Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

MASBATE 3RD
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE V
Dimasalang, Masbate

ROUTING SLIP

Reference No.:

From: Date: 10/10/2023

EMY B. LABUSTRO

For:
OIC-District Engineer:
GERRYLIN M. CANTILLEP
OIC-Asst. District Engineer:
LEONARDO B. GONZALES
Administrative Officer:
JUANITO R. MARFIGA
Accounting/Budget Section:
LINA T. ALMANZOR
Division/Section (Others):
FEM M. ANDES
 November 06, 2023
(Date)

APPENDIX "A"
Department of Public Works and Highways
(Agency)

Name : EMY B. LABUSTRO

Position : Admin Assistant I
OFFICIAL STATION : DPWH, Masbate 3rd DEO
PURPOSE OF TRAVEL : See attached approved travel order

MEANS OF
PLACE TO BE VISITED DEPARTURE ARRIVAL TRANSPORTA PER DIEMS TOTAL
TION

Masbate Dimasalang Masbate Van 180.00

October 15, 2023
Masbate Port Cebu Port Vessel 1,320.00 1,530.00
Terminal Fee 30.00

Cebu Port Cebu City Mactan Airport Taxi 300.00

October 16, 2023
Mactan Airport Silay Airport Plane Fare 1,839.08
Arrival Silay Airport Residence Taxi 400.00
Per Diem 1,800.00 4,339.08

October 17 - 21, Per Diem 1,800.00 9,000.00

Bacolod
2023

Bacolod Port Iloilo Port Fastcraft 550.00

Terminal Fee 40.00

October 22, 2023 Return to Station Residence Iloilo Airport Taxi 300.00
Iloilo Airport Mactan Airport Plane 1,640.76
Per Diem 900.00 3,430.76

October 24, 2023 Mactan Airport Bicol Airport Plane 3,696.04

Bicol Airport Daraga Van 120.00
Daraga Pilar Port Van 100.00
Pilar Port Masbate Port Fastcraft 720.00
Masbate Dimasalang Van 180.00

Hotel Accomodation for October 20-21, 2023 780.00 5,596.04

Actual Expense (with OR) 3,360.00
Accomodation per pax (2) 1,680.00
Less: Accomodation Per Diem Component (900.00)
Allowable actual hotel accomodation 780.00

GRAND TOTAL 23,895.88

1. The travel is necessary to the service. PREPARED BY:
2. The period covered is reasonable.
3. The expenses claimed are proper.
EMY B. LABUSTRO
Admin Assistant I

RECOMMENDING APPROVAL: APPROVED:

FEM M. ANDES LEONARDO B. GONZALES

Chief, Finance Section OIC-Assistant District Engineer
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
MASBATE 3rd
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE V
Dimasalang, Masbate

Date
MEMORANDUM

TO : LINA T. ALMANZOR
Budget Officer II
This Office

SUBJECT : OBLIGATION REQUEST and STATUS (ORS)

This is to request for the issuance of an Obligation Request for the following:

FUND :

AMOUNT : 16,590.00

PAYEE : EMY B. LABUSTRO

EE no./ TIN No. : 05H0021/ 186-223-573

PAYEE OFFICE/ ADDRESS : Dimasalang, Masbate

PARTICULARS : To payment of cash advance for the travelling expense and per diems to be
incurred in attending the annual convention-seminar conducted by Association of
Government Accountants of the Philippines (AGAP), Inc. with the theme,
“Inclusive and Innovative Finance: What Financial Managers and Practitioners
Need to Know?” from October 16-23, 2023 in Bacolod City.

PROJECT CHARGE/ OFFICE : ORD/SARO NO./SAA NO.

I certify that charges to appropriation/ allotment are necessary, lawful and under my direct supervision.
I also certify that supporting documents are valid, proper and legal.

Your attention to this matter would be appreciated.

FEM M. ANDES
Chief, Finance Section
 Appendix 32

Fund Cluster:
DPWH, Masbate 3rd DEO
Entity Name
Date:
DV No.:
DISBURSEMENT VOUCHER

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
TIN/EE NO OR/BUR No.
Payee EMY B. LABUSTRO
05H0021/ 186-223-573

Address Dimasalang, Masbate

Particulars Responsibility Center MFO/PAP AMOUNT

To payment of cash advance for the travelling expense and per

diems to be incurred in attending the annual convention-seminar
conducted by Association of Government Accountants of the
Philippines (AGAP), Inc. with the theme, “Inclusive and Innovative
Finance: What Financial Managers and Practitioners Need to
Know?” from October 16-23, 2023 in Bacolod City.

