Obligation Request and Status: Dilg Car Entity Name Dilg Car Cos Personnel-Contact Tracers
Obligation Request and Status: Dilg Car Entity Name Dilg Car Cos Personnel-Contact Tracers
Obligation Request and Status: Dilg Car Entity Name Dilg Car Cos Personnel-Contact Tracers
Address
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code
To obligate payment of services rendered as
Contact Tracers for the period October 1-15,
2020 in the amount of…
Total -
A. Certified: Charges to appropriation/alloment are B. Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)
42
Appendix 32
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT Fund Cluster :
Cordillera Administrative Region 1
Date :
DISBURSEMENT VOUCHER DV No. :
Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
________________________________________
(NAME OF PD/CD)
(Position)
B. Accounting Entry:
Account Title UACS Code Debit Credit
Other General Services 5021299099
Cash - Modified Disbursement System 1010404000
C. Certified: D. Approved for Payment
Cash available
Suppo
Signature Signature
MORNING AFTERNOON
DAY Late UT
Arrival Departure Arrival Departure
1 7:25 12:00 1:00 6:30
2 7:15 12:00 1:00 5:30
3 SAT SAT 4:25 12:00
4 6:00 12:00 12:22 11:00
5 7:00 12:00 12:50 6:30
6 8:00 12:01 12:47 7:30
7 8:00 12:02 12:58 6:00
8 8:00 12:00 12:50 6:00
9 7:50 12:03 12:43 5:00
10 SAT SAT SAT SAT
11 SUN SUN SUN SUN
12 8:00 12:10 12:50 5:50
13 7:45 12:00 12:51 5:20
14 5:00 OB OB OB
15 5:05 OB OB OB
16 7:59 12:10 12:42 5:30
17 SAT SAT SAT SAT
18 SUN SUN SUN SUN
19 7:45 12:18 12:59 5:08
20 7:47 12:05 12:57 5:11
21 7:45 12:00 12:32 5:35
22 7:42 12:05 12:42 5:05
23 8:01 12:10 12:51 5:48
24 SAT SAT SAT SAT
25 SUN SUN SUN SUN
26 ON FIELD ON FIELD ON FIELD ON FIELD
27 ON FIELD ON FIELD ON FIELD ON FIELD
28 8:00 12:01 12:36 6:00
29 7:49 12:13 12:44 5:02
30 7:39 12:04 12:36 5:30
31 SAT SAT SAT SAT
TOTAL
I CERTIFY ON MY HONOR that the above is a true & correct report of the hours of
work performed, record of which was made daily as the time of arrival at and departure
from office.
Signature of Employee
Verified to the prescribed office hours.
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