You are on page 1of 64

General Form No.

5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: April 1, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Aklan (NPIT-Aklan) for the period
of March 16-31, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . Php 51,612.63

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 51,612.63
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FIFTY ONE THOUSAND SIX HUNDRED TWELVE
₱51,612.63expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 63/100 ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FIFTY ONE THOUSAND SIX HUNDRED TWELVE _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 63/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: April 01, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Antique (NPIT-Antique) for the period
of March 16-31, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . Php 64,558.77

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 64,558.77
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SIXTY FOUR THOUSAND FIVE HUNDRED
₱64,558.77expenditure properly certified; supported by documents

liquidated/accounted for. FIFTY EIGHT PESOS & 77/100 ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SIXTY FOUR THOUSAND FIVE HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

FIFTY EIGHT PESOS & 77/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: February 18, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Aklan (NPIT-Aklan) for the period
of February 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . Php 51,773.42

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 51,773.42
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FIFTY ONE THOUSAND SEVEN HUNDRED
₱51,773.42expenditure properly certified; supported by documents

liquidated/accounted for. SEVENTY THREE PESOS & 42/100 ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FIFTY ONE THOUSAND SEVEN HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

SEVENTY THREE PESOS & 42/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: February 18, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Antique (NPIT-Antique) for the period
of February 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . Php 65,306.93

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 65,306.93
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SIXTY FIVE THOUSAND THREE HUNDRED SIX
₱65,306.93expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 93/100 ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SIXTY FIVE THOUSAND THREE HUNDRED SIX _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 93/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: August 15, 2018
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Capiz (NPIT-Capiz) for the period
of August 1-15, 2018 as per attached payroll in the amount of . . . . . . . . . . . . . . . . Php 49,089.34

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 49,089.34
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FORTY NINE THOUSAND EIGHTY NINE
₱49,089.34expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 34/100 ONLY.

MA. LUZ S. YSATAM


Project Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FORTY NINE THOUSAND EIGHTY NINE _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 34/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: December 28, 2018
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Reimbursement of travelling expenses in connection with Official


Travel to the province of Aklan and Antique for the month of November 2018
in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Php 5,440.00

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect B/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 5,440.00
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FIVE THOUSAND FOUR HUNDRED FORTY PESOS ONLY.

₱5,440.00expenditure properly certified; supported by documents

liquidated/accounted for.

MA. LUZ S. YSATAM


LEA CARINA C. LAGLAGARON
Acting
Financial Planning Specialist
District Manager
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


No. RELEASING OFFICER ALLOWED IN AUDIT: For (₱________________________)

Amount FIVE THOUSAND FOUR HUNDRED FORTY PESOS ONLY. _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: December 21, 2018
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

To payment of reimbursement of Cellular Load for the month of


December 2018 for NPIT Antique and Aklan in the amount of . . . . . . . Php 2,000.00

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 2,000.00
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of TWO THOUSAND PESOS ONLY.
₱2,000.00expenditure properly certified; supported by documents

liquidated/accounted for.

MA. LUZ S. YSATAM


LEA CARINA C. LAGLAGARON
Acting
Acting
Financial Planning Specialist
District Manager
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount TWO THOUSAND PESOS ONLY. _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: February 28, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

KRISTINE G. VISTA
PARTICULARS OF PAYMENT AMOUNT

Reimbursement of travelling expenses in connection with Official


Travel to Butuan City to attend the CPD Activity for the period of February 20,

21,22 & 26, 2019 as per attached supporting documents in the amount of . . . . . . . . . . . . . .Php
. 31,612.36

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 31,612.36
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of THIRTY ONE THOUSAND SIX HUNDRED TWELVE
₱31,612.36expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 36/100 ONLY.

