Republic of the Philippines Republic of the Philippines

Province of Agusan, del Sur Province of Agusan, del Sur

Municipality of Esperanza Municipality of Esperanza

Office of the ___________________________________ Office of the ____________________________________

Sector: Sector:
Status of appropriation and allotment Status of appropriation and allotment

Expenses Class _____________________________ Expenses Class ______________________________

Account code _____________________________ Account code _____________________________
Amount Appropriation for CY ______ P__________ Amount Appropriation for CY ______ P__________
Add: Add’t/ Approp.&./or Rev. __________ Add: Add’t/ Approp.&./or Rev. __________
TOTAL APPROPRIATION P __________ TOTAL APPROPRIATION P __________
TOTAL ALLOTMENT RELEASE __________ TOTAL ALLOTMENT RELEASE __________
FOR THE Quarter _________ FOR THE Quarter ____________
BAL. OF ALLOTMENT for the period BAL. OF ALLOTMENT for the period
Ended ___________ Ended ___________
TOTAL ALLOTMENT AVAILABLE __________ TOTAL ALLOTMENT AVAILABLE ___________
Less: THIS CLAIM VOUCHER/ RIV __________ Less: THIS CLAIM VOUCHER/ RIV ___________

BALANCED OF ALLOTMENT P _________ BALANCED OF ALLOTMENT P __________

Prepared and requested by: Prepared and requested by:

ALBERT R. ALGUNO ALBERT R. ALGUNO

Department Head Department Head

Certified correct: Certified correct:

FERLITA J. BAYLA FERLITA J. BAYLA
Budgeting Assistant Budgeting Assistant

Republic of the Philippines Republic of the Philippines

Province of Agusan, del Sur Province of Agusan, del Sur
Municipality of Esperanza Municipality of Esperanza

Office of the ___________________________________ Office of the ___________________________________

Sector: Sector:
Status of appropriation and allotment Status of appropriation and allotment

Expenses Class _____________________________ Expenses Class ______________________________

Account code _____________________________ Account code _____________________________
Amount Appropriation for CY ______ P__________ Amount Appropriation for CY ______ P__________
Add: Add’t/ Approp.&./or Rev. __________ Add: Add’t/ Approp.&./or Rev. __________
TOTAL APPROPRIATION P __________ TOTAL APPROPRIATION P __________
TOTAL ALLOTMENT RELEASE __________ TOTAL ALLOTMENT RELEASE __________
FOR THE Quarter __________ FOR THE Quarter ___________
BAL. OF ALLOTMENT for the period BAL. OF ALLOTMENT for the period
Ended ___________ Ended ___________
TOTAL ALLOTMENT AVAILABLE ___________ TOTAL ALLOTMENT AVAILABLE ___________
Less: THIS CLAIM VOUCHER/ RIV ___________ Less: THIS CLAIM VOUCHER/ RIV ___________

BALANCED OF ALLOTMENT P __________ BALANCED OF ALLOTMENT P __________

Prepared and requested by: Prepared and requested by:

ALBERT R. ALGUNO ALBERT R. ALGUNO

Department Head Department Head

Certified correct: Certified correct:

FERLITA J. BAYLA FERLITA J. BAYLA
Budgeting Assistant Budgeting Assistant