Appendix 29

CASH RECEIPTS RECORD

Entity Name : _______________________________ Sheet No. : _________________

Fund Cluster : ______________________________ Year : _____________________

_______________________ _____________________________ ______________

Accountable Officer Official Designation Station
UACS Code
Reference
Nature Undeposited
Date No./OR Payor Collection Deposit
MFO/PAP Object Code of Collection Collection
No./DS

CERTIFICATION

I hereby certify on my official oath that the foregoing is a correct and complete record
of all collections and deposits had by me in my capacity as _____(Designation)___________ of
________(Name of Agency)___________ during the period from _________________ to
_______________, inclusives, as indicated in the corresponding columns.

Name and Signature

Date

86
 Appendix 29

CASH RECEIPTS RECORD

MDS- TRUST
MARCH, 2017
Entity Name : _______________________________ Sheet No. : _________________
Fund Cluster : ______________________________ Year : _____________________

NELYN S. ALCOBER _____________________________ ______________

Accountable Officer Official Designation Station
UACS Code
Reference
Nature
Date No./OR Payor Collection Deposit Undeposited Collection
MFO/PAP Object Code of Collection
No./DS

balance forwarde 0.02

3/2/2017 3560651 Merdiza L. Palulay Return Salary month of Feb. 2017 15,407.50 15,407.52
15,407.50
0.02
3/10/2017 3560652 Life Works Print Hub Performance bond 33,698.75 33,698.77
33,698.75
0.02

3/16/2017 3560653 Ma. Gina S. De Asis

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 600.02
March 16-18, 2017

3560654 Amie E. Cortes

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 1,200.02
March 16-18, 2017

3560655 Josephine Q. Laurenciana

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 1,800.02
March 16-18, 2017

3560656 Olivia B. Calamba

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 2,400.02
March 16-18, 2017

3560657 Juliet C. Tiujongco

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 3,000.02
March 16-18, 2017

3560658 Ophelia M. Macula

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 3,600.02
March 16-18, 2017

3560659 Arlyn D. Machidhid

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 4,200.02
March 16-18, 2017

3560660 Owen T. Crabajales

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 4,800.02
March 16-18, 2017

3560661 Pauline B. Lapaz

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 5,400.02
March 16-18, 2017

3560662 Normalia S. Linsa

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 6,000.02
March 16-18, 2017

3560663 Randy G. Poliran

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 6,600.02
March 16-18, 2017

3560664 Joselito Manongas

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 7,200.02
March 16-18, 2017

3560665 Elenita P. Villa

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 7,800.02
March 16-18, 2017

3560666 Reynaldo A. Clavacio

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 8,400.02
March 16-18, 2017

86
3560667 Britzie B. Fuentes
Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 9,000.02
March 16-18, 2017

3560668 Concordio G. Cubelo Jr.

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 9,600.02
March 16-18, 2017

3560669 Benita G. Galeon

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 10,200.02
March 16-18, 2017

3560670 Marlita L. Gingo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 10,800.02
March 16-18, 2017

3560671 Eveth D. Tadulan

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 11,400.02
March 16-18, 2017

3560672 Nenita P. Lacsamana

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 12,000.02
March 16-18, 2017

3560673 Raquel Q. Naldoza

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 12,600.02
March 16-18, 2017

3560674 Josephine M. Zartiga

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 13,200.02
March 16-18, 2017

3560675 Eliza B. Escabal

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 13,800.02
March 16-18, 2017

3560676 Rea M. Villalas

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 14,400.02
March 16-18, 2017

3560677 Evangeline E. Tan

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 15,000.02
March 16-18, 2017

3560678 Maria Easel L. Omac

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 15,600.02
March 16-18, 2017

3560679 Janeth P. Uson

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 16,200.02
March 16-18, 2017

3560680 Grace Joy P. Anino

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 16,800.02
March 16-18, 2017

3560681 Joila A. Batuhan

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 17,400.02
March 16-18, 2017

3560682 Josephine G. Bolotaolo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 18,000.02
March 16-18, 2017

3560683 Virginia M. Jamer

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 18,600.02
March 16-18, 2017

3560684 Cristie M. Curias

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 19,200.02
March 16-18, 2017

3560685 Raquel B. Dela Cruz

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 19,800.02
March 16-18, 2017

3560686 Marile G. Rico

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 20,400.02
March 16-18, 2017

3560687 Hanedina P. Lamor

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 21,000.02
March 16-18, 2017

3560688 June Claire M. Retardo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 21,600.02
March 16-18, 2017

3560689 Marissa B. Cabusao

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 22,200.02
March 16-18, 2017

