OBLIGATION REQUEST AND STATUS No.

:
NATIONAL IRRIGATION ADMINISTRATION Date:
Agency Fund:
Payee MICHAEL HARROLD V. CABARRUBIAS
Office NIA-REGION IX - Regional Office
Address Regional Center, Balintawak, Pagadian City, Zamboanga City
MFO/ PAP/
Responsibility Center Particulars Account Code Amount
KRA

Cash advance for Official travel on November 6-25, 2023

amounting to ---------------

45,100.00
TOTAL 45,100.00
A. Certified: Charges to appropriation/ B. Certified: Allotment available and obligated
allotment necessary, lawful and under my for the purpose/adjustment necessary as
direct supervision; and supporting indicated above
documents valid, proper and legal
Signature : Signature :

Printed Name: ANTONIO B. GUJELING Printed Name: LEONIDES C. SABADO

Position : D. M.- A/Manager, EOD Position : Sr. Financial Planning Analist

Head, Requesting Office/Authorized
Head, Budget Unit/Authorized Representative
Representative
Date : ___________________________ Date : ___________________________

C. STATUS OF OBLIGATION
Reference Amount
Date ORS No. JEV. No. Obligation Payment Payable Balance
 Fund Cluster :

Date :
DV No. :

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

Payment

TIN/Employee No. ORS/BUR No.

Payee MICHAEL HARROLD V. CABARRUBIAS

Address PAGADIAN CITY

Responsibility
Particulars Center
MFO/ PAP/ KRA UACS Code Amount

Cash advance for Official travel on November 6-25, 2023

amounting to ---------------
45,100.00

TOTAL: 45,100.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurres under my direct supervision.

ANTONIO B. GUJELING
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper

Signature Signature

Printed Name RESEN MAE L. RECOSOSA Printed Name JUNE NATHANIEL S. PLAZA

Corporate Accounts Analyst Regional Manager

Position Position
Agency Head/Authorized Representative
Date Date
JEV No.
E. Receipt of Payment

Check/
Date Bank Name
ADA No.
Date
Signature Date Printed Name:

Official Receipt No. & Date/Other Documents

 Republic of the Philippines
PAMBANSANG PANGASIWAAN NG PATUBIG
( NATIONAL IRRIGATION ADMINISTRATION )
Region IX
Pagadian City

TRAVEL ORDER NO. ________

TO : REY M. PINATACAN Engineer A

PLACE TO BE VISITED : Project & Planning Division, NIA-Central Office, Quezon City

PURPOSE OF TRAVEL : To continue the Engineering Plans Design and Estimates of Titay SRIP Impounding Dam

TERMS AND CONDITIONS :

You are entitled to claim transportation expenses & per diems while away from official station subject to the availability of funds
and usual accounting & auditing rules and procedures.

EXPECTED DATE OF DEPARTURE : November 12, 2018

EXPECTED DATE OF RETURN : November 24, 2018

MARIO H. SANDE
\ Regional Irrigation Manager

CERTIFICATE OF APPEARANCE
OFFICE/STATION ARRIVAL DEPARTURE SIGNATURE
 Republic of the Philippines
NATIONAL IRRIGATION ADMINISTRATION
Region IX
Pagadian City

CERTIFICATE OF APPEARANCE
TO WHOM IT MAY CONCERN :

This is to certify that Antonio P. Bantas

in the office of NCIP R-IX
previously authorized to come to NIA - Region IX, Pagadian City
as a appeared in and conduct official business under the conditions stated below.