MA. LUZ S. YSATAM


LEA CARINA C. LAGLAGARON
Acting
Financial Planning Specialist
District Manager
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount THIRTY ONE THOUSAND SIX HUNDRED TWELVE _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 36/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: April 01, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

FE T. JAMOYOT
PARTICULARS OF PAYMENT AMOUNT

To payment of reimbursement on expenses incurred during staff meeting


Re: Issues and concerns for YPHP Region VI on March 22, 2019 as per
attached supporting documents in the amount of . . . . . . . . . . . . . . . . . . . . . . Php 1,702.00

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Of Principal Architect B/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 1,702.00
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of ONE THOUSAND SEVEN HUNDRED TWO
₱1,702.00expenditure properly certified; supported by documents

liquidated/accounted for. PESOS ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
Acting District
Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount ONE THOUSAND SEVEN HUNDRED TWO _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS ONLY.
Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: November 08, 2018
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

CEZAR L. ESTIMOS
PARTICULARS OF PAYMENT AMOUNT

Reimbursement of travelling expenses in connection with Official


Travel to Bacolod District Office on October 23, 2018 in the amount of . . . . . . . . . . . Php 740.44

incurred under my CEZAR L. ESTIMOS JESUS G. FANTILAGA


direct supe Supervising Engineer A/Head-NPIT Iloilo & Capiz Principal Architect B/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 740.44
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SEVEN FORTY PESOS & 44/100 ONLY.
₱740.44expenditure properly certified; supported by documents

liquidated/accounted for. TWO PESOS ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SEVEN FORTY PESOS & 44/100 ONLY. _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

TWO PESOS ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: November 08, 2018
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Reimbursement of travelling expenses in connection with Official


Travel to Bacolod District Office on October 23, 2018 in the amount of . . . . . . . . . . . Php 4,284.50

incurred under my CEZAR L. ESTIMOS JESUS G. FANTILAGA


direct supe Supervising Engineer A/Head-NPIT Iloilo & Capiz Principal Architect B/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 4,284.50
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FOUR THOUSAND TWO HUNDRED
₱4,284.50expenditure properly certified; supported by documents

liquidated/accounted for. EIGHTY FOUR PESOS & 50/100 ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FOUR THOUSAND TWO HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

EIGHTY FOUR PESOS & 50/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: February 26, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

BUREAU OF THE TREASURY


PARTICULARS OF PAYMENT AMOUNT

To payment of fidelity bond of Fe T. Jamoyot as Disbursing Officer for the NHA FAO
NPIT B REGION VI MOOE as per supporting documents in the amount of . . . . . . . . . . . . . . . Php 22,500.00

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect B/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 22,500.00
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of TWENTY TWO THOUSAND FIVE HUNDRED PESOS
ONLY
₱22,500.00expenditure properly certified; supported by documents

liquidated/accounted for.
MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount TWENTY TWO THOUSAND FIVE HUNDRED PESOS ONLY _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: March 4, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Aklan (NPIT-Aklan) for the period
of February 16-28, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . Php 44,586.00

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 44,586.00
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FORTY FOUR THOUSAND FIVE HUNDRED
₱44,586.00expenditure properly certified; supported by documents

liquidated/accounted for. EIGHTY SIX PESOS ONLY.


MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FORTY FOUR THOUSAND FIVE HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

EIGHTY SIX PESOS ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 22, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Iloilo (NPIT-Iloilo) for the period
of April 16-30, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 35,101.85

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 35,101.85
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of THIRTY FIVE THOUSAND ONE HUNDRED ONE
₱35,101.85expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 85/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount THIRTY FIVE THOUSAND ONE HUNDRED ONE _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 85/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 22, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Composite Team for the period
of April16-30, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 67,694.43

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 67,694.43
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SIXTY-SEVEN THOUSAND SIX HUNDRED NINETY
₱67,694.43expenditure properly certified; supported by documents

liquidated/accounted for. FOUR PESOS &43/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SIXTY-SEVEN THOUSAND SIX HUNDRED NINETY _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

FOUR PESOS &43/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: March 27, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

BUREAU OF THE TREASURY


PARTICULARS OF PAYMENT AMOUNT

To payment of fidelity bond of Ar. Jesus G. Fantilaga as Disbursing Officer for the NHA FAO
NPIT B REGION VI MOOE as per supporting documents in the amount of . . . . . . . . . . . . . . . . Php 52,500.00