3560690 Rosita E. Tigao

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 22,800.02
March 16-18, 2017

3560691 Jelynrose E. Mahinay

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 23,400.02
March 16-18, 2017

3560692 Lucila L. Inot

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 24,000.02
March 16-18, 2017

3560693 Myrna D. Gastardo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 24,600.02
March 16-18, 2017

3560694 Elsa A. Pamplina

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 25,200.02
March 16-18, 2017

3560695 Dulcisima A. Corvera

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 25,800.02
March 16-18, 2017

3560696 Lina D. Ugay

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 26,400.02
March 16-18, 2017

86
3560697 Jeane P. Besario
Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 27,000.02
March 16-18, 2017

3560698 Domnigo A. Cuarenta Jr

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 27,600.02
March 16-18, 2017

3560699 Ana Luz C. Abrea

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 28,200.02
March 16-18, 2017

3560700 Lorna F. Diaz

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 28,800.02
March 16-18, 2017

3560701 Dindo P. Gipala

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 29,400.02
March 16-18, 2017

3560702 Cecilia M. Saclolo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 30,000.02
March 16-18, 2017

3560703 Juniver L. Tejano

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 30,600.02
March 16-18, 2017

3560704 Alberto M. Orias Sr.

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 31,200.02
March 16-18, 2017

3560705 Precilla V. Dumadag

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 31,800.02
March 16-18, 2017

3560706 Gemma FE D. Col

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 32,400.02
March 16-18, 2017

3560707 Regel P. Pobe

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 33,000.02
March 16-18, 2017

3560708 Marilou C. Naquila

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 33,600.02
March 16-18, 2017

3560709 Jennifer C. Lejesta

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 34,200.02
March 16-18, 2017

3560710 Nestornuevo D. Lansin

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 34,800.02
March 16-18, 2017

3560711 Era Mozar

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 35,400.02
March 16-18, 2017

3560712 Felisa B. Cordova

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 36,000.02
March 16-18, 2017

3560713 Golda G. Comendador

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 36,600.02
March 16-18, 2017

3560714 Allan B. Elsisura

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 37,200.02
March 16-18, 2017

3560715 Girlie A. Garcia

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 37,800.02
March 16-18, 2017

3560716 Marish Baradillo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 38,400.02
March 16-18, 2017

3560717 Pedro Pecatoste

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 39,000.02
March 16-18, 2017

3560718 Dante M. Orozco

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 39,600.02
March 16-18, 2017

3560719 Vilma G. Fernandez

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 40,200.02
March 16-18, 2017

3560720 Ignacio C. Tagsip

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 40,800.02
March 16-18, 2017

3560721 Cherry D. Juanite

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 41,400.02
March 16-18, 2017

3560722 Glorina N. Yacon

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 42,000.02
March 16-18, 2017

3560723 Mark Joseph P. Elape

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 42,600.02
March 16-18, 2017

3560724 Mario Berbal

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 43,200.02
March 16-18, 2017

3560725 Thelma Pinaloza

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 43,800.02
March 16-18, 2017

3560726 Paulita E. Soriano

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 44,400.02
March 16-18, 2017

86
3560727 Mercedita C. Albino
Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 45,000.02
March 16-18, 2017

3560728 Petronila G. Salili

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 45,600.02
March 16-18, 2017

3560729 Virglio S. Galaura

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 46,200.02
March 16-18, 2017

3560730 Asuncion B. Oclarit

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 46,800.02
March 16-18, 2017

3560731 Grace E. Relliquete

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 47,400.02
March 16-18, 2017

3560732 Elesio P. Sajulga

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 48,000.02
March 16-18, 2017

3560733 Jovencio S. Aliwanag Jr.

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 48,600.02
March 16-18, 2017

3560734 Gomer O. Galanida

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 49,200.02
March 16-18, 2017

3560735 Carlos A. Odtojan

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 49,800.02
March 16-18, 2017

3560736 Rolly Alapag

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 50,400.02
March 16-18, 2017

3560737 Dolorosa G. Delicano

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 51,000.02
March 16-18, 2017

3560738 Jemalyn S. Jacquez

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 51,600.02
March 16-18, 2017

3560739 Lirry M. Bonilla

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 52,200.02
March 16-18, 2017

3560740 Gina A. Besario

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 52,800.02
March 16-18, 2017

3560741 Jemima C. Cabanilla

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 53,400.02
March 16-18, 2017

3560742 Antonino C. Ebuna

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 54,000.02
March 16-18, 2017

3560743 Eva E. Josue

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 54,600.02
March 16-18, 2017