Date of Arrival : September 3, 2012

Date of Departure : September 3, 2012

Purpose of Travel : Follow - up proposed irrigation project at Dampalan

MEAL LODGING

PROVIDED PROVIDED

NOT PROVIDED NOT PROVIDED

ALEJANDRO L. ALBERCA
Acting Regional Manager
 Republic of the Philippines
NATIONAL IRRIGATION ADMINISTRATION
Region IX
Pagadian City

CERTIFICATE OF TRAVEL COMPLETED

JUNE NATHANIEL S. PLAZA Pagadian City

( Agency Head ) ( Station )
Regional Manager October 24, 2023
( Designation ) ( Date )

I CERTIFY THAT I have completed the travel authorized in the itinerary of Travel
No.____, x dated March 27-31, July 7-12, September 1 & 5, October 3-4, October 8-10 & 17, 2023
under conditions indicated below :
Strictly in accordance with approved Itinerary.

Cut short as explained below, Excess payment in the amount of

P _______ was refunded on O.R. No. __________

Extended as explained below, additional itinerary was submitted.

Other derivations are explained below.

Explanations or justification :

Evidence of travel hereto attached : Travel Order, Memorandum, Itinerary of Travel,

Certificate of Appearance

Respectfully submitted :

MICHAEL HARROLD V. CABARRUBIAS

( Officer or Employee )
Senior Engineer A (GE)
( Official Designation )

On evidence and information of which I have knowledge the travel was

actually undertaken.

ANTONIO B. GUJELING
( Supervisor )
Regional Manager
( Official Designation )
 Republic of the Philippines
NATIONAL IRRIGATION ADMINISTRATION
Region IX
Pagadian City
No. _____

ITINERARY OF TRAVEL
NAME: MICHAEL HARROLD V. CABARRUBIAS POSITION : Senior Engineer A (GE)
OFFICIAL STATION : NIA, Regional Office, Pagadian City MONTHLY SALARY :
PURPOSE OF TRAVEL : see attached memorandum / travel order

TIME MEANS OF TRANSPORTATION TOTAL

DATE PLACE TO BE VISITED TRANSPORTATION ALLOWANCE PER DIEMS
Departure Arrival AMOUNT
March 27-31, 2023
November 6, 2023 Home to Pagadian Airport 8:00am 8:30pm Habal2x 100.00 2,200.00 2,300.00
Pagadian Airport to NAIA 8:30am 10:30pm Airplane
NAIA to Quezon City 10:30am 12:00am Taxi 1,000.00 - 1,000.00
November 7-24, 2023 At UP Diliman, Quezon City (18 Days) 8:00am 6:30pm 39,600.00 39,600.00
November 25, 2023 Quezon City to NAIA 5:30am 6:30pm 1,000.00 - 1,000.00
NAIA to Pagadian Airport 8:30am 10:30pm Airplane
Homebound 10:30pm 11:30pm Habal2x 100.00 1,100.00 1,200.00
GRAND TOTAL TOTAL 2,200.00 41,800.00 45,100.00

I HEREBY CERTIFY THAT :

1. I have reviewed the following itinerary. PREPARED BY :
2. The travel is necessary to the service.
3. the period covered is reasonable and MICHAEL HARROLD V. CABARRUBIAS
Senior Engineer A (GE)
Official Designation

RECOMMENDED: APPROVED :

ANTONIO B. GUJELING JUNE NATHANIEL S. PLAZA

Acting Division Manager, EOD Regional Manager
Official Designation Official Designation
 Republic of the Philippines
Department of Agriculture
National Irrigation Administration
Regional Office IX
Pagadian City

DISBURSEMENT VOUCHER
MODE OF
PAYMENT MDS Check Commercial Check ADA No. : Others
Payee/Office : #REF! TIN/Employee No.: ObR.BUR No.

Address : Pagadian City Responsibility Center :

Office/Unit/Project Code :

PARTICULARS AMOUNT
Reimbursement of Actual Travelling Expenses of Ms. Chita O. Lim during the official travel on 8/1-4/2012
in the amount of …………………………………………………. #REF!

