BARANGAY RIZAL

Municipality of San Fernando

Province of Camarines Sur

TRANSMITTAL LETTER (TL)

To: Municipal Accountant
San Fernando, Camarines Sur

Sir/Madam
We submit herewith original copies of disbursment voucher issued for the month of ________
duly acknowledge by the payees together with the supporting documents, and copies of the corresponding
checks and Punong Barangay's Certification(PBC).

DV CHECK PBC/S Issued

Date Num Date No. Payee Amount Date

Total Php.
Please acknowledge receipt hereof.

Very truly yours,

RHODORA V. NOPIA
Barangay Treasurer
Date: ______________

Noted by:

MA. MAGANDA E. LAÑADA

Punong Barangay

Copy Furnished:
COA SA/ATL
 FROM JULY TO DECEMBER 2016 FINANCIAL DISBURSEMENT AND COLLECTION REPORT

IRA OF 2016 ……………………………………………………… ₱1,677,381.00

ALLOCATED TO:GENERAL FUND
PS 833,068.10 -375,107.22 ₱ 457,960.88
₱457,960.88

Less :July to Dec. 374,496.50

Balance ……………… 83,464.38

MOOE ₱237,000 113,172.01

₱123,827.99 46,000.00 169,827.99
Travel 21,910.00 13,862.00
Seminar 39,950.00 33,000.00
Supplies and materials 17,401.88 17,206.33
Illumination & Power 41,354.11 25,349.69
Repair & maintenance 19,212.00 x
Annual Due x
Kalahi counterpart 5,000.00 x
GAD 5,000.00 x
Health Program 5,000.00 4,915.00
EBGPMS 1,000.00 1,000.00
Election reserved 16,000.00 x
Fidelity Bond 18,000.00 13,866.79
Balance ₱ 109,199.81
ADDITIONAL SUPPLEMENTAL BUDGET ………………………………… 381,851.11
CAPITAL OUTLAY 80,978.80 57,370.80 23,608.00
SENIOR CITIZEN 16,773.81 1,707.81 15,066.00
BDRRMF 5% 83,869.05 27,666.05 56,203.00
EDF 20% 376,339.82 88,397.82 287,942.00
SK 10% 372,762.05 209,002.92 176,199.61

TOTAL IRA FOR 2016: 2,059,232.11

OVER ALL DISBURSEMENT FOR THE MONTH OF JANUARY TO DECEMBER 2016 BUDGET
PS…………… 833,068.10 749,603.72 83,464.38
MOOE……… 283,000.00 222,371.82 60,628.18
CO……………… 80,978.80 23,608.00 57,370.80
EDF…………… 36 376,339.82 287,942.00 88,397.82
SC……………… 16,773.81 15,066.00 1,707.81
CF………………… 83,869.05 56,203.00 27,666.05
SK………………… 385,202.53 176,199.61 202,002.92
TOTAL AMOUNT EXPENSES 1,530,994.15
TOTAL BALANCE FOR 2016 BUDGET: 521,237.96

PREPARED BY:

NOTED BY: RHODORA V. NOPIA

Brgy.Treasurer
NORBERTO E. ROMERO III
Punong Barangay
COLLECTIONFOR THE MONTH OF JULY TO DECEMBER 2016
O.R. CTC
JULY 1,115.00 545.66

AUGUST 1,675.00 702.51

SEPTEMBER 800.00 628.61

OCTOBER 1,600.00 593.57

NOVEMBER 2,250.00 624.10

DECEMBER 1,605.00 1,145.43

TOTAL AMOUNT 9,045.00 4,239.88
 FROM JULY TO DECEMBER 2016 FINANCIAL DISBURSEMENT AND COLLECTION REPORT

IRA OF 2016 ……………………………………………………… ₱1,677,381.00

ALLOCATED TO:GENERAL FUND
PS 833,068.10 -375,107.22 ₱ 457,960.88
₱457,960.88

Less :July to Dec. 374,496.50

Balance ……………… 83,464.38

MOOE ₱237,000 113,172.01

₱123,827.99 46,000.00 169,827.99
Travel 21,910.00 13,862.00
Seminar 39,950.00 33,000.00
Supplies and materials 17,401.88 17,206.33
Illumination & Power 41,354.11 25,349.69
Repair & maintenance 19,212.00 x
Annual Due x
Kalahi counterpart 5,000.00 x
GAD 5,000.00 x
Health Program 5,000.00 4,915.00
EBGPMS 1,000.00 1,000.00
Election reserved 16,000.00 x
Fidelity Bond 18,000.00 13,866.79
Balance ₱ 109,199.81
ADDITIONAL SUPPLEMENTAL BUDGET ………………………………… ###
CAPITAL OUTLAY 49,155.80 25,547.80 23,608.00
SENIOR CITIZEN 16,773.81 1,707.81 15,066.00
BDRRMF 5% 83,869.05 27,666.05 56,203.00
EDF 20% 364,776.20 76,834.20 287,942.00
SK 10% 372,762.05 209,002.92 163,759.13

