FOOD FOR HUNGRY__Beira__________

CHECK PAYMENT AUTHORIZATION

Date : 10/12/15
Payable to :Palmira Ferreira Gimo

Requested By Arcanjo Bernardo Mexeque Abrão Signature_______________ Check No: __________________________

Mode of Payme _MZN___ Cash Check X Transfer

Payment AMOUNT Account LD1 LD2 LD3 LD4 LD5 LD6/ LD9
Reembolso de Description
petty cash Outubro-2015 MZN Code Location Service Donor Agr. Fund FA Code Code
CAI 8,718.44 1104 CAI

Amount in Oito mil setessentos e dezaioto meticais, quarenta e quatro centavos

Total 8,718.44 words:

Note: The person requesting the payment must fill account and dimension codes and gets it attested by the budget manager before presenting
The FM has responsibility to ensure that all payment are done in accordance with prescribed policies, rules and regulation. Thus, he/she
or the finance staff delegated to represent the FM must verify or validate all Ck. Payments before they are effected.
This part must be filled for purchases of goods and services that fall within the threshold of three or more quotation requirement
1. At least three bids are attached for the above purchase but the lowest bid has not been chosen because:

Date: _______________________ Name:___________________________________________Signature_____________________________

2. Required level of bids (three) are no

Date: _______________________ Name:___________________________________________Signature_____________________________

Finance Manager: I agree/disagree with the above
comments or recommendations:

Date: _______________________ Name:___________________________________________Signature_____________________________

Supervisor, when appropriate (name and sign.): Verified By (finance)name & Sign:
Approved By (name & sig):
Aweke Solomon
Budget Manager (name and signature): Approval Remarks:

___________
Received by (name & signature) Date
 FOOD FOR HUNGRY____________
CHECK PAYMENT AUTHORIZATION

Date : 01/09/15
Payable to : Rubens Cartaxo

Requested By : Orlando Zuro Signature_______________ Check No: ______________________________

Mode of Payme _USD___ Cash Check Transfer

Payment AMOUNT Account LD1 LD2 LD3 LD4 LD5 LD6/ LD9
Description MZN Code Location Service Donor Agr. Fund FA Code Code
Bilhete de voo para Rubens Cartaxo
(de Natal - Sao Paulo-Fortaleza-Natal) $391.98 6160 BEI 3100 DFHUSA 0 200 0 0
(Sao Paulo-JHB-BEW-JHB-Sao Paulo) $1,284.57 6160 BEI 3100 DFHUSA 0 200 0 0

Bilhete de voo p/ Daniella Gaioso Cartaxo

(de Natal - Sao Paulo-Fortaleza-Natal) $391.98 6160 BEI 3100 DFHUSA 0 200 0 0
(Sao Paulo-JHB-BEW-JHB-Sao Paulo) $1,284.57 6160 BEI 3100 DFHUSA 0 200 0 0

Visto p/ Daniela Gaioso Cartaxo $145.24 6160 BEI 3100 DFHUSA 0 200 0 0
Visto p/ Rubens Cartaxo $145.24 6160 BEI 3100 DFHUSA 0 200 0 0

Honorarios do treinador - Rubens Cartaxo $1,000.00 6160 BEI 3100 DFHUSA 0 200 0 0

Amount Quatro mil seiscentos e quarenta e tres dollares e cinquenta e oito centimos
Total 4,643.58 in words:

Note: The person requesting the payment must fill account and dimension codes and gets it attested by the budget manager before presenting it to finance office.
The FM has responsibility to ensure that all payment are done in accordance with prescribed policies, rules and regulation. Thus, he/she or the
finance staff delegated to represent the FM must verify or validate all Ck. Payments before they are effected.
This part must be filled for purchases of goods and services that fall within the threshold of three or more quotation requirement
1. At least three bids are attached for the above purchase but the lowest bid has not been chosen because:

Date: _______________________ Name:____________________________________________ Signature_____________________________

2. Required level of bids (three) are n

Date: _______________________ Name:____________________________________________ Signature_____________________________

Finance Manager: I agree/disagree with the above
comments or recommendations:

Date: _______________________ Name:____________________________________________ Signature_____________________________

Supervisor, when appropriate (name and sign.): Verified By (finance)name & Sign:Orlando Zuro
Approved By (name & sig):
Aweke Solomon
Budget Manager (name and signature): Approval Remarks:

___________
Received by (name & signature) Date
presenting it to finance office.
 City Address'
P. O. Box.
Cash Receipt Voucher Cell/Phone:
No:
Date: ETB reperesents local currency code

Received from ___________________________________ Amount in Figures (ETB/USD): _________________

Amount in Words (ETB/USD): _________________________________________________________________________

Reason for Payment: ________________________________________________________________________________

Account LD6/FA
Cash/Check /Transfer #__________ Code LD1 LD2 LD3 LD4 LD5 code LD9

Received by:__________________
(Siginature)

Name
 FOOD FOR THE HUNGRY ____________
Program or Travel Advance Request Authorization Form

Reference No :_________________________________
Requested by (Name): Employee Code Estimated Last date of Travel/Activity:
Estimated Last date of advance settlement:
Purpose of the request: Total amount: Amount in words:

Transaction Currency
Description of Estimated Expenses (give details of Location Service Donor Agreement Fund
Quantity Unit Cost No. of Days TOTAL Account Code Code
expenses in each line to justify particular expenses ) code Code Code Code
1. Travel, Per-diem (including lodging)

2. Training

3. Program supplies (list each item)

4. Others

Total Amount
Following conditions are strictly applicable including compliance with program advance policy.

1 Any excess cash remaining after the travel or activity is return to finance in a currency received immediately after the end of travel/activity. Failure to liquidate advance on time
including remaining cash may draw disciplinary action including withholding salary until documents and remaining cash is submitted within the time specified.
2 The manager or supervisor approving the advance must follow with the payee to ensure timely settlement of the advance.
3 Transactions undertaken through program advance must be done in accordance other relevant policies and regulations (such as purchase policy and donor regulation)
4 Finance office may suspend giving advances to an individual or to all in a department where he/she works if there exists overdue - outstanding program advances.
Logistics Support Needed: Budget Manager:
Name:
Other Remarks: Date:
Signature:
Payee Name Supervisor or Department Head:* Additional Approval:
Employee Code: Name: Name
Date: Date: Position

Signature: Signature: Signature

*Note: If the Department Head and Budget Holder are the same person, only the Budget Holder box needs to be signed.
 FOOD FOR THE HUNGRY ____________
Program/Travel Advance Liquidation Form
Date: _____/_____/___________
Name: Employee Code __________________ Advance taken on:
Advance reference no:
Initial Amount Advanced: Over /(Under) payment:
Total Expenditure Paid (as below): Cash returned to the Cashier:
Transaction Currency
Description of expenses (give details in each line to Unit
Qty/ No. of Location Service Donor Agreement
justify particular expenses)
Days
Cost/daily TOTAL Acct
code Code Code Code
Fund Code LD6 Other
rate
1. Travel and Per-diem

1.1 Accomodation (if not included in the above)

2. Training

3. Purchase (list of each item must be given)

4. Others

Total Amount Number of attached receipts

Other Remarks : Budget Approval:
Name:
Date:
Signature:

Checked/Verified by (Finance): Approval by:

Liquidated by (Name): Name: Name
Signature: Signature: Signature
 Program/Travel Advance Liquidation Documents Receipt
No. _____________
Name: ____________________________________________ Advance Reference & Date: _________________________

Amount
Total Advance Taken

Total expense paid - No. of receipts submitted: ____________

Remaining Cash Deposited - Cash Receipt Ref:_______________
Total Liquidation

Balance

Note: This receipt is given as a proof for receiving PA receipts/documents but this does not constitute as acceptance of their validity. The
finance office may later request further explanation or reject any or all of the receipts submitted if it finds it incorrect, unreasonable,
compromised, unallowable, etc.

Other Remarks:

Staff Liquidating Advance (Name & Sig.) Date:_____________________

Finance: (Name and Signature) Date:_____________________

 FOOD FOR THE HUNGRY ____________

Petty Cash Payment Voucher

No. ______________

Date: 11/04/2016

Payee (Name): Ana Priscila Lopes Cassamo

Currency Code: MZN Amount in figure: 1,000.00

Amount in Words: Mil meticais

Purpose of Payment: Reembolso Taxi durante o Balanço Mensal Maquinino-Pontagea-Pontagea-Maquinino

_______________________________________________________________

Amount /Mts Account Location Service Donor Agreement Fund LD6 LD9 LD10
1,000.00 5240 BEI 6603 DWVISION 0201 380 MOZ0608 5.5.5.15FH

Approved By:________________________________________ Date: ____________________

Name and Signature

Finance office verification:______________________________________ Date: ____________________

Name and Signature

Payee Signature:_______________________________________ Date: ____________________

