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REQUISITION AND ISSUE VOUCHER Number

Office/Agency Office of the Treasurer Date 03.27.17

Balance REQUISITION ISSUANCE


on Hand Stock Account
QTY Unit Article Purpose Qty. Unit Value Total Value
Number Charge

100 stubs AF#51 100 130.00 13,000.00


50 stubs AF#56 50 200.00 10,000.00
100 stubs BIR Form 0016 For MTO 100 60.25 6,025.00
20 stubs Cash Tickets @2. 00 Tampilisan,ZN 20 95.00 1,900.00
30 stubs Csh Tickets @ 5:00 30 95.00 2,850.00
Total 33,775.00

ADD: 10% Surcharge 3,377.50

Grand Total 37,152.50

CERTIFIED: Supplies rerquisitioned are necessary and will be used RECEIVED BY:
solely for purposes stated.

PRAXIDES C. ARCINO
OIC-Municipal Treasurer
Name, Designation & Signature of Req. Officer Name, Designation & Signature
APPROVED BY: DATE RECEIVED:

FILLED BY:
ANGELES R. CARLOTO II
Municipal Mayor Packed by:
Name, Designation & Signature of Approving Officer Shipped to:
DATE APPROVED: Bill of Laing No. DATE:
Property Officer/Clerk:
REQUISITION AND ISSUE VOUCHER Number
Office/Agency Office of the Treasurer Date 12.12.17

Balance REQUISITION ISSUANCE


on Hand Stock Account
QTY Unit Article Purpose Qty. Unit Value Total Value
Number Charge
Use in the
100 stubs AF#51 office of the 100 130.00 13,000.00
100 stubs AF# BIR Form 0016 100 71.50 7,150.00
10 stubs AF# 55 D @ 2:00 each 10 95.00 950.00
20 stubs AF# 55 E @ 5:00 each 20 95.00 1,900.00
23,000.00
Mun.Treas. 10% Surcharge 2,300.00
of Tampilisan, Total Amount 25,300.00
Zambo.del
Norte

CERTIFIED: Supplies rerquisitioned are necessary and will be used RECEIVED BY:
solely for purposes stated.

PRAXIDES C. ARCINO
OIC-Municipal Treasurer
Name, Designation & Signature of Req. Officer Name, Designation & Signature
APPROVED BY: DATE RECEIVED:

FILLED BY:
ANGELES R. CARLOTO II
Municipal Mayor Packed by:
Name, Designation & Signature of Approving Officer Shipped to:
DATE APPROVED: Bill of Laing No. DATE:
Property Officer/Clerk:
REQUISITION AND ISSUE SLIP
ZAMBOANGA DEL NORTE
LGU
DIVISION: Local Rev. Coll.Div. Responsibility Center RIS No. Date

Office: MTO-Tampilisan,ZN Code SAI No. 4/15/2014


REQUISITION ISSUANCE
Qty. Unit Description Stock No. Quantity Unit Cost Total Cost Remarks
15 Stubs Cash Tickets @ 10.00 15 95.00 1,425.00
10 Stubs Accountable Form No. 53 10 160.00 1,600.00
5 Stubs Cash Tickets @ 2.00 5 95.00 475.00
25 Stubs BIR Form # 0016 25 90.00 2,250.00
(Individual)
50 Stubs Accountable Form No. 51 50 130.00 6,500.00
Sub-Total - - - - - 12,250.00
Add: 20% Surcharge 1,225.00
13,475.00

Purpose for office use. For use in the office of the Municipal Treasurer of Tampilisan, ZN

Signature: Requested by: Approved by: Issued by Received


Printed Name: by:
Designation: OLIVIA G. EBORDE OLIVIA G. EBORDE ALBERTO M. MARTALLA OLIVIA G. EBORDE
Date: Muniucipal Treasurer Muniucipal Treasurer Admin. Asstistant II Muniucipal Treasurer

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