Form I-Request for Inspection and Payment

August 1, 2018
The CENR Officer
DENR CENRO Buug, Zamboanga Sibugay

Sir:
Submitting herewith are the accomplishments and corresponding costs incurred in the implemen-
tation of the eNGP CY 2018 Site Preparation by the BAGONG BUHAY FARMERS FISHERMEN WOMEN IP'S OSY
RELIGIOUS SECTOR ASSO. located at Brgy. Bagong Buhay, Alicia, Zamboanga Sibugay, to wit;

Target for Accomplishment Unit Total Cost

ACTIVITIES the activity UWM No./Ha. % Cost (Php)
billed
Site Preparation
a. Brushing
b. Staking
c. Hole Digging 15 HA. 15 100% 6,500.00 ₱ 97,500.00
d. Hauling of Seedlings
e. Planting
TOTAL: ₱ 97,500.00
We therefore request your Office for an inspection/validation of the aforecited accomplishments
for its early payment.Thanks

Very truly yours;

BAGONG BUHAY FARMERS FISHERMEN

WOMEN IP’S OSY RELIGIOUS SECTOR
ASSOCIATION

Represented by:

PAZ TUBAN
PO Chairman

Concurred by:

JOEL B. REALIZA NICK LOMPINAS

F II/eNGP Coordinator FT I/ eNGP Site Coordinator

Approved for Inspection:

DIOMIDES M. PABLO
CENR Officer
Form II-Accomplishment and Validation Report Date Awarded : 2018
Name of Project : eNGP CY 2018 Area Contracted: 15 hectares
Contract Cost : Php. 225,000.00
Name of Entity : BAGONG BUHAY FARMERS FISHERMEN WOMEN IP’S OSY RELIGIOUS SECTOR ASSOCIATION Date of Inspections: August 13-24, 2018
Duration of Contract : 1 year CY. 2018
Location : Bagong Buhay, Alicia, Zamboanga Sibugay
Target Unit Total Cost As Reported As Validated
ACTIVITIES UWM Goal Cost (Php) Physical Physical Financial Financial Physical Financial REMARKS
Accom. Commu. Accom. Commulative Accom. Commulative
Site Preparation
1. Brushing
2. Staking
3. Hole digging ha. 15 6,500.00 ₱ 97,500.00 15 15 ₱ 97,500.00 ₱ 97,500.00 15 ₱ 97,500.00 For Payment
4. Hauling of seedlings
5. Planting
TOTAL ₱ 97,500.00 For Payment
Prepared by: Validated/Inspected by:

BAGONG BUHAY FARMERS FISHERMEN

WOMEN IP’S OSY RELIGIOUS SECTOR
ASSOCIATION
Represented by:

PAZ TUBAN GEORGE E. LAOLAO MIRIAM P. LICERA WIRLYN B. LADORES

PO Chairman Deputy CENRO/Team Leader PENRO Representative Member

CLIFF R. DE LEON MANALYN B. SICAG

Member Member

Conformed by:

JOEL B. REALIZA NICK LOMPINAS

F II/eNGP Coordinator FT I / eNGP Site Coordinator