TOTAL IRA FOR 2016: ###

OVER ALL DISBURSEMENT FOR THE MONTH OF JANUARY TO DECEMBER 2016 BUDGET
PS…………… 833,068.10 749,603.72 83,464.38
MOOE……… 283,000.00 222,371.82 60,628.18
CO……………… 49,155.80 23,608.00 25,547.80
EDF…………… 364776.20 287,942.00 76,834.20
SC……………… 16,773.81 15,066.00 1,707.81
CF………………… 83,869.05 56,203.00 27,666.05
SK…………………385,202.53 176,199.61 202,002.92
TOTAL AMOUNT EXPENSES 1,530,994.15
TOTAL BALANCE FOR 2016 BUDGET: 484,851.34

PREPARED BY:

NOTED BY: RHODORA V. NOPIA

Brgy.Treasurer
NORBERTO E. ROMERO III
Punong Barangay
m
 BARANGAY RIZAL
Municipality of San Fernando
Province of Camarines Sur
TIN NO. 005-141-716

PUNONG BARANGAY CERTIFICATION (PBC)

(FOR BARANGAY CHECK DISBURSEMENT)

PBC NO.2017-RIZAL-00
Date: February ,2017

To: The Bank Manager

Development Bank of the Philippines
Naga Branch, Panganiban Drive
Naga City 4400

Sir/Madam:

This is to certify that the hereunder listed checks, with details of payee, amount and
date of check were issued by Barangay Rizal, San Fernando, Camarines Sur.

Account No. Check No. Date Payee Amount

Very truly yours,

NORBERTO E. ROMERO III

Punong Barangay

SUBSCRIBED AND SWORN to before me, this _______________ day of ______________20__, by

Punong Barangay Noberto E. Romero III who exhibited to me his Community Tax No.__________
issued at Barangay Rizal,San Fernando,Camarines Sur on January 4,2017.

Notary Public
Until
Doc No._________
Page No.________
Book No.________
Series of 20_____

Delivered by: Received by:

RHODORA V. NOPIA Bank Representative

Barangay Treasurer/ Representative
 DISBURSEMENT VOUCHER DVNO. 2015-06-047
Date:
Barangay: RIZAL City/Municipality: SAN FERNANDO
Tel No: Province: CAMARINES SUR
Payee/Officer: AMANCIO S. JUSTINIANA Employee No: Fund:
Address: Brgy. Rizal, Sn. Fdo., C.S TIN NO: 005-141-716
Particulars Amount

Payment for the reimbursement of TEV of Barangay Kagawad Amancio S. Justiniana

of Barangay Rizal, San Fernando, Camarines Sur for his Travel in attending
Training on CBDRR & Planning WS in Agriculture and Fishing at CBSUA, San Jose Pili,
Camarines Sur last Feb. 11-12, 2015 and Barangay Transaction last May 5, 2015,
the amount of …………………………………………………………………………………………………………… ₱ 532.00

₱ 532.00

Certified: Certified: Certified:

Extence of available appropriations for the Fundfs (Cash) Available As to validity propiety and legality of claim

charge/expenses indicated above. Approved:

For payment

Signature: Signature: Signature:

Printed Name: NORBERTO E. ROMERO III Printed Name: RHODORA V. NOPIA Printed Name: MA. MAGANDA E. LAÑADA
Position: Chairman Position: Barangay Treasurer Position: Punong Barangay
Committee on Appropriations
Date: Date: Date:
Received Payment:
AMANCIO S. JUSTINIANA Check No: 0047379897 Date:
Signature Over Printed Name Bank Name: Development Bank of the Philippines (DBP)
Date: OR No: Date:
 DISBURSEMENT VOUCHER DVNO.
Date:
Barangay: RIZAL City/Municipality: SAN FERNANDO
Tel No: Province: CAMARINES SUR
Payee/Officer: CASURECO 1 Employee No: Fund:
Address: TIN NO:
Total Bill Vat 5% Tatal Amount
Barangay Hall 2,159.22 25.37 2,133.85
Barangay Tanod Outpost 861.36 11.71 849.65
Barangay Day Care Center 994.34 13.1 981.24
PhP. 4,014.92 50.18 3,964.74

