Attachments For NLC 1 1

OBLIGATION REQUEST AND STATUS Serial No.
:
Date :
DEPED-SCHOOLS DIVISION OF TARLAC PROVINCE
Entity Name
Fund Cluster :
Payee GUILLERMO G. GELACIO 0075-0695-10
Office Victoria East Central ES
Address Victoria , Tarlac
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code
To payment of: Monetization of Leave Credits 2023,

amounting;
5010403001 65,745.45
-
-
-
Total 65,745.45
A. B. Certified: Allotment available and obligated
Certified: Charges to appropriation/alloment are
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above
Signature : Signature :
Printed Name: JOVITA G. DIZON Printed Name: JEROME C. VALETE, CPA
Position : ADMINISTRATIVE OFICER V Position : BUDGET OFFICER III
Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized

Representative
Date : ___________________________________ Date : ____________________________
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)
Monetization of Leave 65,745.45

OBLIGATION REQUEST AND STATUS Serial No. :
DEPED-SCHOOLS DIVISION OF TARLAC PROVINCE Date :
Entity Name Fund Cluster :
Payee LANDBANK OF THE PHILIPPINES
Office SAN MIGUEL ELEMENTARY SCHOOL
Address Concepcion North, Tarlac
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code
To payment of meals expenses incurred by the

Teachers of San Miguel Elementary School,
Concepcion North District during NLC and EOSY
activities for the period covered August 4, 2023 to
August 18, 2023
5020101000 5,000.00
-
-
-
Total 5,000.00
A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above
Signature : Signature :
Printed Name: JOVITA G. DIZON Printed Name: JEROME C. VALETE, CPA
Position : ADMINISTRATIVE OFICER V Position : BUDGET OFFICER III
Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized

Representative
Date : ___________________________________ Date : ____________________________
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)
Traveling Expenses-Local 5,000.00

DEPED-SCHOOLS DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LANDBANK OF THE PHILIPPINES
Address Concepcion North, Tarlac
Responsibility
Particulars MFO/PAP Amount
Center
To payment of meals expenses incurred by the Teachers of San

Miguel Elementary School, Concepcion North District during
NLC and EOSY activities for the period covered August 4, 2023 to 5,000.00
August 18, 2023
Amount Due - 5,000.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
JOVITA G. DIZON
Administrative Officer V
B. Accounting Entry:
Account Title UACS Code Debit Credit
Traveling Expenses- Local 5020101000 5,000.00
Cash-MDS, Regular 1010404000 5,000.00
C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
six thousand pesos only
Supp
proper
Signature Signature
Printed Name JEROME C. VALETE, CPA Printed Name RONNIE S. MALLARI, PhD, CESO V
OIC-ACCOUNTANT III Position Schools Division Superintendent
Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
LANDBANK OF THE PHILIPPINES
Official Receipt No. & Date/Other Documents
Appendix 36
JOURNAL ENTRY VOUCHER
Entity Name: DEPED-Schools Division of Tarlac Province No.:
Fund Cluster: Date:
ACCOUNTING ENTRIES
Responsibilty Account Amount
Accounts and Explanation P
Center Code Debit Credit
Traveling Expenses- Local 5020101000 5,000.00

Cash-MDS, Regular 1010404000 5,000.00
To payment of meals expenses incurred by the Teachers of

San Miguel Elementary School, Concepcion North District
during NLC and EOSY activities for the period covered
August 4, 2023 to August 18, 2023
5,000.00 5,000.00 -
Certified Correct:
JEROME C. VALETE, CPA

OIC-ACCOUNTANT III
Level: ELEMENTARY
We acknowledge receipt of cash shown opposite of our name as full compensation for services rendered during the National Learning Camp for the period covered.
LAST NAME, FIRST NAME,
NO.EMPLOYEE NUMBERACCOUNT NUMBER SCHOOL POSITION PERIOD COVERED TO PAY NET AMOUNT No. SIGNATURE
MIDDLE NAME
PANGILINAN, MARILOU, SAN MIGUEL ELEMENTARY
1 4668722 1615815861 DAVID SCHOOL TEACHER II July 24, 2023 to August 4, 2023 250.00 2500.00 1
MANALO, MELQUIADEZ SAN MIGUEL ELEMENTARY
2 5417641 1615024100 JR, STO. DOMINGO SCHOOL TEACHER I July 24, 2023 to August 4, 2023 250.00 2500.00 2
500.00 - 5,000.00
A. CERTIFIED: Services duly rendered as stated: C. APPROVED PAYMENT:
Pesos Only***
JOVITA G. DIZON RONNIE S. MALLARI, PhD., CESO V

