REPUBLIKA NG PILIPINAS REPUBLIKA NG PILIPINAS

KAGAWARAN NG PANANALAPI KAGAWARAN NG PANANALAPI

KAWANIHAN NG INGATANG-YAMAN Put QR Code KAWANIHAN NG INGATANG-YAMAN Put QR Code
(BUREAU OF THE TREASURY) here (BUREAU OF THE TREASURY) here
ALBAY PROVINCIAL OPERATIONS OFFICE ALBAY PROVINCIAL OPERATIONS OFFICE
Legazpi City Legazpi City

The Branch Manager ATAP NO. AL-20-08-0210-OL The Branch Manager ATAP NO. AL-20-08-0210-OL
Development Bank of the Philippines - Legazpi Branch Development Bank of the Philippines - Legazpi Branch

AUTHORITY TO ACCEPT PAYMENT AUTHORITY TO ACCEPT PAYMENT

FOR DEPOSIT TO SAVINGS ACCOUNT OF THE TREASURER OF THE PHILIPPINES FOR DEPOSIT TO SAVINGS ACCOUNT OF THE TREASURER OF THE PHILIPPINES
PAYING AGENCY DEPED, DIVISION OF ALBAY AREA CODE PAYING AGENCY DEPED, DIVISION OF ALBAY AREA CODE
PAYING AGENCY CODE DATE PREPARED 14-Aug-20 PAYING AGENCY CODE DATE PREPARED 14-Aug-20
ADDRESS MATARA HS, LIBON, ALBAY BILL NO. (YR-MONTH-NUMBER) ADDRESS MATARA HS, LIBON, ALBAY BILL NO. (YR-MONTH-NUMBER)
AL-20-08-0210-OL AL-20-08-0210-OL
COMPUTATION OF FIDELITY BOND PREMIUM DUE COMPUTATION OF FIDELITY BOND PREMIUM DUE
TRANSACTION
AMOUNT OF BOND TRANSACTION
AMOUNT OF BOND
AMOUNT AMOUNT
FUND CODE CODE (At 1.5% per annum/P150.00) FUND CODE CODE (At 1.5% per annum/P150.00)
152 663 P 100,000.00 P 1,500.00 152 663 P 100,000.00 P 1,500.00

TOTAL AMOUNT PAYABLE P 1,500.00 TOTAL AMOUNT PAYABLE P 1,500.00

PREPARED BY: APPROVED BY: PREPARED BY: APPROVED BY:

HONEYLET R. BUENA VIVIAN S. CARPIO HONEYLET R. BUENA VIVIAN S. CARPIO

Treasury Operations Officer III OIC-Prov. Head / CTOO I Treasury Operations Officer III OIC-Prov. Head / CTOO I
Signature Over Printed Name & Position Signature Over Printed Name & Position Signature Over Printed Name & Position Signature Over Printed Name & Position

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FOR BANK'S USE ONLY FOR BANK'S USE ONLY
DETAILS OF PAYMENT DETAILS OF PAYMENT
PARTICULAR DRAWEE BANK/ NUMBER PARTICULAR DRAWEE BANK/ NUMBER
CASH 1,500.00 CASH 1,500.00
CHECK CHECK -
TOTAL PAYMENT RECEIVED 1,500.00 TOTAL PAYMENT RECEIVED 1,500.00

BANK MACHINE VALIDATION OF AMOUNT AND DATE BANK MACHINE VALIDATION OF AMOUNT AND DATE