Appendix 28

LGU BUUG, ZAMBOANGA SIBUGAY

CERTIFICATION ON APPROPRIATIONS, FUNDS AND OBLIGATION OF ALLOTMENT

Obligation No. :
Request
Payee LEONARDO G. SAILE et., al… Approved Amount: 14,000.00

Allotment
Function Expense Code Amount Certification:
Class
I hereby certify as to the existence of appropriations
Compensation for the expenditures in the amount specified herein:
1011 14,000.00
of Responders

MARIA NITA T. BENTIC

Municipal Budget Officer Date

Certification:

I hereby certify as to the availability of funds for the

Total amount requested 14,000.00 expenditures in the amount specified herein:

Amount in Words: Forten thousand only

FELIX S. TRAPA
Municipal Treasurer Date
Requesting Official:

Certification:

MARLON I. GREGORIO I hereby certify that the allotments are available for
Name and Signature Date obligation in the amount specified herein:

MARY MAGDALYN T. REGANION

Municipal Accountant Date

Subsidiary Ledger

Date Particulars/Reference Liquidations Obligation Increase (Decrease) Balance

 Appendix 29

FUND UTILIZATION REQUEST AND STATUS FURS No. : ______________

Date : __________________
LGU BUUG, ZAMBOANGA SIBUGAY
Fund :__________________

Payee

Office

Address

Project/Purpose Particulars Account Code Amount

Total
A. Certified: Charges to special trust account necessary, B. Certified: Funds available and utilized for
lawful and under my direct supervision; and supporting the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : __________________________________ Signature :

Printed Name: __________________________________ Printed Name: MARY MAGDALYN T. REGANION

Position : __________________________________ Position : Municipal Accountant

Head, Requesting Office/Authorized
Representative
Date : _______________________________ Date : ____________________________

C. STATUS OF UTILIZATION
Reference Amount
Balance
FURS/JEV/RCI/ Utilization Payable Payment Due and
Date Particulars Not Yet Due
RADAI No. Demandable
(a) (b) (c) (a-b) (b-c)
 Appendix 31

Fund:
DISBURSEMENT VOUCHER
DV No.:
LGU BUUG, ZAMBOANGA SIBUGAY
Date:

ID No./TIN:
Payee:
Leonardo G. Saile et., al... CAFOA No.:
Responsibility Center:
Address:
Pob. Buug, Zamboanga Sibugay
Particulars Amount
Compensation of the Responders of Buug DRRM Land and Sea safety, Monitoring and Response Program 14,000.00
(September 1-30, 2020)

Amount Due 14,000.00

A Certified:
Expenses/Cash Advances necessary,
valid, proper, lawful and incurred
under my direct supervision.
B Certified: C Certified:
Completeness and propriety of supporting Funds available for the purpose.
documents/previous cash advance
liquidated/existence of funds held in
trust.

MARLON I. GREGORIO MARY MAGDALYN T. REGANION FELIX S. TRAPA

Signature Over Printed Name/Position Municipal Accountant Municipal Treasurer
Head of the Department or Office

D Approved For Payment: P_________ E Received Payment:

D Payment:
D
Check No. _______________
Bank Name: _____________
Date: ___________________
HON. DIONESIA B. LAGAS Signature Over Printed Name/Position
Municipal Mayor Date________

F Accounting Entries
Particulars Account Code Debit Credit

Total
Prepared by: Certified Correct:
 MARY MAGDALYN T. REGANION
Accounting Personnel Municipal Accountant
 Appendix 32

PAYROLL
For the period of September 1-30, 2020

LGU : BUUG, ZAMBOANGA SIBUGAY Payroll No. : ________________

Fund : ________________________________ Sheet _________of __________Sheets
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

COMPENSATIONS DEDUCTIONS
Serial Employee Net Amount
Name Position Salaries Gross Signature of Recipient
No. No. Total Due
and Wages Amount
Deductions
- Regular Earned

1 Lisondra, Allan Responder 2,000.00 0 2,000.00

2 Noval, Patricio Responder 2,000.00 0 2,000.00
3 Recolito, Dominggo Responder 2,000.00 0 2,000.00
4 Saile, Leonardo Responder 2,000.00 0 2,000.00
5 Saile, Jomar Responder 2,000.00 0 2,000.00
6 Sila, Ruel Responder 2,000.00 0 2,000.00
7 Sagario, Francisco Responder 2,000.00 0 2,000.00

A CERTIFIED: Services duly rendered as stated. B CERTIFIED: Supporting documents complete and proper. C CERTIFIED: Cash available for the purpose.

Signature over Printed Name Date MARY MAGDALYN T. REGANION Date FELIX S. TRAPA Date
Authorized Official Municipal Accountant Municipal Treasurer

CERTIFIED: Each employee whose name appears on

D APPROVED FOR PAYMENT: P_________________ E F
the payroll has been paid the amount as indicated
opposite his/her name
CAFOA No. : _____________
Date : ___________________
HON. DIONESIA B. LAGAS JESUMANNY A. TRAPA
Municipal Mayor Date Disbursing Officer Date

G ACCOUNTING ENTRIES

Particulars Account Code Debit Credit Particulars Account Code Debit Credit
Prepared by: Certified Correct:
MARY MAGDALYN T. REGANION
Municipal Accountant

