NAME: JEZA E.

BRIGOLA
POSITION: AC EMPLOYEE #:

Total Amount of Revolving Fund: 8,000.00

List of Expenses Chargeable to CBCI Site

Transportation in depositing cash collections Super metro/SSS Bogo/BDO

Smart Bro Wifi Modem BC SSS Bogo

Laboratory test of Jelyn Apbale BC Metro Bogo

Covered Period of
Reimbursement August 1-31, 2022

Prepared / Requested by: JEZA E. BRIGOLA

Signature over Printed Name

Verified By:
(TS Lead) Katrine Faith G. Monton
Signature over Printed Name

Checked By:
Robelyn Escala
(Admin Assistant)
 Checked By:
Robelyn Escala
(Admin Assistant)
Signature over Printed Name

Note: Must be accomplished in 2 copies. 1 - Employee, 2 - Finance *

CHARGEABLE TO CBCI:
 DATE: 9/11/2022
P106741 DEPARTMENT: CBCI OPERATION

Chargeable to CFS Expenses:

Remaining Bal. 5,506.50 Chargeable to CBCI Expenses:
Date OR# Amount

August 1-31, 2022 440.00

August 12 2022 34815 ₱715.00

August 3 2022 790.00

Total Amount Requested: 440.00

Noted by: (Account

Officer) Allan M. Pabiton
Signature over Printed Name

Approved by:
(Account Manage) Dinah B.Mamporte
Signature over Printed Name

Approved by: (Head,

George Anton Rafael O. Palis
SBU3 )
 Approved by: (Head,
George Anton Rafael O. Palis
SBU3 )
Signature over Printed Name

Employee, 2 - Finance *highligted portions in yellow are required fields.

022
ERATION

e to CFS Expenses: 548.50

e to CBCI Expenses: 1,945.00
Purpose

For deposit

replacement of old
modem personal owned
by Miss Irene Mañanita

M. Pabiton
ver Printed Name

B.Mamporte
ver Printed Name

on Rafael O. Palis
on Rafael O. Palis
ver Printed Name
 Date of Transpo Mode of
From To Site/Store Per Diem Remarks
OB Cost transpo.
Supermetro SSS Bogo
August 1 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
SSS Bogo BDO
Supermetro SSS Bogo
August 2 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
SSS Bogo BDO
Supermetro SSS Bogo
August 3 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
SSS Bogo BDO
Supermetro SSS Bogo
August 4 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
SSS Bogo BDO
Supermetro SSS Bogo
August 5 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
SSS Bogo BDO
August 8 2022 Supermetro BDOMetro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
Supermetro SSS Bogo
August 9 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
SSS Bogo BDO
Supermetro SSS Bogo
August 10 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
SSS Bogo BDO
SSS Bogo BDO
August 11 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 12 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO 20.00 Tricycle deposit cash collection
August 15 2022 Metro Bogo/SSS Bogo/ BDO
BDO SSS Bogo
SSS Bogo BDO 20.00 Tricycle deposit cash collection
August 16 2022 Metro Bogo/SSS Bogo/ BDO
BDO SSS Bogo
SSS Bogo BDO 20.00 Tricycle deposit cash collection
August 17 2022 Metro Bogo/SSS Bogo/ BDO
BDO SSS Bogo
SSS Bogo BDO
August 18 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 19 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 22 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 23 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 24 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 25 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 26 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 30 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo
SSS Bogo BDO
August 31 2022 Metro Bogo/SSS Bogo/ BDO20.00 Tricycle deposit cash collection
BDO SSS Bogo

TOTAL: 440.00

JEZA E. BRIGOLA
Prepared by: JEZA E. BRIGOLA Approved by:
Date of Transpo Mode of
From To Site/Store Per Diem Remarks
OB Cost transpo.

Prepared by: JELYN APBALE Approved by:

Validated by:
 Acknowledgement Receipt
PAYEE: Jelyn Apable DATE: 27-Nov-22
AMOUNT: 790.00 DEPARTMENT: BC Metro Bogo

DETAILS AMOUNT

Laboratory Test 790.00

TOTAL 790.00

PREPARED
BY: JEZA E. BRIGOLA
Signature over Printed
Name/Date

RECEIVED BY: JELYN APABLE

Signature over Printed Name/Date
Customer Frontline Solutions, Inc.
Breakdown of Expenses

Other Expenses

Date Description Amount

August 12 2022 Wifi Smart Bro ₱715.00

August 3 2022 Laboratory test of Jelyn Apbale 790.00

TOTAL 1,505.00

Prepared by: JEZA E. BRIGOLA Approved by:

Validated by: Katrine Faith Monton

*** Kindly attached all supporting receipts in an organize manner. Include the date and total cost of each receipt
Customer Frontline Solutions, Inc.
Breakdown of Expenses

Purpose
replacement of old modem personal owned by
Miss Irene Mañanita
for intro renewal requirements

*** Kindly attached all supporting receipts in an organize manner. Include the date and total cost of each receipt