3560744 Jasmenia S. Montevirgen

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 55,200.02
March 16-18, 2017

3560745 Elena Navallo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 55,800.02
March 16-18, 2017

3560746 Jean L. Acelo

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 56,400.02
March 16-18, 2017

3560747 Rodelio P. Cortez

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 57,000.02
March 16-18, 2017

3560748 Adela S. Cabuga

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 57,600.02
March 16-18, 2017

3560749 Alicia N. Mainit

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 58,200.02
March 16-18, 2017

3560750 Beda G. Murcia

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 58,800.02
March 16-18, 2017

3560751 Marisol M. Galido

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 59,400.02
March 16-18, 2017

3560752 Brenda A. Samontina

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 60,000.02
March 16-18, 2017

3560753 Judith S. Pere

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 60,600.02
March 16-18, 2017

3560754 Aida M. Menil

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 61,200.02
March 16-18, 2017

3560755 Lorna M. Salino

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 61,800.02
March 16-18, 2017

3560756 Angelito M. Naquila

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 62,400.02
March 16-18, 2017

86
 3560757 Alvin M. Buniel
Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 63,000.02
March 16-18, 2017

3560758 Gregoria T. Villamor

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 63,600.02
March 16-18, 2017

3560759 Teodora A. Sabandal

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 64,200.02
March 16-18, 2017

3560760 Aurelio J. Deguito

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 64,800.02
March 16-18, 2017

3560761 Gina B. Comillas

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 65,400.02
March 16-18, 2017

3560762 Ma. Edelyn L. Noguerra

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 66,000.02
March 16-18, 2017

3560763 Princesita E. Alago

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 66,600.02
March 16-18, 2017

3560764 Nerissa E. Gumapac

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 67,200.02
March 16-18, 2017

3560765 Fe O. Salar
Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 67,800.02
March 16-18, 2017

3560766 Ernest Jan C. Guhiting

Training Workshop on District/School Monitoring & Adjustment (SMEA)
600.00 68,400.02
March 16-18, 2017

3/16/2017 68,400.00

0.02

3560767 Transfer of Funds for the Educational Assistance of Pupils/ 517,365.02

LGU- Tagana-an SDN Students enrolled at Tagana-an Dist 517,365.00
517,365.00
0.02
3560768 CANCELLED

3/22/2017
3560769
DEpEd, Caraga Regional Offfice
F/A to conduct of Community Caravan for the ALS last nov. 14-16, 2017, at
Surigao City 36,000.00 36,000.02

transfer of Funds for the conduct of Ten-Day Training

3560770 on Early Language Literacy & Numeracy (ELLN) for 228,000.02
DEpEd, Caraga Regional Offfice Mindanao Teachers 192,000.00
36,000.00
192,000.02
192,000.00
0.02

3/23/2017
3560771
Gemma C. Cartin
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 200.02

3560772
Ophelia M. Macula
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 400.02

3560773 Div. Training Workshop on Learning Resource Qaulity Assurance 600.02

Victoria B. Abella Process 200.00
3560774
Emmanuel L. Adlaon
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 800.02

3560775
Carmelita G. Libaste
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 1,000.02

3560776
Socorro C. Tejada
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 1,200.02

3560777
Evangeline E. Tan
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 1,400.02

3560778
Jeane P. Besario
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 1,600.02

3560779
Josephine G. Bolotaolo
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 1,800.02

86
3560780
Marile G. Rico
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 2,000.02

3560781 Div. Training Workshop on Learning Resource Qaulity Assurance 2,200.02

Alvin M. Buniel Process 200.00
3560782 Div. Training Workshop on Learning Resource Qaulity Assurance 2,400.02
Carlos A. Odtojan Process 200.00
3560783
Maya V. Paguican
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 2,600.02

3560784
Mercedita C. Albino
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 2,800.02

3560785
Remedios R. Ugay
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 3,000.02

3560786
Rosita E. Tigao
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 3,200.02

3560787
Inocencia P. Japzon
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 3,400.02

3560788
Remia M. Vender
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 3,600.02

3560789 Div. Training Workshop on Learning Resource Qaulity Assurance 3,800.02

Pauline B. Lapaz Process 200.00
3560790
Thelma T. Pinaloza
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 4,000.02

3560791
Era A. Mozar
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 4,200.02

3560792
Gloria A. Lincuna
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 4,400.02

3560793
Eveth D. Tadulan
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 4,600.02

3560794
Raquel A. Balili
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 4,800.02

3560795
Maria Easel L. Omac
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 5,000.02

3560796
Monina D. Bonite
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 5,200.02

3560797 Div. Training Workshop on Learning Resource Qaulity Assurance 5,400.02

Evelyn G. Zaldua Process 200.00
3560798
Lina D. Ugay
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 5,600.02

