009 at Waterfront Hotel, Lahug, Cebu city

in the amount of eleven Thousand pesos only . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,000.00

Total 11,000.00Certified Certified

Allotment obligation for the purpose as indicated above Funds Available

Supporting documents complete

Signature Signature

PrintedMARIETA G. DADAL

Date PrintedMELBA G. VALLENA

Name Name

Position: Position:Municipal Accountant Municipal Treasure

Head, Accounting Unit/Authorized Representative Treasurer/Authorized RepreApproved for Payment Received PaymentSignature Check No. Bank Name

PrintedHENRY J. NAGA

Date SignatureName Printed

ALEJANDRO A. TAMAYO

Position:

NameMunicipal Mayor OR/Other Documents JEV No.

Agency Head/Authorized Representative

A B

C D


5/12

Date

entative

Date

Date

Date


6/12

Republic of the Philippines

Province of Masbate

Municipality of Dimasalang

Office of the Mun. S.B.

ITINERARY OF TRAVEL

NAME MARFA R. LIMPOSITION S.B. MEMBER MONTHLY SALARY P

OFFICIAL STATION LGU-Dimasalang, Masbate

PURPOSE OF TRAVEL See attached Travel order

Date

Place to be TIME Means of ALLOWANCES Amount

Visited or Travel Departure Arrival Transportation Transpor-Per Diems

Daily Total

tation Fare Allowance

02/02/10 Dim.-Cebu Term 11:00AM 9:45PM Roro Bus 650.00 800.00

02/03/10 Still in Cebu 800.00

02/04/10 Cebu-Davao 7:00AM 8:00AM Plane 8,426.88 400.00

Davao-Gen.San. Van 800.00

02/05/10

9,876.88 - 2,000.00 11,876.88

I HEREBY CERTIFY that (1) I have MARFA R. LIM

reviewed the foregoing itinerary. (2) The Official or Employee

travel is necessary to the service.

(3) The period covered is reasonable. Municipal Assessor

(4) The expense claimed are proper. Designation

APPROVED:

HON. HENRY J. NAGA

Head of Office


7/12


Province of Masbate


Office of the Mun. Mayor

CERTIFICATE OF TRAVEL COMPLETED

Hon. Henry J. Naga LGU-dim. Mas.(Chief of Office) (Station)

MUN. Mayor

(Designation) (Date)

I HEREBY CERTIFY that I have completed the travel authorized in the Itenerary of Tra

No.________________________dated________________2010, under condition indicated below:

Strictly in accordance with the approved itinerary.Cut short as explained below. Excess payment in the amount P___________was

refunded under O.R No. ___________dated______________2008.

Extended to other deviations as explained below:

EXPLANATION OR JUSTIFICATIONS: __________________________________________________

__________________________________________________________________________________

receipts

Respectfully Submitted:

MABEL G. VALLENA

(Official or Employee)

Agriculturist II

(Designation)

On evidence and information of which I have knowledge, tha travel was actually undertake

HON. HENRY J. NAGA

(Chief of Office)

MUN. Mayor

(Designation)

EVIDENCE OF TRAVEL ATTACHED HERETO:CERTIFICATE OF APPEARANCE & TICKETS


8/12

el

.


9/12


Province of Masbate


ITINERARY OF TRAVEL

NAME HELENA C. HUELVA

POSITION Day Care Worker MONTHLY SALARY P

OFFICIAL STATION LGU-Dimasalang, Masbate

PURPOSE OF TRAVEL See Attachment Papers

Date

Place to be TIME Means of ALLOWANCES Amount

Visited or Travel Departure Arrival Transportation Transpor-Per Diems

Daily Total

tation Fare Allowance

04/16/2009 Dim-Masbate 7:00am 8:00am Aircon Van 70.00 70.00

Masbate-Dim. 4:00pm 5:00pm Aircon Van 70.00 320.00 390.00

04/22/2009 Dim-Palanas 7:00am 8:00am Tricykle 40.00 40.00

Palanas-Dim 4:00pm 5:00pm Trcykle 40.00 100.00 140.00





















10/12/2009 Dim.-Mas. 5:00am 6:00am Airconvan 70.00 70.00

Mas.-Pilar 8:30am 10:30am Vessel 200.00 200.00

Pilar-Legaspi 11:00am 12:nn Jeep 70.00 800.00 870.00

10/13-14/2009 Still in DSWD Legaspi City 1,600.00 1,600.00

10/15/2009 Legaspi-Pilar - -

Pilar-Masabte Vessel 200.00 320.00 520.00

Masbate-Dim. Garbage Truck - -

Bill of lading ( Utensils) 400.00 400.00

Trucking of Utensils from

DSWD Legaspi to Pilar 1,500.00 1,500.00

Miscellaneous Expenses:

Hauling and Handling of Utensils from


10/12

DWSD Legaspi, Pilar & Masbate 1,500.00 1,500.00



10/28/2009 Dim-Divisoria 7:00am 8:00am Special Hire 300.00 100.00 400.00

Divisoria-Dim. 4:00pm 5:00pm -



6,140.00 - 7,080.00 13,220.00

I HEREBY CERTIFY that (1) I have

reviewed the foregoing itinerary. (2) The HELENA C. HUELVA

travel is necessary to the service. Official or Employee

(3) The period covered is reasonable.

(4) The expense claimed are proper. Day Care Worker

Designation

APPROVED:

GHENLHE R. SANCHEZ

SWO III


11/12

Republic of the PhilippinesNATIONAL POLICE COMMISSIONPHILIPPINES NATIONAL POLICE

Dimasalang, Municipal Police StationDimasalang, Masbate

SUBSISTENCE ALLOWANCEFor the Month of September, 2010

NR RANK/NAME AMOUNT SIGNATURE

1 PINS ARIEL NERI D 800.002 SP03 NOEL BANDA D 400.003 SP01 EDGAR VILLAMOR B 400.004 P03 ARMANDO, SR ANONUEVO D 400.005 P03 ROY ALMIE D 400.006 P03 EDGAR PORLAJE A 400.00

7 P03 ALMARIO CRISTOBAL G 400.008 P03 ALDRIN ALMOCERA B 400.009 P03 EDGAR CANTONJOS H 400.00

10 P02 JESUS APOSTOL P 400.0011 P02 JONATHAN ROBAS R 400.0012 P02 PAJALLA BERNARDO, JR G 400.0013 P02 LANIE GUAEZO V 400.0014 P02 EDIMAR MANLANGIT B 400.0015 P02 REYNALDO VILLARANTE B 400.0016 P02 SHERWIN ASILUM E 400.0017 P01 JOSEPH BULTRON L 400.0018 PO1 MISAEL III CABRERA T 400.0019 P01 MA. DOLORES ABENIA P 400.0020 P01 ROBERT RUBIDO G 400.0021 P01 NICANOR GOC-ONG B 400.0022 P01 JAIME POTOT 400.0023 P01 AVELINI III BADILLO A 400.0024 NUP GRACE AFABLE A 400.00

Total 10,000.00

PINS ARIEL D. NERIChief of Police-Dimasalang, Masbate


12/12

Reimbursement of Ink

Documents

Transcript of Reimbursement of Ink