16,590.00

A Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

FEM M. ANDES
Chief, Finance Section
Printed Name, Designation and Signature of Supervisor

B Accounting Entry:
Account Title UACS Code Debit Credit

See attached JEV

C Certified: D Approved for Payment

Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper

Signature Signature

Printed Printed
FEM M. ANDES GERRYLIN M. CANTILLEP
Name Name
Accountant III Position OIC-District Engineer
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:

Official Receipt/Other Documents

 (Date)

APPENDIX "A"
Department of Public Works and Highways
(Agency)

Name : EMY B. LABUSTRO

Position : Admin Assistant I
OFFICIAL STATION : DPWH, Masbate 3rd DEO
PURPOSE OF TRAVEL : See attached approved travel order

MEANS OF
PLACE TO BE VISITED DEPARTURE ARRIVAL TRANSPORTA PER DIEMS TOTAL
TION

Masbate Dimasalang Masbate Van 180.00

October 15, 2023
Mobo Port Cebu Port Vessel 1,800.00 1,980.00

Cebu Port Cebu City Mactan Airport Taxi 300.00

October 16, 2023
Mactan Airport Silay Airport Plane Fare
Arrival Silay Airport Residence Taxi 300.00

Per Diem 900.00 1,500.00

October 17 - 21, Per Diem 1,800.00 9,000.00

SMX Bacolod
2023 x 5 days

Return to Station Residence Silay Airport Taxi 300.00

October 22, 2023 Silay Airport Mactan Airport Plane
Per Diem 900.00
Mactan Airport Cebu City Taxi 300.00 1,500.00

October 23, 2023 Cebu Port Mintac Port Vessel 1,800.00

Per Diem 540.00
Mintac Port Cataingan Tricycle 150.00
Cataingan Dimasalang Van 120.00
2,610.00

GRAND TOTAL 16,590.00

1. The travel is necessary to the service. PREPARED BY:
2. The period covered is reasonable.
3. The expenses claimed are proper.
EMY B. LABUSTRO
Admin Assistant I

RECOMMENDING APPROVAL: APPROVED:

FEM M. ANDES LEONARDO B. GONZALES

Chief, Finance Section OIC-Assistant District Engineer
 APPENDIX "B"

DPWH, Masbate 3rd District Engineering Office, Dimasalang, Masbate

Agency

GERRYLIN M. CANTILLEP Dimasalang, Masbate

(Agency Head) (Station)

OIC-District Engineer
(Designation) (Date)

I certify that I have completed the travel authorized in Itinerary of Travel No. R05.
dated ______ under condition indicated below:
( ) Strictly in accordance with the approved itinerary.
( /) Cut short as explained below additional itinerary was submitted.
( /) Other devianed as explained.

Explained or justification

Evidence of travel attached Approved Travel Order, Certificate of Appearance,

and Tickets, Toll Fees as supported by Certificate of Expense (Paid thru RFID)

Respectfully submitted:

EMY B. LABUSTRO
(Employee)

Admin Assistant I
(Designation)

On evidence and travel information of which I have knowledge, the travel was actually
undertaken.

FEM M. ANDES
(Employee)

Chief, Finance Section

(Designation)
 Appendix 11

OBLIGATION REQUEST AND STATUS Serial No.:

_________________________________ Date:
Entity Name Fund Cluster:

Payee EMY B. LABUSTRO

Office DPWH, Masbate II DEO
Address Dimasalang, Masbate
Responsibility UACS Object
Particulars MFO/PAP Amount
Center code

To payment of cash advance for the

travelling expense and per diems to
be incurred in attending the annual
convention-seminar conducted by
Association of Government
Accountants of the Philippines
(AGAP), Inc. with the theme,
“Inclusive and Innovative Finance:
What Financial Managers and
Practitioners Need to Know?” from
October 16-23, 2023 in Bacolod City.

Total
A Certified: Changes to appropriation/
allotment are necessary, lawful and
under my direct supervision; and supporting
documents valid, proper and legal
16,590.00
B Certified: Allotment available and obligated for the
purpose/adjustment necessary as indicated above

Signature: Signature:
Printed Name: FEM M. ANDES Printed Name: NICOLAS B. AVISO
Position: Chief, Construction Section Position: Accountant III
Head, Requesting Office/Authorized Head, Requesting Office/Authorized
Representative Representative
Date: Date:

C STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check Obligation Payable Payment Not Yet Due and
Date Particular
ADA/TRA No. Due Demandable
(a) (b) (c) (a-b) (b-c)