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OBLIGATION REQUEST AND STATUS UNIVERSITY OF THE PHILIPPINES LOS BANOS DVNO. 89612 FMIS No. Certified: | Charges to appropriation budget necessary, lawful and ied: under my direct supervision; and supporting documents valid, proper and legal [signe Signature Printed Name UMAR. BANDIAN Printed Name Position ‘Supervising Administrative Officer Position Tea, Reaueting Oflex/ Athos Represents pate December 6.2016 pate STATUS OF Reference OBLIGATION bate December 6, 2016 Cologe, Laguna as [Fund Cluster ot baad PLOT Office Ramon Cojuangco Bldg., Makati Ave., Makati City ‘cress [ramon Center Portculars morPap | UACS Object Code ‘Amount Payment of Telephone Bll No. (048)536-2464 1003007 ‘Account No, 0021479160 for the period as of 10001 le 2068.27 November 16, 2016, amounting tc 0060 S020. 7 GRAND TOTAL, ‘Buget available ad wilizd for the pupose/ajustment necessary as indicated above ETHEL T. CABRAL Chief Administrative Officer, BMO Tia Regering Ofe/ Ashore ‘Amount Odigaton Particulars | ORS/JEVICheck! ADA/TRA No. Payabie Payment @ © o UNIVERSITY OF THE PHILIPPINES, LOS BANOS Irons cuter o Entity Name DISBURSEMENT VOUCHER pe —— DVNo. : 89612 Modo of Payment [nos cneex [eommerciat check [ams [otners Poase scent) FrnvEmpoyee No: [ORSIBURS Wo Payee PLOT Aasoss amon Cojuangco Bldg, Makati Ave, Makat City Partiulars Responsibity Center | MFOIPAP ‘Amount Payment of Telephone Bill No, (089}536-2468 ‘Aecount No.0021479160 forthe period as of — 20001 ‘Movember 16,2016 amountingto-4—* 7003007 0060 enn Amount Due 2,068.27 [x] CartocExponsonomn Advance recess, land cared under my Set supenaon Ths i cer ht an dance alan fx rami ral ofa Tanne ep hore ht nr po tr UPLB Cashiers fie ETHEL T. CABRAL la] Aomnng ery ‘count Tite UACS Gose Dent Creat [e[eeatea [p[Anmroved orPaymont (cash arate [seen oatnorty Onde Accu (en appa) sxeporng doo Suoring dorset cong and amour aimed Soraure Seraure Pore Nae JOAN E. MENDOZA red Na MARISH 8. MADLANGBAYAN, = Chief Accountant Poston Vice-Chancellor for Planning and Development fe [Rocopt or Payment [ev We ae [Bonk are & Account Number: {CnecRADA No iba Prnted Name ba gnature me) orci Recopt No. & DatelOter Documents UNIVERSITY OF THE PHILIPPINES LOS BANOS ‘College. Laguna {EDGER FOR LONG DSTANCE CALS ANO FAX MESSAGES ‘Account None) BUDGET MANAGEMENT OFFICE AecountNe: 901479160 pvno. ‘eephoneNo: (B40 536-2464 89612 Fund Code os gaaan7 ‘oATE NUMBER CALLING PARTY CALLED PARTVIOFFICEIPLACE TRUEST — poor | locobr 1, 2016 orszaseis Luvtviair —_|__uPSytem Budge Offce, Quezon City, 6M | _Ofah a9 locer 1, 2016 onozaueoa IMurvsiar | uPSjem Budge Ofc, QuetonCiy, MM | OMe 10 jocober 18, 2016 orsze861s Mot vier | _UPsttem Budge ff, Queton Cy, MM | OMe asus joer 1, 2016 ons2eseas Movie | _URSytom Budget fFce, Queton iy, cM | OMe, 2508 october 1, 2036 cons2aseas Movie | _UPSytem Budget Ofc, Quezon City, 6MM | Of 1019 october 3, 2036 oxszaesis MM ilior | _UFSjem Buage Ofc, Quezon Ci, MM | Offical 1529 oceber 2s, 2036 ozs7esi03, ‘aM Mati UP, Queton iy, GMM ote ona November 03,2036 | o2s2essis IMatilaor | _UPSytem dudpet Mfc, Quezon