Name and Signature

ID No. _______________________ Contact phone; _____________________

Note: Any petty cash advance payment must be cleared within maximum of three days.
 Food for The Hungry__________
Monthly time sheet
Employee Name _________________________________ Department_________________ Employee No/code.
- Supervisor's Name: _______________________ Month/Year _______________
Amount
Last month This month Salary Benefits

24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Total % Location Service Donor Agree. Fund Other FA Code to Allocate to Allocate
3 150
1
2 Solomon: This par
be filled by financ
during salary and
benefit allocation
process .
2

TOTAL

Instruction: Fill the following Codes where necessary Reference Key - Needs to be updated.
1. Record the hours spent on each day worked. Round off to the nearest figure AL - Annual Leave 1 Admin. 6 CFGB-private
2.At the end of the month, total the hours worked in each row. SL - Sick Leave 2 Sponsorship 7 FHUS-100
3 .Divide the total hours worked each month in each row by the total hours worked that month R&R - Rest and Recuperation 3 USAID - 202e 8
4. Record the result as a percentage in the "%" column. PH - Public Holiday 4 USAID-Monet 9
5. Present to your supervisor for review and approval. ML/PL Maternity/Paternity Leave 5 USAID - Others 10

Employee Signature & Date _____________________________ Supervisor's Name/Signature & date ______________________________________________
 Processing Information Food for the Hungry_____________
Vehicle Registration No: _________________ FH Vehicle Code: _____________
Journal Type ________________Prepared by _____________________ Vehicle Log sheet
Accounting Period ________________ Page ____ of ______
Mileage Rate code _______________ Mileage Rate Amount: ______________
Logistics Approval (Name): __________________________ Sig: ____________ Please fill busine and personal benefit mileage separately.
Journal (Batch) No. ___________ Posted by: ________________
Trip Trip Odometer Net KM Account LD1 LD2 LD3 LD4 LD5 LD6 FA LD 9 Driver Approval
Date No. Detail Description/Purpose of the trip Reading Travelled Code Location Services Donor Agrmnt Fund Employee Code Code Signature Signature
Odometer Reading Forward From Last Page

Monthly Summary of Mileage used

KM Bgt Manager KM LD2 LD3 Bgt Manager
LD1 LD2 service LD3 Donor LD4 Agr. LD5 Fund LD6 Others LD1 LD4 Agr. LD5 Fund LD6 Others
Travelled Approval (Sig) Travelled service Donor (Signature)

Note: Logistics must summarize the monthly vehicle usage (by dimension codes) of each vehicle and get it approved by respective budget managers before submitting the log sheet to finance office.
 FH Association ___________
Purchase Requisition NO. ________________
Let’s end poverty together Date Requested: 05/10/15
Delivery Location/place (final destination): Nhamatanda CCU Ledger Dimension Codes
Unit of Latest Date Budgeted Account Location Service Donor Agreeme
Fund LD9
Item # Detail Description Measure Quantity of Delivery Amount Code Code Code Code nt

1 Lanches 200.00 50 10,000.00 5751 Nhamatanda 6605 Dwvisin 0201 380 2.1.3.1.FH

TOTAL 50 10,000.00
Name and Signature for Confirmation of Budget and its Availability:
Justifications or additional Information :

Requested By: Checked by: Approved by:

Name: Name Name
Signature: Joao Isidoro Jaime Signature: Signature:
Date: 05/10/15 Date: Date:
 Food for the Hungry_________________
City Address'
Purchase Order P. O. Box.

No __________________ Cell/Phone:

Supplier Information and Terms/Conditions of Purchase:

Supplier Name: Supplier's Proforma Reference & Date:
Supplier Address: Required Delivery Date:
Supplier's Tel/Fax/email: Delivery Location/Place:
Supplier's Contact Person Name & Cell No: Payment Terms:

Internal References:
Purchase Requisition Date and No: _____________________
Tender Committee Decision Date & Reference: ____________________

Unit of
Quantity Unit Price
No. Detail Description Measure Total Price Remark

Total
Summary Acct. (optional) Amount A/c LD1 LD2 LD3 LD4 LD5 LD6 Others

Supplies Confirmation: _____________

Name Signature (seal) Date
Special Instructions:

Requested By (Logistics) Name: Sign: Date:

Verified By (Finance). Name: Sign: Date:
Approved by (Mgr. Requesting Dept) Name: Sign: Date:
CD Approval (when needed) Sign: Date:
 Food for the Hungry______________
Assets Repair Authorization/Confirmation Form
Reference No. :
Date:

Description of the Asset Asset Code:

