Republic of the Philippines

CITY GOVERNMENT OF MATI

Davao Oriental

OBLIGATION REQUEST NO.200-2019-09

Payee
Office City Health Office
Address City of Mati
Responsibility F.P. P Account Code Amount
Center

To Obligation of Cash Advance for

OTHER MOOE 5-02-99-990 P 18,000.00
201011 initial application payment for license
to operate a land ambulance and
ambulance service provider as per
supporting papers hereto attached in
the amount of …………..

TOTAL P 18,000.00

A CERTIFIED B CERTIFIED

Charge to appropriation/allotment necessary, lawful Existence of available appropriation

Under my direct supervision.
Supporting documents valid, proper and legal

Signature

Printed Name Printed Name

DR. BEN HUR G. CATBAGAN, JR. HIMAYA B. DIMPAS
Position City Health Officer Position: City Budget Officer
Head Requesting Office/Authorized Representative Head, Requesting Office/Authorized Representative
Date Date: