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    Obligation Request and Status: Dilg Car Entity Name Dilg Car Cos Personnel-Contact Tracers

    Uploaded by

    Claudine Puyao
    The document is a payment request for contact tracers in the Cordillera Administrative Region for services rendered from October 1-15, 2020. It includes a request for obligation of funds, certification that the charges are necessary and valid, and available allotment. It also includes the disbursement voucher with certification of expenses, accounting entries to debit and credit accounts, and approval for payment. Attached is the daily time record for one employee for the month of October 2020 showing arrival and departure times each day.

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    © All Rights Reserved
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    Obligation Request and Status: Dilg Car Entity Name Dilg Car Cos Personnel-Contact Tracers

    Uploaded by

    Claudine Puyao
    33 views3 pages
    The document is a payment request for contact tracers in the Cordillera Administrative Region for services rendered from October 1-15, 2020. It includes a request for obligation of funds, certification that the charges are necessary and valid, and available allotment. It also includes the disbursement voucher with certification of expenses, accounting entries to debit and credit accounts, and approval for payment. Attached is the daily time record for one employee for the month of October 2020 showing arrival and departure times each day.

    Original Title

    DTR CASEY

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    The document is a payment request for contact tracers in the Cordillera Administrative Region for services rendered from October 1-15, 2020. It includes a request for obligation of funds, certification that the charges are necessary and valid, and available allotment. It also includes the disbursement voucher with certification of expenses, accounting entries to debit and credit accounts, and approval for payment. Attached is the daily time record for one employee for the month of October 2020 showing arrival and departure times each day.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    33 views3 pages

    Obligation Request and Status: Dilg Car Entity Name Dilg Car Cos Personnel-Contact Tracers

    Uploaded by

    Claudine Puyao
    The document is a payment request for contact tracers in the Cordillera Administrative Region for services rendered from October 1-15, 2020. It includes a request for obligation of funds, certification that the charges are necessary and valid, and available allotment. It also includes the disbursement voucher with certification of expenses, accounting entries to debit and credit accounts, and approval for payment. Attached is the daily time record for one employee for the month of October 2020 showing arrival and departure times each day.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
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    Appendix 11

    OBLIGATION REQUEST AND STATUS Serial No. : _____________________

    DILG CAR Date : _________________________


    Entity Name Fund Cluster : 01
    Payee
    DILG CAR COS PERSONNEL-CONTACT TRACERS
    Office

    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

    Signature : ___________________________________ Signature : ______________________________

    Printed Name: (NAME OF PD/CD) Printed Name: IRIS B. ESDEN

    Position : (POSITION) Position : AO V

    Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized


    Representative
    Date : Date : ____________________________

    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. :

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


    Payment

    DILG CAR COS PERSONNEL-CONTACT TIN/Employee No.: ORS/BURS No.:


    Payee
    TRACERS
    Address
    Responsibility
    Particulars MFO/PAP Amount
    Center

    To payment of services rendered as Contact Tracers for the


    period October 1-15, 2020 in the amount of…

    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

    Subject to Authority to Debit Account (when applicable)

    Suppo

    Signature Signature

    Printed Name JENNIFER S. CHAOKAS Printed Name


    Accountant III
    Position Position
    Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
    Date Date
    E. Receipt of Payment JEV No.
    Check/ Date : Bank Name & Account Number:
    ADA No. :
    Date : Printed Name: Date
    Signature :
    Official Receipt No. & Date/Other Documents
    Civil Service Form No. 48

    Department of the Interior and Local Government


    Cordillera Administrative Region

    DAILY TIME RECORD

    ___BANUGAN_________ _____CASEY________ _L.


    LASTNAME FIRST NAME M.I.
    For the month of October 1-31, 2020
    Official hour for (Regular days 08:00 am to 05:00 pm
    Arrival & Departure (Saturday) N/A

    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.

    JOHNNY M. MAYMAYA JR.


    MLGOO

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