Administrative Officer V Schools Division Superintendent
Authorized Officer Office of the Schools Division Superintendent
B. CERTIFIED: Supporting documents complete and proper, and cash D. CERTIFIED: Each employee whosALOBS No.________
available in the amount of P ________ appears above has been paid the amountDate:_________
indicated opposite on his/her name. JEV No.__________
Date: _________
JEROME C. VALETE, CPA ESTRELLA C. GUTIERREZ
OIC- Accountant III Administrative Officer IV
Head, Accounting Unit Head, Cash Unit
C
Level: ELEMENTARY
This is to certify that the following teachers actually rendered services during the National Learning Camp.
LAST NAME, FIRST NAME, MIDDLE

NO. EMPLOYEE NUMBERACCOUNT NUMBER SCHOOL POSITION PERIOD COVERED TO PAY NET AMOUNT No. REMARKS
NAME
SAN MIGUEL
PANGILINAN, MARILOU, ELEMENTARY
1 4668722 1615815861 DAVID SCHOOL TEACHER II August 7, 2023 to August 18, 2023 250 2500.00 1
SAN MIGUEL
MANALO, MELQUIADEZ ELEMENTARY
2 5417641 1615024100 JR, STO. DOMINGO SCHOOL TEACHER I August 7, 2023 to August 18, 2023 250 2500.00 2
TOTAL 500 5000
Certified Correct: Noted:
JOVITA G. DIZON RONNIE S. MALLARI, PhD., CESO V

Administrative Officer - V Schools Division Superintendent
Republic of the Philippines
Department of Education
Schools Division of Tarlac Province
SAN MIGUEL ELEMENTARY SCHOOL
Concepcion North District
Concepcion, Tarlac
SIGNATURE
NO. NAME August 07, 2023 August 08, 2023 August 09, 2023 August 10, 2023 August 11, 2023
1 PANGILINAN, MARILOU, DAVID

MANALO, MELQUIADEZ JR, STO.
2 DOMINGO
Prepared By: Certified Correct By:
MA. TERESA G. MANALANSAN FRANCISCO A. SANTIANO

Faculty President or Admin Officer II School Head
SAN MIGUEL ELEMENTARY SCHOOL
Concepcion, Tarlac
SIGNATURE
1 PANGILINAN, MARILOU, DAVID

MANALO, MELQUIADEZ JR, STO.
2 DOMINGO
MA. TERESA G. MANALANSAN FRANCISCO A. SANTIANO

STO. CRISTO ELEMENTARY SCHOOL
Concepcion, Tarlac
SIGNATURE
1 Sinio, Myra Lopez
2 Hipolito, Maria Rita Manalo
3
4
LANI C. PABUSTAN HERSA F. HUET

Concepcion, Tarlac
SIGNATURE
1 Sinio, Myra Lopez
3
4

Concepcion, Tarlac
SIGNATURE
1 Sinio, Myra Lopez
3
4

REGION III
SCHOOLS DIVISION OF TARLAC PROVINCE
LA PAZ SOUTH DISTRICT
SAN ISIDRO CENTRAL ELEMENTARY SCHOOL
CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name: MARILOU D. PANGILINAN Employee No. 4668722
Office SAN MIGUEL ELEMENTARY SCHOOL, CONCEPCION NORTH DISTRICT
Division SCHOOLS DIVISION OF TARLAC PROVINCE
Particulars Amount (₱)
To payment of meals expense incurred

during NLC and EOSY activities….
250.00
TOTAL 250.00
Purpose: Payment of Meals Expense during NATIONAL LEARNING CAMP ACTIVITIES
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law.
Certified correct: Noted by:

Signature
Printed Name MARILOU D. PANGILINAN FRANCISCO A. SANTIANO

Employee Immediate Supervisor
Date: August 17, 2023 Date: August 17, 2023
REGION III
Name: ANGELITA E USON Employee No. 4131471
Office STO. CRISTO ELEMENTARY SCHOOL, CONCEPCION NORTH DISTRICT

250.00
TOTAL 250.00

Signature
Printed Name MYRA L. SINIO HERSA F. HUET


REGION III
Name: MARIA RITA M. HIPOLITO Employee No. 4668894
#REF!
250.00
TOTAL 250.00
Signature
Printed Name MARIA RITA M. HIPOLITO HERSA F. HUET

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature

REGION III

250.00
TOTAL 250.00

Signature


REGION III
#REF!
250.00
TOTAL 250.00
Signature


Attachments For NLC 1 1

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OBLIGATION REQUEST AND STATUS Serial No.

Office Victoria East Central ES

Address Victoria , Tarlac

To payment of: Monetization of Leave Credits 2023,

Printed Name: JOVITA G. DIZON Printed Name: JEROME C. VALETE, CPA

Position : ADMINISTRATIVE OFICER V Position : BUDGET OFFICER III

Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized

Monetization of Leave 65,745.45

Office SAN MIGUEL ELEMENTARY SCHOOL

Address Concepcion North, Tarlac

To payment of meals expenses incurred by the

Printed Name: JOVITA G. DIZON Printed Name: JEROME C. VALETE, CPA

Position : ADMINISTRATIVE OFICER V Position : BUDGET OFFICER III

Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized

Traveling Expenses-Local 5,000.00

Mode of MDS Check Commercial Check ADA Others (Please specify)

Address Concepcion North, Tarlac

To payment of meals expenses incurred by the Teachers of San

Amount Due - 5,000.00

Traveling Expenses- Local 5020101000 5,000.00

Cash-MDS, Regular 1010404000 5,000.00

C. Certified: D. Approved for Payment

Traveling Expenses- Local 5020101000 5,000.00

To payment of meals expenses incurred by the Teachers of

JEROME C. VALETE, CPA

JOVITA G. DIZON RONNIE S. MALLARI, PhD., CESO V

LAST NAME, FIRST NAME, MIDDLE

Certified Correct: Noted:

JOVITA G. DIZON RONNIE S. MALLARI, PhD., CESO V

1 PANGILINAN, MARILOU, DAVID

Prepared By: Certified Correct By:

MA. TERESA G. MANALANSAN FRANCISCO A. SANTIANO

1 PANGILINAN, MARILOU, DAVID

Prepared By: Certified Correct By:

MA. TERESA G. MANALANSAN FRANCISCO A. SANTIANO

Prepared By: Certified Correct By:

LANI C. PABUSTAN HERSA F. HUET

Prepared By: Certified Correct By:

LANI C. PABUSTAN HERSA F. HUET

Prepared By: Certified Correct By:

LANI C. PABUSTAN HERSA F. HUET

Division SCHOOLS DIVISION OF TARLAC PROVINCE

Particulars Amount (₱)

To payment of meals expense incurred

Certified correct: Noted by:

Printed Name MARILOU D. PANGILINAN FRANCISCO A. SANTIANO

To payment of meals expense incurred

Certified correct: Noted by:

Printed Name MYRA L. SINIO HERSA F. HUET

Republic of the Philippines

Printed Name MARIA RITA M. HIPOLITO HERSA F. HUET

To payment of meals expense incurred

Certified correct: Noted by:

Printed Name MYRA L. SINIO HERSA F. HUET

Republic of the Philippines

Printed Name MARIA RITA M. HIPOLITO HERSA F. HUET

To payment of meals expense incurred

Certified correct: Noted by:

Printed Name MYRA L. SINIO HERSA F. HUET

Republic of the Philippines

Printed Name MARIA RITA M. HIPOLITO HERSA F. HUET

To payment of meals expense incurred

Certified correct: Noted by: