Fn: ROA APPENDIX BBarangay Form No. 2Revised January, 2000

REQUEST FOR OBLIGATION OF APPROPRIATIONSREQUEST APPROVAL

PAYEE: OBLIGATION NO.Description of Obligation: Amount Approved :( In words and

Figures

Function

AllotClass

ExpenseCode

Amount

(P )

I hereby certify that unobligated appropriations available for the obligation herein described in the amount specified above.

___________ ____________ Accountant Date

Total Amount Requested >>REQUESTING OFFICIAL:

________________ __________Name & Signature Date

CERTIFICATION(1) I hereby certify to the existence

of appropriations for the expenditures and amount specified above.

_________________ _________Chairman, Committee on DateAppropriations of theSangguniang Barangay

(2) I hereby certify to the availability of funds for the above

________________ __________Barangay Treasurer Date

SUBSIDIARY LEDGER

Date Particulars/ References

Debit credit Balance

Liquidations

ObligationIncrease

(Decrease)

Unliquidated

Obligations