Certified: Certified: Certified:

Extence of available appropriations for the Fundfs (Cash) Available As to validity propiety and legality of claim

charge/expenses indicated above. Approved:

For payment

Signature: Signature: Signature:

Printed Name: Printed Name: Printed Name:
Position: Position: Position:
Committee on Appropriations
Date: Date: Date:
Received Payment:
Check No: Date:
Signature Over Printed Name Bank Name:
Date: OR No: Date:
 Payroll
Honoraria of Barangay Official for the Month December 2013
(Period Covered)
Barangay: RIZAL Municipality: San Fernando Payroll No. ___________
Province: Camarines Sur
Compensation Deduction
No. Name Position Salaries & Honoraria/ Total BIR Others Total Net Signatur of
Wages Bunos Withholding Amount Due Recipient
Regular Tax
1. Hon. Ma. Maganda E. Lañada Punong Barangay for one month 4,750.00 4,750.00
2. Hon. Norberto E. Romero III Brgy. Kagawad for one month 2,850.00 2,850.00
3. Hon. Amancio S. Justiniana Brgy. Kagawad for one month 2,850.00 2,850.00
4. Hon. Cesar F. Hufancia Brgy. Kagawad for one month 2,850.00 2,850.00
5. Hon. Felix G. Miranda Brgy. Kagawad for one month 2,850.00 2,850.00
6. Hon. Elvisa B. Marco Brgy. Kagawad for one month 2,850.00 2,850.00
7. Hon. Alvin A. Oropesa Brgy. Kagawad for one month 2,850.00 2,850.00
8. Hon. Rolando A. Coros Brgy. Kagawad for one month 2,850.00 2,850.00
9. Mrs. Maria Teresa P. Peñaredondo Brgy. Secretary for one month 2,850.00 2,850.00
10. Mrs. Rhodora V. Nopia Brgy. Treasurer for one month 2,850.00 2,850.00
30,400.00 30,400.00
A B C. D
Certified: Certified: Certified: Paid by:
Existence of available appropriations Funds (Cash) available As to validity, propriety and
for the charges/expenses indicated above legality of claim.
Approved:

NORBERTO E. ROMERO III RHODORA V. NOPIA MA. MAGANDA E. LAÑADA RHODORA V. NOPIA
Chairman Committee on Appropriation Barangay Treasurer Punong Barangay Barangay Treasurer
Date:___________________ Date:____________ Date:_____________ Date:____________
 Payroll
Honoraria of Barangay Official for the Month December 2013
(Period Covered)
Barangay: RIZAL Municipality: San Fernando Payroll No. ___________
Province: Camarines Sur
Compensation Deduction
No. Name Position Salaries & Honoraria/ Total BIR Others Total Net Signatur of
Wages Bunos Withholding Amount Due Recipient
Regular Tax
1. Mrs. Evelyn C. Coros DCW for one month 740.00 740.00
2. Mrs. Hilda A. Marco BNS for one month 590.00 590.00
3. Mrs. Welma M. Borbe BHW for one month 590.00 590.00
4. Mrs. Sonia A. Dela Vega BHW for one month 590.00 590.00
5. Mrs. Nilda P. Floriano BHW for one month 590.00 590.00
6. Mrs. Ana Nanie P. Laurenciano BHW for one month 590.00 590.00
7. Mrs. Thelma J. Paradela BHW for one month 590.00 590.00
8. Mr. Eliseo B. Balmonte Jr. Chief Tanod for one month 690.00 690.00
9. Mr. John M. Lagasca Asst. Chief Tanod for one month 690.00 690.00
10. Mr. Alejandro L. Alberto Tanod for one month 590.00 590.00
6,250.00 6,250.00
A B C. D
Certified: Certified: Certified: Paid by:
Existence of available appropriations Funds (Cash) available As to validity, propriety and
for the charges/expenses indicated above legality of claim.
Approved:

