Amon Trading Compound, corner E.

Rodriguez , Bagong Ilog, Pasig City

LIQUIDATION & REIMBURSEMENT FORM

NAME : Jeremiah cuisia Date Filed : Sept. 1 2020

Ref. PRF/APV :
Purpose : Inspection for Bataan 2020

Date RECEIPT NO PARTICULARS Company Address VAT No. Amount Gasoline Parking fee Toll Fee Transpo Fare Meals Lodging Tel/CP Rep.Exp. BCM R&M Ofc.Suppli Miscellan Non Others Fee EVAT EVAT TOTAL EVAT TOTAL
Exp Vehicle es ous Cap.Asset (Purchases) (Services)

9/1/2020 0123261534208 Toll fee NLEX Corporation Km 12 Nlex compound balintawak caloocan city 004-984-946-00 186.00 166.07 19.93 19.93 186.00
9/1/2020 021303213443 Toll fee NLEX Corporation Km 12 Nlex compound balintawak caloocan city 004-984-946-00 360.00 321.43 38.57 38.57 360.00
9/1/2020 18103463560 Toll fee NLEX Corporation Km 12 Nlex compound balintawak caloocan city 004-984-946-00 54.00 48.21 5.79 5.79 54.00
9/1/2020 9053 Meals (Mike and JRC) Breakfast Bartlye Beyl Inc KM 62 south bound san felipe city of san fernando pampanga 008-174-664-039 345.00 308.03 36.97 36.97 345.00
9/1/2020 100551 Meals (Mike and JRC) Lunch Jolibee Borol 2nd balagtas bulacan 006-901-293-001 274.00 244.64 29.36 29.36 274.00
9/1/2020 013839 Gasoline Pook Ligaya shell inc ext ciliat 2 quezon city 006-525-970-002 600.00 535.71 64.29 64.29 600.00
9/1/2020 012014 water CG&E service station diversion road burol II balagtas bulacan 106-144-102-001 42.00 37.50 4.50 4.50 42.00
- - -
- - -
- - -
- - - -
Total: - - - - - - - - - - - - - - - - - - 1,861.00
Less cash advance 2,000.00
Prepared Date: Sept. 1 2020 Reviewed by:
Signature of Employee/ Date: Balance due from employee 139.00
Approved By/Date:
RGSamonte/ MPCasipit
NAME : JunH.Bnatula
Ref. PRF/APV :
Purpose : CA for CE CASECNAN

Date RECEIPT NO PARTICULARS

7/9/2021 25159 RFID

7/9/2021 31995 Easytrip
7/9/2021 341094 nescafe alegria blac
7/9/2021 7400046 LOAD JRC
7/9/2021 5600014 SUMMIT 1.5L
7/9/2021 3550 NON CAP.
7/9/2021 3549 NON CAP.
7/10/2021 7400046 NATURESPNGDISTDW1L
7/10/2021 2565 HOTEL ACCOMMO.
7/10/2021 N/A WATER
7/10/2021 8943 diesel max NZF 9132
7/10/2021 8943 diesel max NZF 9132
7/10/2021 n/a jhb / jrc meals 7-9,10-21

Prepared Date:
Signature of Employee/ Date:
Approved By/Date:
RGSamonte/ MPCasipit
 Company

Manila Express Payment system Inc.

Manila Express Payment system Inc.
CE&E SHELL SERVICESTATION
ESPRUTINGKLE WATER INC.
PHILLIPINESEVEN CORPORATION
VPMY TRADING
VPMY TRADING
ESPRUTINGKLE WATER INC.
BELAREEZ REALTY ANDDEVELOPMENTC

STELLAR DV SALES INTERNATIONALINC.

STELLAR DV SALES INTERNATIONALINC.
 Amon Trading Compound, corner E. Rodriguez , Bagong Ilog, Pasig City
LIQUIDATION & REIMBURSEMENT FORM

Date Filed :

Address VAT No. Amount

008-043-924-000 1,000.00
008-043-924-000 500.00
DIVERSION ROAD BUROL 2 BALAGTAS BULACAN 106-144-102-001 44.00
BRGY.POB. PANTABANGAN, NUEVA ECIJA, PHILIPPINES 271-514-499-029 300.00
G / F ACV BLDG E. RODRIGUESAVE CORNER STA ROSA ST BAGONG ILO000-390-189-536 66.00
PUBLIC MARKET EAST, POBLACION, PANTABANGAN, NUEVA ECIJA 225-735-463-000 335.00
PUBLIC MARKET EAST, POBLACION, PANTABANGAN, NUEVA ECIJA 225-735-463-000 2,260.00
BRGY.POB. PANTABANGAN, NUEVA ECIJA, PHILIPPINES 271-514-499-029 54.00
SOBREPENA BLDG., BONIFACIO ST., BRGY. RAFAEL RUEDA, SAN JOSE 008-238-853-001 1,998.00
50.00
LOT 797-B2 D CONGRESSIONAL AVENUE, EXT. PASONG TAMO 6, QU 009-455-666-000 2,000.00
LOT 797-B2 D CONGRESSIONAL AVENUE, EXT. PASONG TAMO 6, QU 009-455-666-000 (17.86)
960.00

Total: 6,607.00

Reviewed by:
Bagong Ilog, Pasig City

te Filed : 12-Jul-21

Parking Transpo Tel/CP

Gasoline Toll Fee Meals Lodging Rep.Exp.
fee Fare Exp

892.86
446.43
39.29

58.93

48.21
1,783.93
50.00
1,785.71

960.00

- - 1,339.29 - 39.29 - - -
 2678.571

R&M Miscellan Non Others Training

BCM Ofc.Supplies Postage Social Develop
Vehicle ous Cap.Asset Fee ment

267.86

299.11
2,017.86

- - - - - 267.86 - - -
Motor Books & R&M Business
Medical Exp. AOE COGS OFE Permit & Benefits
Vehicle Magazine OFE Licensed

- - - - - - - - -
Advertise Repair on Other Bank Donation Tools & EVAT EVAT EVAT
Office Repair Instrume (Importa
ment Space Cost Charges s & Cont. nts tion) (Purchases) (Services)

107.14
53.57
4.71
32.14
7.07
35.89
242.14
5.79
214.07
-
214.29
(17.86)
-
- -
- - - - - - - - 197.57
Less cash advance

Balance due to employee

TOTAL
TOTAL
EVAT

107.14 1,000.00
53.57 500.00
4.71 44.00
32.14 300.00
7.07 66.00
35.89 335.00
242.14 2,260.00
5.79 54.00
214.07 1,998.00
- 50.00
214.29 2,000.00
(17.86) (17.86)
- 960.00
- -
197.57 9,549.14
18,000.00

8,450.86