#REF!
A. Certified B. Approved for payment
Supporting documents complete
Cash Available
Subject to Authority to debit Account (Where Applicable)

Signature : Signature :
Printed Name : ALBINE DAVE V. JUBILADO Printed Name : ALEJANDRO L. ALBERCA
Position : Chief Corporate Accountant B Position : Acting Regional Manager
Date : Date :

D. Received Payment :

Signature : Date : Check/ADA No.

JEV
Printed Name : OR No/other relevant document
issued :
Annex A-1
JOURNAL ENTRY VOUCHER
No.
National Irrigation Administration Date :
Regional Office No. 9, Pagadian City
Amount
Responsibility Center Accounts and Explanation Account Code
DEBIT CREDIT

Prepared by : Approved by :
ALBINE DAVE V. JUBILADO
Chief Corporate Accountant B
 Republic of the Philippines
Department of Agriculture
National Irrigation Administration
Regional Office IX
Pagadian City

OBLIGATION REQUEST
No. :
Payee : THE ACTING IMO HEAD
Office :
Address : Tawagan Norte, Labangan, Zamboanga del Sur

Responsibility ACCOUNT
PARTICULARS P.P.A. AMOUNT
Center CODE
Release of Allotment to Zamboanga del Sur IMO
amounting to ....... 8,727,000.00

ASA No. :
Fund :
Project :

8,727,000.00
A. Certified B. Certified
Charges to appropriate/allotment necessary, lawful Allotment available and obligated for the purpose
and under my direct supervision. as indicated above.
Supporting documents valid, proper and legal

Signature : Signature :
Printed Name : ALEJANDRO L. ALBERCA Printed Name : WILMA C. ALLAS
Position : Acting Regional Manager Position : Finance Planning Specialist B
Date : Date :

Republic of the Philippines

Department of Agriculture
National Irrigation Administration
Regional Office IX
Pagadian City

OBLIGATION REQUEST
No. :
Payee : THE ACTING IMO HEAD
Office :
Address : Tawagan Norte, Labangan, Zamboanga del Sur

Responsibility ACCOUNT
PARTICULARS P.P.A. AMOUNT
Center CODE
Release of Allotment to Zamboanga del Sur IMO
amounting to ....... 8,727,000.00

ASA No. :
Fund :
Project :

8,727,000.00
A. Certified B. Certified
Charges to appropriate/allotment necessary, lawful Allotment available and obligated for the purpose
and under my direct supervision. as indicated above.
Supporting documents valid, proper and legal

Signature : Signature :
Printed Name : ALEJANDRO L. ALBERCA Printed Name : WILMA C. ALLAS
Position : Acting Regional Manager Position : Finance Planning Specialist B
Date : Date :
 LIQUIDATION STATEMENT No.
NATIONAL IRRIGATION ADMINISTRATION Date:
Regional Office No. IX
Pagadian City
Name : ESTER A. REDUCTO Responsibility Center
P A R T I C U L A R S Amount

to liquidate Cash Advance drawn for travelling expenses while on official travel from July 5 to
July 7, 2012 in the amount ………….. 3,400.00

TOTAL AMOUNT SPENT 3,400.00

TOTAL AMOUNT OF CASH ADVANCE PER DV NO. Dated: 3,400.00
AMOUNT REFUNDED PER OFFICIAL RECEIPT NO. Dated: -
AMOUNT TO BE REIMBURSED
SUBMITTED BY: Purpose of travel/cash advance duly Certified: Supporting documents com-
accomplished. plete and proper and cash available

Signature

Printed Name ESTER A. REDUCTO ALEJANDRO L. ALBERCA ALBINE DAVE V. JUBILADO

Designation Senior Engineer A Acting Regional Manager Chief Corporate Accountant B
(Employee who draw cash advance) (Direct Supervisor)

JOURNAL ENTRY VOUCHER No.:

NATIONAL IRRIGATION ADMINISTRATION, REGION AL OFFICE IX No.:

ACCOUNTING ENTRIES
______Collection ______Check Disbursement _______ Cash disbursement _______ Others
Responsibility Accounts and ACCOUNT AMOUNT
REF.
Center Explanation CODE DEBIT CREDIT

Prepared by: Certified Correct:

ALBINE DAVE V. JUBILADO

Chief Corporate Accountant B
 Republic of the Philippines
NATIONAL IRRIGATION ADMINISTRATION
( Pambansang Pangasiwaan ng Patubig )
Region 9, Pagadian City

INSPECTION & ACCEPTANCE REPORT

Supplier VARIOUS AR No.

