Professional Documents
Culture Documents
Address
Alabel. Sarangani
MFO/PAP UACS Object Amount
Responsibili!y Center Particulars
Total 15r2530.1r
Signature Signature :
DENN I'ATHE
Printed Name: Printed Name
Date Date .
c STATTJS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/ChecV Obligation Pa\ able Palment Due and
Date Particula$ Not Yet Due
ADA./TRA No. Demandable
(a) (b) (c) (a-b) (b-c)
Utilization 0 1.512.530.1I 1.512.530.11
ck#
TRA
lpn A,z?
Republt of the Philippines
Daplrtmcnt of thcInt rlor and Local Government
Reglon XII
CE RIIFICATIOTI
Thlr It to CERTIFY th.t tho lnfornrdon .nd oot lG. .rc prGp.rsd in lccordanc€ wlth CSC Msmorandum Circul.r tlo. 41 .. 199E