Annex B

Republic of the Philippines

Department of Education DIVISION OF PAMPANGA

City of San Fernando (Pampanga)

OBLIGATION SLIP
Payee/Ofice: Address: ROLANDO ZAPATA Diosdado Macapagal High School - Mexico No: Date: Responsibilty Center F/P.P.A:

Particulars

Account Code

Amount

To obligate payment of cash advance in the amount of _______________ for the month of ______________ to be used for the following payment:
1. To fund as identified in the approved School Improvement Plan (SIP) which are for implementation in the current year particularly in improving learning outcomes and as specially determined in the Annual Implementation Plan (AIP) of the school. 2. Please specify activities. _________________________________________________ 3.To procure school supplies necessary for classroom teaching 4. To pay salaries for janitorial and security services. 5. To use for other mandatory expenditures except for the procurement of textbooks and other instructional materials, and school furniture and equipment.

TOTAL A Certified:

Requested by:
Charges to appropriation/allotment necessary, lawful and under my direct supervision.

B Certified:

Funds Available
Appropriation/Allotment available and obligated for the purpose as indicated above

ROLANDO ZAPATA Principal

LOLITA D. ALVARO Accountant II

Public Schools District Supervisor *

IMELDA P. MACASPAC Assist. Schools Division Supt.-Secondary Officer-in-Charge

* - For Elementary School