Loaction of the Assets __________________ Type of the Asset
Name of the person responsible/Driver:
Name of person requesting the repair if different from above:
The Last Odometer Reading (for Vehicle or motorcycle)

Describe the problem encountered and its possible Causes (by person responsible for the use of the asset):

Give detail List of the repair work requested below: Estimated cost of repair being requested:

Date of last repair and summary description of what was repaired then (by logistics or functional manager):

The cost and Odometer reading when last repair was done (for vehicle):
Date and Odometer reading when last service was done (for vehicle):
Name (user or person responsible for the asset/Driver):___________________________________ Sign: ____________________
Name (Logistics /Functional Manager Approval for repair):____________________________ Sign/Date: ________________________

Confirmation/ Comments of the repair work done (this part is to confirm that the work has been done as prescribed above):
User/driver Comment:

Logistics /IT or Functional Manager Comments:

Actual cost incurred and charges:

Material/labor Amount Account LD1 LD2 LD3 LD4 LD5 LD6/FA LD9

Total
Acceptance or Approval of the repair work done:
Name (User) Sign: Date: ____________
Name (Logistics/Functional Mgr). Sign: Date: ____________
Name (Approval): Sign: Date: ____________
 Food for the Hungry_______

Goods Receiving Note

No.__________
Delivery Date: ________________
Document Reference: Supplier Information:
Purchase Order No. & Date: Name of Supplier
FH Waybill No. & Date: Address:
Supplier's Delivery Note No: Contact Person Name & Cell No.
Other Documents: Goods delivered by (Name) ID No.

Location:
Department/program expecting the goods:

Unit of
Item # Qty Total price Remarks
Description of the Items Measure Unit Price

Name (Counted/Received): Sign: _________________ Date: ___________

Name (Delivered by) Sign: _________________ Date: ___________
 Food for the Hungry_______

Transit Goods Receiving Note

No.__________
Delivery Date: ________________
Document Reference: Supplier Information:
Purchase Order No. & Date: Name of Supplier
Supplier's Delivery Note No: Address:
Final Destination of the items: Contact Person Name & Cell No.
Other Documents: Goods delivered by (Name) ID No.

Delivery Location:
Department/program expecting the goods:

Unit of
Item #
Description of the Items Qty
Measure Unit Price Total price Remarks

Name (Counted/Received): Sign: _________________ Date: ___________

Name (Delivered by) Sign: _________________ Date: ___________
 Food for the Hungry_______

Goods Requisition Voucher

No.__________
Date:___________
Requesting Department/Program
Location where the items are needed:
Goods to be given/issued to (Full name):

Unit of
Item #
Description of the Items Qty
Measure Remarks

Purposes the goods are requested for:

Name (Requested by): Sign: ____________ Date: ___________

Name (Approved by): Sign: ____________ Date: ___________
 Food for the Hungry_______

Goods Issue Voucher

No.__________
Date of Issue:
Document Reference: Issue Information:
Stores Requisition No: Issued to:
Stores Requisition Date: Program/Department
Location: Vehicle/Carrier:

Unit of
Item #
Description of the Items Qty
Measure Remarks

Name (Counted/Received): Sign: ____________ Date: ___________

Name (Issued by stores): Sign: ____________ Date: ___________
 Food for the Hungry_________________
City Address'
P. O. Box.
WAYBILL Cell/Phone:

No.______________

From: (Origin location)(name, address, location) To: (destination) (name, address, location)

Means of Transport (air/Truck/Boat): _______________________Truck Regisration / Flight/ Vessel No._________________________

Transporter Co./Address/Cellphone:____________________________ Departure Date:______________

Requested by: _____________________________________ Requisition Ref:__________ Benefiting Project:______________

Expected Arrival Date: ______________________________ Actual Arrival Date: ______________________________
Units of No of
No Item Description Measure Quantity Package Weight Value Remarks

Additional Remarks: _______________________________________________________________________________________________

The transporter confirms that he/she has received all the above listed items in good condition and order and is responsible for safe and
timely delivery of the goods at the above cited distination in good order and conditions.
Value of the goods being transported: Cost of tranportation:
Requested by: Goods issued by (Sender):
Name & Position______________________________________ Name & Position___________________________________
Signature_____________________ Signature_____________________
Date: _____________________ Date: _____________________
Transporter Received by:
Name & ID Card: ______________________________________Name & Position:__________________________________
Vehicle No. __________________ Date:__________________ Signature_____________________
Contact Cellphone:_______________ Signature_____________ Date:____________________ GRN Ref:_________________