PO No. Date Invoice No. various Date various
Requisitioning Office/Dept. For the use of NIA-IA Forum conducted by Administrator Salazar
& other miscellaneous expenses during the conduct of related
activities in the region
Item No. Qty Uom PARTICULAR Quantity
1 File Cabenit
2 ### ### #NAME?
3 0 request are included in the approved PPMP of 0
4 ### ### #NAME?
5 ### ### #NAME?
6 ###
7 ### ###
8 ###
9 ### ### #NAME?
10 ### ### #NAME?
11 ### ### #NAME?
12 ### ### #NAME?
13 ### ### #NAME?
14 ### ### #NAME?
15 ### ### #NAME?
16 ### ### #NAME?
17 ### ### #NAME?
18 ### ### #NAME?
19 ### ### #NAME?
20 ### ### #NAME?
21 ### ### #NAME?
22 ###
23 ### #NAME?
24 ### ### #NAME?
25 ### ### #NAME?
26 ### ### #NAME?
27 ### ### #NAME?
28 ### ### #NAME?
x-x-x-x-x-x- nothing follows -x-x-x-x-x-x-x
INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified and found OK as to quantity Complete

and specifications. Partial
X
X
JOEL G. JANIOLA MILA S. GRAGEDA
Inspection Officer Sr. Supply Officer
Withdrawn by:
Name
Position
Date
 Republic of the Philippines
NATIONAL IRRIGATION ADMINISTRATION
( Pambansang Pangasiwaan ng Patubig )
Region 9, Pagadian City

INSPECTION & ACCEPTANCE REPORT

Supplier VARIOUS AR No.

PO No. Date Invoice No. various Date various
Requisitioning Office/Dept. For the use of preparation of the NIA 48th Anniversary
& other miscellaneous expenses

Item No. Qty Uom PARTICULAR Quantity

1 File Cabenit
2 ###
3 request are included in the approved PPMP of
4 ###
5 ###
6 meter ### 1/2
7 ###
8 ###
9 ###
10 ###
x-x-x-x-x-x- nothing follows -x-x-x-x-x-x-x
INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified and found OK as to quantity Complete

and specifications. Partial
X
X
JOEL G. JANIOLA MILA S. GRAGEDA
Inspection Officer Sr. Supply Officer
Withdrawn by:
Name
Position
Date
 Republic of the Philippines
NATIONAL IRRIGATION ADMIN ISTRATION
Region IX
Pagadian City

CERTIFICATE OF EMERGENCY PURCHASE

THIS IS TO CERTIFY, that the herein purchase/repair covered by invoice number

various dated July 1, 2011 in the amount of Fifteen Thousand
pesos only in favor of CHITA O. LIM

is to be used in connection with the construction/repair of Irrigation System /Equipment of NIA,

Region 9.
That the need for the supplies/repair is exceptionally urgent or absolutely indispensable to
prevent immediate danger to or lost of life Property and to avoid detriment to the Public services;
That there was no material time to secure them thru public bidding without causing detriment
to the Public services;
That the prices paid or contracted were the lowest obtaining in the locality at the time of
Purchase Order; and
That the Purchase made during the proceeding month do not exceed the ceiling allowed the
Regional Irrigation Manager as fixed by the Administrator.