Ciy, MM | offical 10 INevemberos, 2016 | o2szsssis MM ilsor | —_UPSytem Budget Ofc, Quezon iy, GMM | Offical os INevenbero7, 2006 029838500 TMM ilsor | _UPSjtm Budget Ofc, Quezon Ci, GMM | ffical moss INovembaro7, 2036 | _o2s2essis Mat vilsor | —_UPSyem dudget Mfc, Quezon Ci, MM | offical 510 INevebero7, 2006 029838800 MM Vilsor | —_UPSjtm Budget Ofc, Quezon iy, GMM | Ofel ao November oo, 2036 029244615 NMatvilsor | —_UFSytemdudpe Mfc, Quezon Ci, MM | offical on November oo, 2036 029288615 Iunevilsor | _UPSyem Budge fc, Quezon Ciy, CMM | Ofc 1528 November 10,2036 | _o2s2eseas TMM ilsor | —_UPSytm Budget FRc, Gueton iy, RM | Ofc 1oas Inovenber 13,2036 | _o2szeseas Mw vilsor | UPS Budge Ofc, Quezon iy, GMM | ca S20 Inovenber 14,2036 | 0072507278 ence ‘Siti, Zambales oft os November 34,2016 | _o472507274 ncn Site, Zambales Offat 1019 Sub-total 35163 INovembaroz, 2016 o2saii63s cx pnsaon Machina Cy, 6M Person asa8 November os, 2016 02943635 ca Pnsalon Marina cy, GM Persons e025 November o7.2016 | _ 029411635 canton Mackinac, GM Perot ees November op, 2016 | _ 020411635 cmt Punsaon| Markin ch Perot Toa Iovenber 33,2036 | _o2s4n163s con unsatan Marina cy, one eral on Inoverber 12,2036 | 0971039075 _|__LRanian ata cy a Perarat 200 november 4, 2036 | _ozsas3s 2 Prcatan arta cry, te Persona 20 Inovemvers, 2016 | _0nsa13635 cu Prcalon Martina cy, Perscal sass Sub-total araas TOTAL caLLs, 72488 SUMMARY ‘tii Calis: 35163 Personal Cals: an + Recurring Charges: 134339 TOTAL: 206827 Prepared by: ‘Administrative Assistant + wth attached Oficial Receipt No, 3196692 2 (1003007-001-5020502002) Accountants Form No. 51-C Revised January, 1992 (ORIGINAL) Official Receipt ofthe Republic of the Philippint N° 3196532 z Nature of Collection Number Received the amount stated above. Collecting Onliver NOTE: Write the number and date of this receipt on the back of check or money order received. - @PLDT STATEMENT OF ACCOUNT ‘Ramon Cojuangco Bldg, Makat Ave. Makat City 1200 VAT REGISTERED TIN, 000-488-793-00000 const Recount Number ‘SOA Number BUDGET OFFICE021478160 21470760, 190000002078750 2iF ADMINISTRATION BLDG. UPLB 3 Bill Date Bill Inquiries KANLURAN ST. 3 [ev i7- 2018 a7 GY BATONG MALAKE j 7108 BANOS, LAGUNA 5 [/ Payinent Oe Da Toial Amount Bue PHILIPPINES. : Dee 1s, 2076 PHP 37TOST Previous Balance Payments) ‘Aajustiments Past Due Amount Current Amount PHP 350460 PHP 601 | PAP OOO PHP TOSS PHP 2.06827 SUMMARY OF CHARGES AND CREDITS Recurring Charges T4330 Hotice of Disconraction Usage Charges 724,88 ea [esa cecennecten, please pay Total Customer Charges 2,068.27 de aa Current Amount 2,068.27 Past Due Amount 4,702.64 Total Amount Due PHP 3,770.91 ‘The invoice amount includes VAT PHP 221.61 and OCT PHP 0.00 Introducing. secure, fast, convenient way of paying your bls atthe comfort of your office with your credit cards. Keep tack of your ‘Statement Of Accounts up {0 one year and sav History for six months at no additonal cost Just log on to ‘naps:/swww.plat.com phibillsonline/ (0 enrol” ‘your Payment MCRAE AO { Hl Page tof 5 "THiS DOCUMENT IS NOT VALID FOR CLAIM OF INPUT TAX. ‘SOA Num “Arpount Due Due Date 