NORBERTO E. ROMERO III RHODORA V. NOPIA MA. MAGANDA E. LAÑADA RHODORA V. NOPIA
Chairman Committee on Appropriation Barangay Treasurer Punong Barangay Barangay Treasurer
Date:___________________ Date:____________ Date:_____________ Date:____________
 Payroll
Honoraria of Barangay Official for the Month December 2013
(Period Covered)
Barangay: RIZAL Municipality: San Fernando Payroll No. ___________
Province: Camarines Sur
Compensation Deduction
No. Name Position Salaries & Honoraria/ Total BIR Others Total Net Signatur of
Wages Bonus Withholding Amount Due Recipient
Regular Tax
11. Mr. Wilfredo I. Agnote Tanod for one month 590.00 590.00
12. Mr. Edwin Castillano Tanod for one month 590.00 590.00
13. Mr. Danilo Cao Tanod for one month 590.00 590.00
14. Mr. Gregorio Cordial Tanod for one month 590.00 590.00
15. Mr. Randy Cordial Tanod for one month 590.00 590.00
16. Mrs. Elna Gadoc Tanod for one month 590.00 590.00
17. Mr. Ronald Marco Tanod for one month 590.00 590.00
18. Mr. Rolly Lacroa Tanod for one month 590.00 590.00
19. Mr.Salvador Vargas Tanod for one month 590.00 590.00

5,310.00 5,310.00
A B C. D
Certified: Certified: Certified: Paid by:
Existence of available appropriations Funds (Cash) available As to validity, propriety and
for the charges/expenses indicated above legality of claim.
Approved:

NORBERTO E. ROMERO III RHODORA V. NOPIA MA. MAGANDA E. LAÑADA RHODORA V. NOPIA
Chairman Committee on Appropriation Barangay Treasurer Punong Barangay Barangay Treasurer
Date:___________________ Date:____________ Date:_____________ Date:____________
 INSPECTION AND ACCEPTANCE REPORT
Barangay: RIZAL City/Municipality: San Fernando
Tel. No. Province: Camarines Sur
Supplier: BIDA Commercial Invoice No. IAR No. RIS No.
Naga City Date: Date Date:
PO No.
Unit Description Quantity
1 Ball Pen (BHW 2000) 1 box
2 Uni-ball eye 0.7 12 pcs.
3 Yellow Pad Paper 2 pad
4 White Board Marker (Black) 3 pcs.
5 Pencil 1 box
6 Batteries AA 2 doz
7 Correction fluid (magic touch) 3 pcs.
8 Toilet bowl cleanser 500 ml 1 bot.
9 Dishwashing Liquid big 500ml 2 bats
10 Muriatic Acid 1 bot.
11 Cotton big 400 grms. 2 pcs.
12 Cotton buds (big) 2 pcs.
13 Beta dine 120ml. 1 pc.
14 Blanc tape 90 minutes 24 pcs.
15 Cash book 1 pc.
16 Rain coat (poncho) 6 pcs.
17 Metallic binder clips 3" 2 doz
18 Cork Board w/pin 1 pc.
19 Handcuf 2 pcs.
20 Refill ink-computer HP-100ml 15 bottles
color magenta, cyan and yellow
21 Gauze Bandage pad 4"x4" 50 pcs.
22 Leucoplast 2" 4 rolls

INSPECTION ACCEPTANCE

Date Inspected: Date Received:

Inspected, verified as to quantity and Complete

specifications

Partial (pls. specify quantity received)

RHODORA V. NOPIA
Authorized Inspector Barangay Treasurer
 ANNUAL PROCUREMENT PLAN for C/y 2017
Name of Local Government Unit: Barangay Rizal, San Fernando, Camarines Sur

Plan Contol No. Planned Amount Page____1_____ of ____1____ pages

Deartment/Office: Regular Contingency Total Data Submitted:

Item Total Cost 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
No. Description Unit Cost Quantity
Purchase of medicines&material QTY./ Amount QTY./ Amount QTY./ Amount QTY./ Amount
Amoxicillin 500mg cap. 1box
Amoxicillin 250ml syrup 10bottles
Paracetamol 500mg tablet 10boxes
Lagundi 500mg cap. 1box
Multi vitamins 1box
Losartan 50mg tablet 5boxes
BP Apparatus 1pair

This is to certify that the above procurement plan is accordance with the objectives of this office.

NORBERTO E. ROMERO III

Punong Barangay
This is to certify that the above procurement plan is accordance with the objectives of this office.

MA. MAGANDA E. LAÑADA

Punong Barangay

Note: APP for 2014 General Fund

EO10/19/2014
LGU Form No. 01