ALBERTO B. LACUAREN
Regional Manager
 Republic of the Philippines
NATIONAL IRRIGATION ADMINISTRATION
Region 9
Pagadian City

DAILY TIME RECORD

For the period: September 2011

Regular Days : Monday to Friday

Regular Office Hours : 8:00 AM to 12:00 Noon and 1:00 PM to 5:00 PM

DAY IN OUT IN OUT UNDERTIME REMARKS

1 7:59AM 12:00PM 1:00PM 5:30PM Misc. Office Works
2 8:00AM 12:00PM 1:00PM 5:24PM Misc. Office Works
3 Saturday
4 Sunday
5 8:00AM 12:00PM 1:00PM 5:00PM Misc. Office Works
6 8:00AM 12:00PM 1:00PM 5:05PM Misc. Office Works
7 7:56AM 12:00PM 1:00PM 5:02PM Misc. Office Works
8 7:52AM 12:00PM 1:00PM 5:00PM Misc. Office Works
9 7:56AM 12:00PM 1:00PM 5:20PM Misc. Office Works
10 Saturday
11 Sunday
12 8:15AM 12:00PM 1:00PM 5:00PM Misc. Office Works
13 8:06AM 12:00PM 1:00PM 5:00PM Misc. Office Works
14 7:47AM Attended 1st National Rice-Duck Conference at Farmer's Haven, Pagadian City
15 8:00AM Attended 1st National Rice-Duck Conference at Farmer's Haven, Pagadian City
16 Attended 3rd RSAC Meeting of ARCP 2 at Lantaka Hotel, Zamboanga City
17 Saturday
18 Sunday
19 Holiday
20 Arrived Pagadian City from Zamboanga City at 8:10AM - 12:00PM - 1:00PM - 5:36PM
21 8:09AM 12:00PM 1:00PM 5:06PM Misc. Office Works
22 8:00AM 12:00PM 1:00PM 5:05PM Misc. Office Works
23 8:15AM 12:00PM Attended Inauguration of C3 per invitation of the City Mayor
24 Saturday
25 Sunday
26 8:08AM 12:00PM 1:00PM 5:00PM Misc. Office Works
27 On the way to Zamboanga City to proceed to Davao
28 At Davao City attending MINDA Conference re: Mindanao Waterbasin and Watershed Management
29 Back to Zamboanga City to follow up POW Preparation of Tandubas and Parangan
30 Still at ZAMBASULTA IMO
31

I CERTIFY on my honor that the above statement is correct and that the service were rendered and
were applied to the public service.
DONE this 4th day of October , 2011 Pagadian City

CHITA O. LIM
Division Manager A, EOD

I CERTIFY on my honor that the records of hours of work was made at the time of arrival and at
the time of departure from office or at the beginning and ending of work.

CHITA O. LIM
APPROVED:

ALBERTO B. LACUAREN
Regional Manager
 Republic of the Philippines
Department of Agriculture
National Irrigation Administration
( Pambansang Pangasiwaan ng Patubig )
Regional Office 9
2nd & 3rd Floor Bance Bldg., Rizal Avenue, Balangsan District, Pagadian City
PURCHASE ORDER
Dealer: SHERATON PETRON SERVICE CENTER P.O No.
Address Molave, Zamboanga del Sur Date:
Mode of Procurement

Gentlemen:

Please furnish this office the following articles subject to terms and conditions contained herein:

Place of Delivery: Pick-up Delivery Term:

Date of Delivery: Payment Term:

Item No. Quantity UoM Description

1 100.00 liters Diesel Fuel
x-x-x-x-x-x-x-x- nothing follows -x-x-x-x-x-x-x-x

Total Amount in Words : Five thousand One Hundred Thirty Five Pesos Only.

In case of failure to make the full delivery within the time specified above, penalty of one-tenth (1/10) of one percent for every day
shall be imposed.