PETTY CASH VOUCHER
LGU : BUUG, ZAMBOANGA SIBUGAY
Fund : _____________________________
Payee/Office : ____________________________
Address : ________________________________
I. To be filled out upon request
Particulars Amount
A Requested by:
__________________________
Signature over Printed Name
Requestor
Approved by:
__________________________
Signature over Printed Name
Immediate Supervisor
B Paid by:
__________________________
Signature over Printed Name
Petty Cash Custodian
Cash Received by:
__________________________
Signature over Printed Name
Payee
Date: _______________
Appendix 33
No. : __________________
Date : _________________
FPP:
______________________
II. To be filled out upon liquidation
Total Amount Granted ______________
Total Amount Paid per
OR/Invoice No. ______ ______________
Amount Refunded/
(Reimbursed)
C
Received Refund
Reimbursement Paid
__________________________
Signature over Printed Name
Petty Cash Custodian
D
Liquidation Submitted
Reimbursement Received by:
__________________________
Signature over Printed Name
Payee
Date: _______________
 Appendix 35

LIQUIDATION REPORT Serial No.: ___________

Period Covered ________________ Date: _______________

LGU : BUUG, ZAMBOANGA SIBUGAY Function/Program/Project

Fund : _______________________________________ _______________________

PARTICULARS Amount

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO. ___________ DTD.
_____________
AMOUNT REFUNDED PER OR NO.__________ DTD. _________

AMOUNT TO BE REIMBURSED
A Certified: Correctness of the above B Certified: Purpose of travel/cash C Certified: Supporting documents
data advance duly accomplished complete and proper

Signature over Printed Name Signature over Printed Name MARY MAGDALYN T. REGANION
Claimant Immediate Supervisor Municipal Accountant
Date : ____________________ Date : ____________________ Date : ____________________
 Appendix 46

ITINERARY OF TRAVEL
LGU : BUUG, ZAMBOANGA SIBUGAY
Fund : ________________________________ No.: _______________
Name : _______________________________ Date of Travel : ______________________
Position : _____________________________ Purpose of Travel : ___________________
Official Station : _______________________
Places to be visited TIME Means of Transpor- Per
Date Others Total Amount
(Destination) Departure Arrival Transportation tation Diem

TOTAL
Prepared by :

Signature over Printed Name

I certify that : (1) I have reviewed the foregoing
itinerary, (2) the travel is necessary to the service, (3)
the period covered is reasonable and (4) the expenses Approved by:
claimed are proper.

Signature over Printed Name HON. DIONESIA B. LAGAS

Immediate Supervisor Municipal Mayor
 Appendix 47

PURCHASE REQUEST

LGU: BUUG, ZAMBOANGA SIBUGAY Fund: _______________________

Department : LDDRM PR No.: ______________ Date: ____________
Section:___________________ FPP : ___________________

Item No. Unit Item Description Quantity Unit Cost

1 Unit Ambulance 1 2,900,000.00
SPECIFICATIONS:
Engine Type: YD25 DDTI 4-cyl. In-
line, DOHC 16 valve (VGS)
Over all Length : 5080mm
Width: 1695mm
Height: 2285mm
Minimum Road Clearance: 190mm
Maximum Power: 129 Ps/3200 rpm
Maximum Torque: 356Nm/2000rpm
Fuel Tank Capacity: 65L
Fuel System: Common Rail direct
injection
Suspension, brakes and wheels:
Front independent double waistbone
torsion bar type w/ telescopic shock
absorber suspension and front stabilizer.
Rare rigid axle semi elliptic leaf spring
w/. telescopic shock absorbner
suspension. Front ventilated disc brakes.
Rear drum brakes w/ load sesing valve
and automatic adjuster.

Exterior
Monotone body color, Black keyed,
bumper, Rear Black Bumper w/ step,
Black Grill, Halogen w/ integrated
clearance Head Lamps and turn signal
lamp, Rear Third Brake light, Rear
Doornissan emblem & Rear Door Glass,
Black side door mirror, Black door
handles.

Interior
 Front driver seat with manual slide and
full reclining, Front assistant seat fixed
with full reclining, Non-CFC Dual Air-
conditioningSystem with independent
control and vents, Urethane steening
wheel, front/rear/door room lamps,
Analog speedometer w/ tachometer,
twin trip odometer, with cruising range
& real time F.E. & clock w/ shift up
indicator, odd-trip meter and fuel meter.

Warranty: 3 years or 100,000kms.

Whichever comes first.
Free Items: Vkool Tint, Matting, Seat
cover
Colors: Alpine white
Prices are subject to change without
prior notice.
Delivery is subject to our confirmation
upon receipt of your firm order. Prices
are covered with one price policy.

Purpose:

Requested by: Cash Availability: Approved by:

Signature :
Printed Name : MARLON I. GREGORIO FELIX S. TRAPA HON. DIONESIA B. LAGAS
Designation : LDRRMO Municipal Treasurer Municipal Mayor
 Appendix 47

PURCHASE REQUEST

Fund: _______________________
Date: ____________
PP : ___________________

Total Cost
2,900,000.00
 2,900,000.00

Approved by:

HON. DIONESIA B. LAGAS

Municipal Mayor
 Appendix 48

REQUISITION AND ISSUE SLIP

LGU : BUUG, ZAMBOANGA SIBUGAY Fund : ______________________

Division : _____________________________ FPP Code: __________________

Office : _______________________________RIS No. : _________ Date: _______
Requisition Issuance
Stock No. Unit Description Quantity Quantity Remarks

Purpose:

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name :
Designation :
Date :
AO 6/15/02