3560799
Lindy P. Relleta
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 5,800.02

3560800
Ma. Gina S. De Asis
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 6,000.02

3560801
Angelito M. Naquila
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 6,200.02

3560802
Reynaldo A. Clavacio
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 6,400.02

3560803
Domingo A. Cuarenta Jr
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 6,600.02

3560804 Div. Training Workshop on Learning Resource Qaulity Assurance 6,800.02

Eva E. Josue Process 200.00
3560805 Div. Training Workshop on Learning Resource Qaulity Assurance 7,000.02
Alicia N. Mainit Process 200.00
3560806
Brenda A. Samontina
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 7,200.02

3560807
Rosemarie L. Entena
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 7,400.02

3560808
Joselito Manongas
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 7,600.02
86
 3560809
Elenita P. Villa
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 7,800.02

3560810 Div. Training Workshop on Learning Resource Qaulity Assurance 8,000.02

Queenette Hera S. Fuentes Process 200.00
3560811 Div. Training Workshop on Learning Resource Qaulity Assurance 8,200.02
Maria Bella L. Plaza Process 200.00
3560812
Jemima C. Cabanilla
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 8,400.02

3560813
Jojo M. Patosa
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 8,600.02

3560814
Wilma Damos
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 8,800.02

3560815
Eva Mae G. Bullo
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 9,000.02

3560816
Jonnavit D. Lerio
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 9,200.02

3560817
Elizsa M. Manteza
Div. Training Workshop on Learning Resource Qaulity Assurance
Process 200.00 9,400.02
3/24/2017 3560818 Anelyn S. Alcober Reg. Fee. For Budget Proposal Feb. 20, 2017 at DRTC 2,400.00 11,800.02
9,400.00
2,400.02
2,400.00
Payment of Caraga Regional Athletic Meet (CRAM) 0.02
3/30/2017 3560819 Toledo S. Pantilo SR. MNHS Contribution 7,200.00 7,200.02
3560820 Mabini E/S, Mainit District CRAM Subsidy 1,517.00 8,717.02
3/31/2017 7,200.00
1,517.02
1,517.00
0.02
TOTAL 883,388.25 883,388.25
0.02

CERTIFICATION

I hereby certify on my official oath that the foregoing is a correct and complete record
of all collections and deposits had by me in my capacity as ____Collecting Officer____ of
_DepED, Div. of Surigao del Norte_ during the period from March 3-31, 2017,
inclusives, as indicated in the corresponding columns.

ANELYN S. ALCOBER
Name and Signature
4/3/2017
Date

86
 Appendix 29

CASH RECEIPTS RECORD

PROVIDENT FUND
JANUARY, 2017
Entity Name : _______________________________ Sheet No. : _________________
Fund Cluster : ______________________________ Year : _____________________

_______________________ _____________________________ ______________

Accountable Officer Official Designation Station
UACS Code
Reference
Nature Undeposited
Date No./OR Payor Collection Deposit
MFO/PAP Object Code of Collection Collection
No./DS

0
3/1/2017 3559591 Val Centro Full Payment of Provident Loan 16,666.40 16,666.40
16,666.40
-
3559592 Chosel Paguican Full Payment of Provident Loan 3,528.00 3,528.00
3/2/2017 3,528.00
-
3/2/2017 3559593 Amando A. Fabio MNHS Provident Loan Remittance / Feb. 2017 884.00 884.00
3559594 Cesarlito L. Recamara Payment of Provident 2,500.00 3,384.00
2,500.00
884.00
884.00
-
3559595 Toledo S. Pantilo Sr. MNHS Provident Loan Remittance / Feb. 2017 884.00 884.00
3559596 Campo NHS Provident Loan Remittance / Feb. 2017 3,133.35 4,017.35
3/3/2017 4,017.35
-
3/3/2017 3559597 Longina Piencenaves Full Payment of Provident Loan 7,000.00 7,000.00
3/6/2017 3559598 Alma Ponio Full Payment of Provident Loan 35,416.55 42,416.55
42,416.55
-
3/7/2017 3559599 SNNHS Provident Loan Remittance / Feb. 2017 10,277.50 10,277.50
3559600 Matin-ao NHS Provident Loan Remittance / Feb. 2017 5,300.10 15,577.60
3559601 Nicanor Manlunas Payment of Provident 1,500.00 17,077.60
3559602 Jjacquelyn Estipona Full Payment of Provident Loan 39,666.65 56,744.25
3/8/2017 15,577.60
41,166.65
1,500.00

