Repub萱ic of the Philippines

DEPARTMENT OF EDUCATION
DepEd - CARAGA
Surigao del Sur
朝練寓
Organiza髄on Code (UACS):  070010816006

OBLIGAT寒ONREQUES丁ANDSTATUS   seriaiNo.: 02-10110120狛1J)1103
DivisionofSu「iqaodelSu「          Date:  01/25/202I

EntftyName                FundCtuste「:01

Payee BENJAMiNB.FALLADO

0価ce NJRCIAIS-ES

Address ∪¥NUZADiSTRICT

Descrip髄OnOf T「ansactionl(S) CASHADVANCEFORTHEISTQJARTERSCHOOLMOOE2021-NJRCIAiS-ESOFしANJZADISTRICT.

ResponsibiiftyCente「 Particulars  MFOIPAP i UACSObject  Code き  仙ount

08巾0-0000 T帽VelingExpenses-し0(al 申0400100002脚 5020101000 1,000.00

08-00-0000 lCTO価ceSupplies 310400100002000 5020301001    24,225.00 i

08伽OOO  !脚cesupphesExpenses 千310400100002000 5020301002i  8-614i23

08-00-0000 Othe「SuppljesandMateria畦はXPenSeS 310400100002000 5020399000 冒  22,550iOO

08・0000 Mob胎 i 310400100002餌場 】  5020502001 i    統5.00

08-00巾000 州emetSubschp噛onExpenses 310400100002000 i5020503000 11,400.00

08巾0側0  車醐Se鴫 310400100002000 5021202000 7,500.00

08伽OOO IsecurityServICeS 310400100002000 5021203000     7,500.00 i

0800000 R&M-SchooIBuildings        l 310細心100002000 5021抑02i 18,223・74

丁o軸      101,867.97

ュCe鵬d書鴇監諜磐蕊蒜識 ,law帥 doouments B.ce rtified:AIIo請rentava胞bIeandobiigatedlfo「the

PurPOSe/adjustmentnecessary
Vaiid,ProPerandlegal asindicatedabove

Sign細! S畦Ina巾記

PrintedName P血tedName ¥  MYRNAD.CALLOTE

!     BENJAMINB.FALLADO
!      pRENCIPALI Pos畑On AO-V(BudgetO鉦cer)
Pos舶n  i

lHeadlReque謝90ffi(凱uthorizedRepresentatwe Head,BudgetDivision/∪副AuthorizedRepre§削tative
鵬 【 Date

C"1           STATUSOFOBし1GATION

Reference Amount

Date Pa軸C uars  1 0RS〃EV/Check/ Obngaton PayablelPayment NotYetDue (a-b) Dueand

上の町帖払No
(a)  (b)i(C〉 Demandab
(b-c)

01I25I2020 謹蒜諾io2￣101101叩103 101,的7.97

l

ESOFLANuZADrsTRio「 l