Transportation -(Balara to Market)

R035 Liquidation Form

Summary of Expenses
Employee Name: CHRISTIAN CEDRIC JORDAN Date Prepared: May 30, 2022
Position: Team Leader Department: SURVEY & DESIGN DEPT.
Type of Payment (Please check appropriate box below): CAL Ref. No.:
Liquidation (CAL) Replenishment (FR) Others (Pls. specify): FR Ref. No.:

Invoice or O.R.
Item No. Item Description Invoice or O.R. Date Amount Site Name & Site ID Project Name Cost Center
No.

1 OFFICE TO BATASAN (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR5645 BT011 DWDM

2 SANDIGAN TO PHILCOA (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 39.00 NCR5645 BT011 DWDM

3 PHILCOA TO FISHERMALL (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR5645 BT011 DWDM

4 FISHERMALL TO ROOSEVELT HUB (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 27.00 NCR5645 BT011 DWDM

5 ROOSEVELT HUB TO FISHERMALL (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 27.00 NCR5645 BT011 DWDM

6 FISHERMALL TO PUREGOLD COMMONWEALTH (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 54.00 NCR5645 BT011 DWDM

7 PUREGOLD COMMONWEALTH TO SITE (CEDRIC/JOEL/JOELE) - TRICYCLE MAY 30, 2022 PHP 75.00 NCR5645 BT011 DWDM

8 SITE TO MANGGAHAN (CEDRIC/JOEL/JOELE) - TRICYCLE MAY 30, 2022 PHP 60.00 NCR6077 FEUDILIMAN DWDM

9 MANGGAHAN TO COA (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR6077 FEUDILIMAN DWDM

10 COA TO SITE (CEDRIC/JOEL/JOELE) - TRICYCLE MAY 30, 2022 PHP 75.00 NCR6077 FEUDILIMAN DWDM

11 SITE TO COA (CEDRIC/JOEL/JOELE) - TRICYCLE MAY 30, 2022 PHP 75.00 NCR4717 BRGYPASONGTAMOQC DWDM

12 COA TO TANDANG SORA (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR4717 BRGYPASONGTAMOQC DWDM

13 TANDANG SORA TO SITE (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR4717 BRGYPASONGTAMOQC DWDM

14 SITE TO TANDANG SORA (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR4717 BRGYPASONGTAMOQC DWDM

15 TANDANG SORA TO PHILCOA (CEDRIC/JOE/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR4717 BRGYPASONGTAMOQC DWDM

16 PHILCOA TO FISHERMALL (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 30.00 NCR4717 BRGYPASONGTAMOQC DWDM

17 FISHERMALL TO ROOSEVELT HUB (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 27.00 NCR4717 BRGYPASONGTAMOQC DWDM

18 ROOSEVELT HUB TO FISHERMALL (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 27.00 NCR4717 BRGYPASONGTAMOQC DWDM

19 FISHERMALL TO OFFICE (CEDRIC/JOEL/JOELE) - JEEP MAY 30, 2022 PHP 45.00 NCR4717 BRGYPASONGTAMOQC DWDM

TOTAL PHP 771.00

I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may impose me a disciplinary action.

Employee Name: CHRISTIAN CEDRIC JORDAN Sign & Date: Amount to be Paid:

PM or IS: CATHERINE GARPESA BAGOTSAY Sign & Date: Date Received:

Checked for Sign & Date:

Payment by:

Approved for Payment:

PD / Dept Head: Bel Paranal Sign & Date:

VP or CEO: Karl Mark Gaspe or Eduardo Gaspe Sign & Date:

Acctg. Head: Rosie Bautista Sign & Date:

03/06/2017 R035 VER. 02

 Existing
Form:
R035 Liquidation Form
Summary of Expenses
Employee Name: Christian Cedric Jordan June 07, 2022
Position: Team Leader Survey and Eng'g
Type of Payment (Please check appropriate box below):
Liquidation (CAL) Replenishment (FR) Others (Pls. specify):

Item No. Item Description Invoice or O.R. No. Invoice or O.R. Date Amount Site ID & Name Project Name Cost Center

TOLL FEE - SLEX(C5SE) SL4049

1 000003131836 June 07, 2022 PHP 214.00 TRANSPORT JCC-S&E-2020-01
(JEFFREY/SUPERCARRY/NEG6129) BRGY3POBSTOMASBATS

TOLL FEE - SLEX(AYALA) SL4049

2 000004524020 June 07, 2022 PHP 25.00 TRANSPORT JCC-S&E-2020-01
(JEFFREY/SUPERCARRY/NEG6129) BRGY3POBSTOMASBATS

TOLL FEE - SLEX(LIPASB) SL4049

3 000002097198 June 07, 2022 PHP 55.00 TRANSPORT JCC-S&E-2020-01
(JEFFREY/SUPERCARRY/NEG6129) BRGY3POBSTOMASBATS

TOLL FEE - SLEX(TANAUANNB) SL3876

4 000001757947 June 07, 2022 PHP 43.00 TRANSPORT JCC-S&E-2020-01
(JEFFREY/SUPERCARRY/NEG6129) SMCLUYOSTNAUANBATS

TOLL FEE - SLEX(LIPASB) SL3876

5 000002097708 June 07, 2022 PHP 43.00 TRANSPORT JCC-S&E-2020-01
(JEFFREY/SUPERCARRY/NEG6129) SMCLUYOSTNAUANBATS
TOLL FEE - SLEX(AYALA)
6 000000233968 June 07, 2022 PHP 25.00 SL2955 TRAPICHEBATS TRANSPORT JCC-S&E-2020-01
(JEFFREY/SUPERCARRY/NEG6129)
TOLL FEE - SLEX(C5NX)
7 000003515569 June 07, 2022 PHP 214.00 SL2955 TRAPICHEBATS TRANSPORT JCC-S&E-2020-01
(JEFFREY/SUPERCARRY/NEG6129)

TOTAL PHP 619.00

I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may impose me a disciplinary action.

Employee Name: Sign & Date:

PM or IS: Sign & Date:
Checked for Sign & Date:
Payment by:
Approved for Payment:
PD / Dept Head: Bel Paranal Sign & Date:
VP or CEO: Karl Mark Gaspe or Eduardo Gaspe Sign & Date:
Acctg. Head: Rosie Bautista Sign & Date:

03/06/2017 R035 VER. 02