86
 39,666.65
39,666.65
-
3559603 GNSHI Provident Loan Remittance / Dec. 2016
LDDAP-ADA 10110-01-01-02-2017 3,534.70 3,534.70
3559604 GNSHI Provident Loan Remittance / Jan. 2017
LDDAP-ADA 10110-01-01-03-2017 3,534.70 7,069.40
3559605 GNSHI Provident Loan Remittance / Feb . 2017
LDDAP-ADA 10110-01-02-03-2017 3,534.70 10,604.10
3/8/2017 3559606 Placer NHS Provident Loan Remitance / Feb. 2017 11,604.10 22,208.20
11,604.10
10,604.10
3/9/2017 3559607 Helen Celeste Full Payment of Provident Loan 14,000.00 24,604.10
3559608 Ruby Villalba Partial Payment of Provident Loan 4,200.00 28,804.10
3559609 Dominic Larong Payment of Provident 2,500.00 31,304.10
3559610 Eden Juanite Payment of Provident 5,000.00 36,304.10
25,700.00
10,604.10
3/13/2017 3559611 DepED, SDN Payment of Provident Remittance of Secondary Teachers / Feb. 2017
LDDAP-ADA # 2017-03-01 dated 3/8/2017 88,664.15 99,268.25
3/14/2017 3559612 Dante Orozco Full Payment of Provident Loan 1,766.30 101,034.55
3/15/2017 3559613 Aimee Lubapis Full Payment of Provident Loan 25,666.45 126,701.00
3559614 Genalyn Patino Full Payment of Provident Loan 7,064.00 133,765.00
3559615 Nicanor Manlunas Payment of Provident Loan 3,000.00 136,765.00
3/16/2017 3559616 Conception Liwat Payment of Provident Loan 2,500.00 139,265.00
3559617 Vilma Juanite Payment of Provident Loan 5,000.00 144,265.00
3/17/2017 5,000.00
139,265.00
39,996.75
99,268.25
3/22/2017 3559618 Rahima Retorta Full Payment of Provident Loan 33,333.20 132,601.45
33,333.20
99,268.25
3559619 San Francisco NHS Provident Loan Remittance / March 1,380.00 100,648.25
1,380.00
99,268.25
3559620 428,914.37
3/27/2017 DepED, SDN (LDDAP-ADA 2017-03-05 Provident Loan Remittance / March 329,646.12
3559621 Rolly Alapag Full Payment of Provident Loan 5,599.60 434,513.97
5,599.60
428,914.37
3/28/2017 3559622 Alegria NHS Provident Loan Remittance/ March 2,284.00 431,198.37
3559623 Matin-ao NHS Provident Loan Remittance/ March 5,300.10 436,498.47
3559624 BNAIS Provident Loan Remittance/ March 1,766.70 438,265.17
3559625 Danilo Aguazon Full Payment of Provident Loan 22,256.95 460,522.12
3559626 Dindo Gipala Full Payment of Provident Loan 3,533.00 464,055.12

86
3/28/2017 9,350.80
454,704.32
3/29/2017 25,789.95
428,914.37
3/29/2017 3559627 Tubod NHS Provident Loan Remittance / March 4,936.00 433,850.37
3/30/2017 4,936.00
428,914.37
3/30/2017 3559628 Toledo S. Pantilo Sr. MNHS Provident Loan Remittance/ March 884.00 429,798.37
3559629 Dr. Emma L. Caneda Payment of Provident 5,000.00 434,798.37
3559630 Amando A. Fabio MNHS Provident Loan Remittance / March 884.00 435,682.37
3559631 Balite NHS Provident Loan Remittance / March 3,900.00 439,582.37
3/31/2017 3559632 SNNHS Provident Loan Remittance / March 7,577.45 447,159.82
3559633 Jessie Cayasa Payment of Provident 3,600.00 450,759.82
3559634 Marjorie Bustamante Full Payment of Provident Loan 3,533.00 454,292.82
7,577.45
446,715.37
3,533.00
443,182.37
5,000.00
438,182.37
3,600.00
434,582.37
5,668.00
428,914.37

743,739.77
314,825.40

CERTIFICATION
I hereby certify on my official oath that the foregoing is a correct and complete record
of all collections and deposits had by me in my capacity as ____Collecting Officer____ of
_DepED, Div. of Surigao del Norte_ during the period from March 1-27, 2017,
inclusives, as indicated in the corresponding columns.

ANELYN S. ALCOBER
Name and Signature
4/3/2017
Date

86