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect B/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 52,500.00
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FIFTY TWO THOUSAND FIVE HUNDRED PESOS ONLY.
₱52,500.00expenditure properly certified; supported by documents

liquidated/accounted for.
MA. LUZ S. YSATAM
Acting District
Manager
LEA CARINA C. LAGLAGARON
Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
Acting District
Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FIFTY TWO THOUSAND FIVE HUNDRED PESOS ONLY. _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: April 16, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Antique (NPIT-Antique) for the period
of April 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . . Php 72,209.70

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 72,209.70
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SEVENTY TWO THOUSAND TWO HUNDRED
₱72,209.70expenditure properly certified; supported by documents

liquidated/accounted for. NINE PESOS & 70/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON Iloilo/Guimaras


Financial Planning Specialist District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SEVENTY TWO THOUSAND TWO HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

NINE PESOS & 70/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: April 16, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Aklan (NPIT-Aklan) for the period
of April 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . . Php 55,380.72

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 55,380.72
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FIFTY FIVE THOUSAND THREE HUNDRED
₱55,380.72expenditure properly certified; supported by documents

liquidated/accounted for. EIGHTY PESOS & 72/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FIFTY FIVE THOUSAND THREE HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

EIGHTY PESOS & 72/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 07, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

JESUS G. FANTILAGA
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Antique (NPIT-Antique) for the period
of April 16-30, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 65,335.34

incurred under my JESUS G. FANTILAGA


direct supervision. Principal Architect/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 72,209.70
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SEVENTY TWO THOUSAND TWO HUNDRED
₱72,209.70expenditure properly certified; supported by documents

liquidated/accounted for. NINE PESOS & 70/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON Iloilo/Guimaras


Financial Planning Specialist District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SEVENTY TWO THOUSAND TWO HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

NINE PESOS & 70/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No. JESUS G. FANTILAGA
Principal Architect B / Head-NPIT Aklan & Antique

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 22, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Iloilo (NPIT-Iloilo) for the period
of May 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . . Php 33,218.14

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 33,218.14
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of THIRTY THREE THOUSAND TWO HUNDRED
₱33,218.145expenditure properly certified; supported by documents

liquidated/accounted for. EIGHTEEN PESOS & 14/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount THIRTY THREE THOUSAND TWO HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

EIGHTEEN PESOS & 14/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 22, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Composite Team for the period
of May 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . . Php 69,973.36

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 69,973.36
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SIXTY-NINE THOUSAND NINE HUNDRED
₱69,973.36expenditure properly certified; supported by documents

liquidated/accounted for. SEVENTY-THREE PESOS & 36/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SIXTY-NINE THOUSAND NINE HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

SEVENTY-THREE PESOS & 36/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 22, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel of


NHA Project Implementation Team - Aklan & Antique (NPIT-B) for the period
of April 16-30, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 114,256.52

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 114,256.52
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of ONE HUNDRED FOURTEEN THOUSAND TWO
₱114,256.52expenditure properly certified; supported by documents

liquidated/accounted for. HUNDRED FIFTY-SIX PESOS & 52/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount ONE HUNDRED FOURTEEN THOUSAND TWO _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

HUNDRED FIFTY-SIX PESOS & 52/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 22, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel of


NHA Project Implementation Team - Aklan & Antique (NPIT-B) for the period
of May 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . . Php 117,047.97

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 117,047.97
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of ONE HUNDRED SEVENTEEN THOUSAND
₱117,047.97expenditure properly certified; supported by documents

liquidated/accounted for. FORTY SEVEN PESOS & 97/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount ONE HUNDRED SEVENTEEN THOUSAND _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

FORTY SEVEN PESOS & 97/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 29, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

To payment of reimbursement on expenses incurred during contractor's meeting


on May 22, 2019 as per attached supporting documents in the amount of . . . . . . . . . . . Php 6,577.

