Catbalogan Branch, Catbalogan, Samar

STATEMENT OF EXPENSES
as of October 29, 2021

Representing replenishment of Petty Cash Fund per attached Petty Cash Voucher Nos. 2021-096 - 111 with their supporting
receipts of various dates listed below totalling EIGHT THOUSAND SIX HUNDRED FIFTY & 65/100 ONLY - P -

SOS - 63799 PCF Rep cost of 1 pc. Valiant visitors log book
SOS - 63799 PCF Rep pyt for 1 pc Cash book
Power, light, water - 63378 PCF Rep cost of 11 bottle 5 gals mineral water - refill
Power, light, water - 63378 PCF Rep cost of 10 bottle 5 gals mineral water - refill
Misc exp - 65546 PCF Rep cost of 1 bot zonrox floral 500ml; 6 sachets surp powder & 1 sachet downy antibac.

Misc exp - 65546 PCF Rep cost of 1 gallon dish/hand washing liquid
Misc exp - 65546 PCF Rep cost of 2 packs garbage bags
Misc exp - 65546 PCF Rep cost of 2 pcs sprayer empty botthe for alcohol
Misc exp - 65546 PCF Rep pyt of janitorial services due to absence of regular janitor
Misc exp - 65546 PCF Rep pyt of janitorial services due to absence of regular janitor
Misc exp - 65546 PCF Rep pyt of janitorial services due to absence of regular janitor
Misc exp - 65546 PCF Rep cost of 2 btls muriatic acid for CR.
Misc exp - 65546 PCF Rep cost of 1 bot lysol disinfectant
Misc exp - 65546 PCF Rep pyt of janitorial services due to absence of regular janitor
Misc exp - 65546 PCF Rep pyt of janitorial services due to absence of regular janitor
Misc exp - 65546 PCF Rep pyt of janitorial services due to absence of regular janitor
Misc exp - 65546 PCF Rep pyt of janitorial services due to absence of regular janitor
Misc exp - 65546 PCF Rep pyt of 1 pcs. Sponge; 3 packs paper cups & 1 pack garbage bag.
DTHO-Catbalogan Lending Center PCF Rep pyt of JRS Express charge of MC pyt to GSIS send to Ms. Kristine M.H. Salazar, CLC.

Freight - 65473 PCF Rep pyt of JRS Express charge of docs send to AVP t. Canillas, BBG-CEV.
Freight - 65473 PCF Rep pyt of JRS Express charge of captured ATM cards to Security Bank Tac.
Freight - 65473 PCF Rep pyt of JRS Express charge of captured ATM cards to City Savings Bank Tacloban.

Representation & Entertainment Allow.-63930 PCF Rep cost of meals served during CA in DBP Tacloban for 2 pax - SG convoy
Representation & Entertainment Allow.-63930 PCF Rep cost of meals served during CA in DBP Tacloban for 4 pax SG/Driver
Representation & Entertainment Allow.-63930 PCF Rep pyt for meals served during ATM servicing in Calbiga, Samar for 5 pax driver;
Sguards & 2 personnel
Representation & Entertainment Allow.-63930 PCF Rep pyt for meals served during travel from Catarman to Catbalogan.
Representation & Entertainment Allow.-63930 PCF Rep pyt for meals served during travel from Catbalogan to Catarman.
Representation & Entertainment Allow.-63930 PCF Rep pyt for 2 packs styro cups for clients
Representation & Entertainment Allow.-63930 PCF Rep pyt for 2 packs skyflakes for visitors & 20 sachets nescafe for clients
Representation & Entertainment Allow.-63930 PCF Rep pyt for 2 doz. Nescafe for clients
Traveling PCF Rep pyt of bed space (back-up SG from Catarman) for Cash assistance in Tacloban
Traveling PCF Rep pyt of Grandtours fare from Catarman-Catbalogan of Serwin Tepace back-up SG for
Cash assistance in Tacloban
Traveling PCF Rep pyt of Grandtours fare from Catbalogan-Catarman of Serwin Tepace back-up SG for
Cash assistance in Tacloban
Repair & Maint.-O/Eqmts - 63533 PCF Rep pyt of 1 pc circuit breaker 50mg volltin
Repair & Maint.-O/Eqmts - 63533 PCF Rep pyt of service charge-repair/replace defective 50A 2 pole Br. circuit breaker.
Repair & Maint.- IT PCF Rep pyt of service charge-repair of ERROR in PC (Teller II)

63799 63528c 63538 63610 63930 63378 63498 65473 63534 63794 65546 31870

Rep & freight

Rep &
PTT Rep & Ent. TRAVEL Rep & maint. SOS - MISC. EXP. dtho Total
Date PCV No. SOS Main. IT
maint. bank
Allow.
water DOM chrgs O/Eqmts COA
vehicle

2021-096 -
2021-097 -
2021-098 -
2021-099 -
2021-100 -
2021-101 -
2021-102 -
2021-103 -
2021-104 -
2021-105 -
2021-106 -
2021-107 -
2021-108 -
2021-109 -
2021-110 -
2021-111 -
- - - - - - - - - - - - -

JOURNAL ENTRIES:
63799 -
63528c -
63930 -
63378 -
63498 -
65473 -
63534 -
65546 -
31870 -
-

Prepared by: Checked by: APPROVED:

 LBC / JRS

<--------- JRS/GRANDTOURS

-
-

10,000.00
-

63528c 63087C 62225E 78071U 63539M

Rep & Main.

Honora rium'
Mun. Taxes/ Rep & maint.
IT licenses AOEP
bank prem

63527R 63273A
DÉCOR Insu-rance

63539M 63336 63498 63591A

Rep & maint. bank Misc. Rent TRAVEL
Trans. DOM SCMJ
prem

1349.35
9,060.50

31870
dtho
dtho

4559.25
1815 -1374.25 196 MGR
6374.25 159 JUN
755 CHRISTY
1110
1020 264.25
1815
185
 Catbalogan Branch, Catbalogan City, Samar

URGENT REQUEST FOR PURCHASE/REPAIR/CONSTRUCTION

Unit/Dept//Branch:
Catbalogan Code : 730 Date : No.

ITEM NO. QTY. UNIT PARTICULAR PURPOSE

1
2
3 Branch use
4 -x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-END-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x
5

Requested by: INSPECTION AND ACCEPTANCE REPORT

SUPPLIER:

PO No.: DATE: INVOICE NO.:

REQUISITIONING OFFICE/DEPT.: COA

ITEM RECEIVED/ACCEPTED/INSPECTED CHECKED / NOTED APPROVED

Catbalogan Branch, Catbalogan, Samar

PETTY CASH VOUCHER

PAYEE: PCV NO. : 2021-____

DEPT./CENTER/BRANCH/ADDRESS: CATBALOGAN DATE :

Particular O.R. No. AMOUNT

-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-END-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x

TOTAL - P
CERTIFIED CORRECT: APPROVED BY: PAYMENT RECEIVED BY:

Name Name Signature Over Printed Name

Acting Cashier DATE : 30-Dec-99
Position Position
SCS 01410
(Rev o - 02 mar12)
 9024

976

-10
-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-END-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x
0

ROLLY J. VILLANO
DRIVER ARMORTECH

9592.7 311 COH 404.2

9986.7 OR 9904.94 95.06

13.3 0R-1 153+ 1408

11717.14

7927.15
2030

9957.15

42.85 42.85

3309.5
6593.5

9,903.00
97.00
10,000.00