Very truly yours,

Conforme:
ALEJANDRO L. ALBERCA
Acting Regional Manager
SHERATON PETRON SERVICE CENTER
( Date & Signature )

Requisitioning Office/Dept: Funds Available:

Total Amount:
NIA-R.O.
ALBINE DAVE V. JUBILADO
ALOBS No.: ____________________
Chief Corporate Accountant B
Prepared by : gbj
 Annex G-5

, Pagadian City

Shopping

Upon Completion of delivery

Unit Cost Amount

51.35 5,135.00

=P= 5,135.00

(1/10) of one percent for every day of delay

ALEJANDRO L. ALBERCA
Acting Regional Manager

=P=
5,135.00

BS No.: _____________________
 PURCHASE REQUEST
National Irrigation Administration, Regional Office - Pagadian City
Agency

Department NIA-R.O P.R. No. Date:

Section EOD SAI No. Date:

Stock No. Unit Item Description Qty. Unit Cost Estimated Cost
1 Electric Airpot 1 -
x-x-x-x-x-x-x- nothing follows -x-x-x-x-x-x-x

CERTIFICATION:

This is to certify that the above herein

request are included in the approved PPMP of
Engineering & Operation Division for CY 2011.

CHITA O. LIM
Division Manager A, EOD

TOTAL AMOUNT: =P= -

Purpose/Remarks: For the use of NIA - E.O.D., R.O. files

Requested by: Approved by:

Signature:

Printed Name: CHITA O. LIM ALEJANDRO L. ALBERCA

Designation: Division Manager A, EOD OIC, Regional Manager
Date:
 Republic of the Philippines
National Irrigation Administration
Bance Bldg., Rizal Ave, Balangasan District, Pagadian City
Tel. No. 215-4167; Fax No. 215-4168

PRICE QUOTATION
Date:
Quotation No.

Company Name

Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not later
than _______________ in the return envelope attached herewith.

Purpose: For the use of NIA-E.O.D., R.O.

Place of delivery: NIA-E.O.D., R.O., Pagadian City

CHITA O. LIM
BAC Chairman

NOTE: 1. ALL ENTRIES MUST BE TYPEWRITTEN

2. DELIVERY PERIOD WITHIN ____ CALENDAR DAYS
3. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS,
ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________________
5. GEPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF
THE PRODUCT BEING OFFERED
BRAND &
ITEM NO. ITEM & DESCRIPTION QTY. UoM UNIT PRICE
MODEL
1 Electric Airpot 1 unit
x-x-x-x-x-x-x- nothing follows -x-x-x-x-x-x-x

BAC COMMITTEE: DATE:

1.) S.B.R. = Printed Name/Signature
2.) L.P.P =
3.) V.B.A. = Telephone No./Cellphone No.
4.) C.M.R. =
5.) C.O.L. = Date
 Republic of the Philippines
National Irrigation Administration
Regional Office No. 9, Pagadian City

GATE PASS
August 3, 2011

GATE PASS NO. 11-020

To the Security Guard on Duty:

Please allow the bearer. Mr./Ms. RYVELINDO F. RUIZAL Data Encoder

( Name ) (Designation)
of NIA-R.O. (EOD) Pagadian City to withdraw/pullout from stockroom
( Office )
at NIA-R.O. (EOD) , Pagadian City the following items indicated hereunder:

QTY UNIT ARTICLES UNIT VALUE TOTAL

1 unit CPU, Black
x-x-x-x-x-x-x- nothing follows -x-x-x-x-x-x-x-x-x

Purpose: For check up and repair

Received the above articles for pull out Pick-up Order No.
from the office… Date:
Loaded:
RYVELINDO F. RUIZAL
Print Name and Signature of Authorized (Vehicle) (Plate No.)
Representative
RIV No.
Articles were verified and found correct Date:
and no other articles were released. MR No.

Checked and Issued by:

___________________________
(Security Guard's Signature)
MILA S. GRAGEDA
Sr. Supply Officer
APPROVED:

ALBERTO B. LACUAREN
Regional Manager