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Of Principal Architect B/Head-NPIT Aklan & Antique

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 6,577.80
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of SIX THOUSAND FIVE HUNDRED SEVENTY-SEVEN
₱6,577.80expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 80/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount SIX THOUSAND FIVE HUNDRED SEVENTY-SEVEN _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 80/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 31, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel of


NHA Project Implementation Team - Aklan & Antique (NPIT-B) for the period
of May 16-31, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 151,754.97

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 151,754.97
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of ONE HUNDRED FIFTY-ONE THOUSAND SEVEN
₱151,754.97expenditure properly certified; supported by documents

liquidated/accounted for. HUNDRED FIFTY-FOUR PESOS & 97/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount ONE HUNDRED FIFTY-ONE THOUSAND SEVEN _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

HUNDRED FIFTY-FOUR PESOS & 97/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 31, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Iloilo (NPIT-Iloilo) for the period
of May 16-31, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 40,903.68

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 40,903.68
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FORTY-THOUSAND NINE HUNDRED THREE
₱40,903.685expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 68/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FORTY-THOUSAND NINE HUNDRED THREE _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 68/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: May 31, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Composite Team for the period
of May 16-31, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 90,046.44

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 90,046.44
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of NINETY THOUSAND FORTY-SIX
₱90,046.44expenditure properly certified; supported by documents

liquidated/accounted for. PESOS & 44/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount NINETY THOUSAND FORTY-SIX _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

PESOS & 44/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: June 14, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel of


NHA Project Implementation Team - Aklan & Antique (NPIT-B) for the period
of June 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 99,391.44

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 99,391.44
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of NINETY-NINE THOUSAND THREE HUNDRED
₱99,391.44expenditure properly certified; supported by documents

liquidated/accounted for. NINETY ONE PESOS & 44/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Iloilo/Guimaras District Office, Region VI
MA. LUZ S. YSATAM
District Manager

Financial Planning Specialist Iloilo/Guimaras District Office, Region VI


PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount NINETY-NINE THOUSAND THREE HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

NINETY ONE PESOS & 44/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: June 14, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

EDILBERTO L. CASERO
PARTICULARS OF PAYMENT AMOUNT

Cash advance for the payment of wages of emergency hired personnel


of NHA Project Implementation Team - Composite Team for the period
of June 1-15, 2019 as per attached payroll in the amount of . . . . . . . . . . . . . . . . . Php 59,797.76

incurred under my FE T. JAMOYOT JESUS G. FANTILAGA


direct supervision. Sr. Community Support Services Officer Principal Architect B/Head-NPIT Aklan & Antique
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 59,797.76
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FIFTY-NINE THOUSAND SEVEN HUNDRED
₱59,797.76expenditure properly certified; supported by documents

liquidated/accounted for. NINETY-SEVEN PESOS & 76/100 ONLY.


MA. LUZ S. YSATAM
District Manager

LEA CARINA C. LAGLAGARON


Financial Planning Specialist Iloilo/Guimaras District Office, Region VI
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FIFTY-NINE THOUSAND SEVEN HUNDRED _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

NINETY-SEVEN PESOS & 76/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY Date: September 24, 2019
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

NHA FAO NPIT-B, Region VI (Typhoon Yolanda) MOOE


PARTICULARS OF PAYMENT AMOUNT

Cash advance for the setting up of 4th Quarter of 2019 MOOE revolving fund
for NHA NPIT-B, Region VI (Typhoon Yolanda) Iloilo, Capiz, Aklan and Antique
District Office as per attached supporting documents . . . . . . . . . . . . . . . . . . . . . . Php 4,140,129.98

LBP-Jaro Account No. 003292-1044-47


Account Name: NHA FAO NPIT-B REGION VI (Typhoon Yolanda) MOOE

incurred under my DOMINICA D. SAN DIEGO GRACE R. GUEVARRA


direct supe Capiz/Aklan/Antique District Office, Region VI Regional Manager, Region VI
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 4,140,129.98
by/date by/date

CERTIFIED: Adequate available funds/budgetary allotment in the amount of FOUR MILLION ONE HUNDRED FORTY THOUSAND
₱4,140,129.98expenditure properly certified; supported by documents

liquidated/accounted for. ONE HUNDRED TWENTY NINE PESOS & 98/100 ONLY.

RENATO Y. ALZONA PRUDENCIA B. GUGOL MARCELINO P. ESCALADA JR.