21479160 ‘900000092878750 PHP 1.70264 Pls. Pay immediately 2068.27 Dec 13, 2016 PHP3,70.91 Total Amount Due ‘Account Name: BUDGET OFFICE0021479160 PLOT INC. PO Box 2148, Makati Cty Philippines WEVA Wl ‘Amount Enclosed "VAT REGISTERED TIN: 000 485-763-00000 fin PERNT NUMBER 0815-126.00200-CA5, DATE ISSUED: September 1, 2018 : : i 4 i i i @ PLDT poor inc ‘Account Number 21479160 ‘SOA Number 000000082978750 Account Statement Payments Date Method of Payment ‘SOA Nuriber ‘amount ‘Gat 19,2016 Check ‘o0000001 SATS 168934 Get 19,2018 VAT Withholding (900000091 156485 20.44 ct 19,2016 Bank (000000001 156495 32.18 Total “aot 96 Description ‘Arount Totals Recurring Charges 7,343.38 Usage Charges 724.88 Total Charges 2,068.27 Service Summary ‘Description TArvount Totals Direct Line RC service total 1.34339 Usage service total 72486 Total Ditect Line Total Charges Service Details Service Direct Line 0495362464 ‘Summary of Charges _ _ Description a Amount Totals Service Charges RC service total PHP 1,343.39 Usage service total PHP 724 88 Total Service Char PHP 2,068.27 Date Description — Date Range Charge “Amount Nov 17,16 Oweet Line HTAB- r2NBNE Nov 17,16. Direct Line Extension TTAB. 1211616 Subtotal Total Recurring Charges Naiional Biect Dial Calls Call Details for 049-5362464 DateTime From No From Called No Caled Cal Min See Charge "Amount " oe oe _Type “ Oct 18,16 09.05:47am 0495962464 LEN 070288615 QZD_—EK 200 1019 Gct18, 16 03:18:399m 0495362464 CBN 070284493 GZD_EK 100 510 Oct 18,16 033052pm 0495262454 LN 070288615 GZD «EK 500 25.48 Page 3 of 5 nano 5 i @PLDT puprinc. ‘Account Number 21479160 ‘SOA Number 000000092978750 OFFICIAL RECEIPT PLOTIINC. PLDT LOS BANOS SALES AND SERVICE CENTER OR No P720R000325520 PLDT Bldg, Nat! H-way Anos Los Banos Laguna OR Date 10/19/2016 Contact # CUSTOMER SERVICE HOTLINE 171 VAT Reg TIN: 000-488-793-041 Business Style Telecommunications Receive from: BUDGET OFFICEO021478160 ‘Adress: 2/F ADMINISTRATION BLOG. UPLB KANLURAN ST. BGY BATONG MALAKE LOS BANOS, LAGUNA PHILIPPINES TIN 0000000000000 Business Style: Education Public Payment Date VATables VAT. == OCTable"* OCT. Tex Zero Total Reference Exempt Rated praceocar32689 10972016 1.50634 18100 000 000 00 ooo sag 34 rzaceoonn32689 1071972016 ne ae 000 ooo 000 om = some rracroce232689 — 10/197016 273 a5 00 00 00 000 26 Total PH) soss9 1307 000 00 000 0m = 1p0196 Suppie’s Name: Smart Communieabons he MIN 100178881 Supplier’ Adress SMART Tower, PIU. 1210 056 86766 041 "Ts OFFICIAL RECEIPT SHALL BE VALID 6799 Ayala Avenue Makat iy [IR Accreditation No. 126 001901673 000285 FOR FIVE (5) YEARS FROM THE DATE Suppers TIN-001 901 673.000 Date ued 1/3/2020 (OF THE PERMIT TO USE Vail Unt ly 32,2020 BIR PERMIT NUMBER 0815-126.00700.CAS DATE ISSUED: Seplombor 1, 2015, Ths Serves yur efi cipt in comlance withthe woking requrement under BR Regulations “Refers to charger abject 12% Value Add Toxo VAT eg. dorset als) Refers to charges subject fo 10% Overseas Communcation Tax or OCT instead of VAT (eg. 100) festa charges whch are nether sub t6 VAT nor OCT Page Sof 5 3 s

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