General Manager
MARCELINO P. ESCALADA JR.
Officer-In-Charge, FMD Dept. Manager, Accounting General Manager
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FOUR MILLION ONE HUNDRED FORTY THOUSAND _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

ONE HUNDRED TWENTY NINE PESOS & 98/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

NHA FAO NPIT-B, Region VI (Typhoon Yolanda) MOOE


PARTICULARS OF PAYMENT AMOUNT

Cash advance for the setting up of 2nd Quarter of 2020 MOOE revolving fund
for NHA NPIT-B, Region VI (Typhoon Yolanda) Iloilo, Capiz, Aklan and Antique
District Office as per attached supporting documents . . . . . . . . . . . . . . . . . . . . . . Php 4,725,543.20

LBP-Jaro Account No. 003292-1044-47


Account Name: NHA FAO NPIT-B REGION VI (Typhoon Yolanda) MOOE

incurred under my DOMINICA D. SAN DIEGO GRACE R. GUEVARRA


direct supe District Manager, Capiz/Aklan/Antique District Office Regional Manager, Region VI
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 4,725,543.20
by/date by/date
FOUR MILLION SEVEN HUNDRED TWENTY-FIVE THOUSAND
CERTIFIED: Adequate available funds/budgetary allotment in the amount of

₱4,725,543.20expenditure properly certified; supported by documents

FIVE HUNDRED FORTY-THREE PESOS & 20/100 ONLY.


liquidated/accounted for.

RENATO Y. ALZONA PRUDENCIA B. GUGOL MARCELINO P. ESCALADA JR.


General Manager
MARCELINO P. ESCALADA JR.
Officer-In-Charge, FMD Dept. Manager, Accounting General Manager
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FOUR MILLION SEVEN HUNDRED TWENTY-FIVE THOUSAND _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

FIVE HUNDRED FORTY-THREE PESOS & 20/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date
General Form No. 5(A)

Revised August 1992

Republic of the Philippines

DISBURSEMENT VOUCHER
NATIONAL HOUSING AUTHORITY
NAME AND ADDRESS OF THE CLAIMANT EMPLOYEE NO./TIN

NHA FAO NPIT-B, Region VI (Typhoon Yolanda) MOOE


PARTICULARS OF PAYMENT AMOUNT

Cash advance for the setting up of 3rd Quarter of 2020 MOOE revolving fund
for NHA NPIT-B, Region VI (Typhoon Yolanda) Iloilo, Capiz, Aklan and Antique
District Office as per attached supporting documents . . . . . . . . . . . . . . . . . . . . . . Php 4,725,543.20

LBP-Jaro Account No. 003292-1044-47


Account Name: NHA FAO NPIT-B REGION VI (Typhoon Yolanda) MOOE

incurred under my DOMINICA D. SAN DIEGO GRACE R. GUEVARRA


direct supe District Manager, Capiz/Aklan/Antique District Office Regional Manager, Region VI
B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT

Journalized Indexed
C APPROVED: For (₱) 4,725,543.20
by/date by/date
FOUR MILLION SEVEN HUNDRED TWENTY-FIVE THOUSAND
CERTIFIED: Adequate available funds/budgetary allotment in the amount of

₱4,725,543.20expenditure properly certified; supported by documents

FIVE HUNDRED FORTY-THREE PESOS & 20/100 ONLY.


liquidated/accounted for.

RENATO Y. ALZONA PRUDENCIA B. GUGOL MARCELINO P. ESCALADA JR.


General Manager
MARCELINO P. ESCALADA JR.
Dept. Manager, FMD Dept. Manager, Accounting General Manager
PRINTED NAME AND SIGNATURE

OF APPROVING OFFICER/REPRESENTATIVE
PRINTED NAME AND SIGNATURE OF ACCOUNTANT

C H E C K FOR COA USE ONLY

RECEIVED FROM _________________________________


RELEASING OFFICER
No. ALLOWED IN AUDIT: For (₱________________________)

Amount FOUR MILLION SEVEN HUNDRED TWENTY-FIVE THOUSAND _________________________________________________


AMOUNT IN WORDS AMOUNT IN WORDS
___________ _______________

FIVE HUNDRED FORTY-THREE PESOS & 20/100 ONLY.


Date _________________________________________________
OFFICIAL RECEIPT
No.

Date

You might also like