Appendix 11

OBLIGATION REQUEST AND STATUS Serial No. :

DEPARTMENT OF EDUCATION APRIL 28,2023
Cotabato Division Fund Cluster: 101101
Payee LESTER JAO R. SEGUBAN
Office DEPED-COTABATO DIVISION
Address Amas, Kidapawan City
Responsibility Center Particulars MFO/PAP UACS Object Code Amount

CASH ADVANCE FOR 17,070.00

THE PAYMENT OF
TRAVEL EXPENSES FOR
THE DEPED YOUTH
FORMATORS
CONVERGENCE 2023 AT
BACOLOD CITY, NEGROS
OCCIDENTAL ON MAY
22-25, 2023

Total 17,070.00
A.A. Certified: Charges to appropriation /allotment B.B. Certified: Allotment available and obligated
necessary, lawful and under my direct supervisio for the purpose/adjustment necessary as
supporting documents valid, proper and legal. indicated above.

Signature: _________________________ Signature:_________________________

Printed Name: JULIE B. LUMOGDANG, Ed.D Printed Name: MARRISA J. JUSI
Position: CHIEF, SGOD Position: Division Budget Officer
Head Requesting Office/Authorized Representati Head, Budget Division Unit/Authorized Representative

Date: ___________________________ Date: ___________________________

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

17,070.00
CASH ADVANCE FOR
THE PAYMENT OF
TRAVEL EXPENSES
FOR THE DEPED
YOUTH FORMATORS
CONVERGENCE 2023
AT BACOLOD CITY,
NEGROS OCCIDENTAL
ON MAY 22-25, 2023
 Appendix 32
Department of Education Fund Cluster
COTABATO DIVISION
April 28, 2023
DISBURSEMENT VOUCHER DV. No.:
Mode of MDS Check Commercial check ADA Others (Please specify)
Payment
Payee LESTER JAO R. SEGUBAN TIN / Employee No. ORS/BURS No.

Address Kidapawan City

Particulars Responsibily Center MFO/PAP Amount

REIMBURSEMENT FOR THE PAYMENT OF TRAVEL

EXPENSES FOR THE DEPED YOUTH FORMATORS
CONVERGENCE 2023 AT BACOLOD CITY, NEGROS
OCCIDENTAL ON MAY 22-25, 2023
1,672.00

Amount Due 1,672.00

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

JULIE B. LUMOGDANG, ED.D

Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expense 1990101000 1,672.00
Cash in Bank MDS Regular 1010404000 1,672.00
C. Certified: D. Approved for Payment

Cash Available
ONE THOUSAND SIX HUNDRED SEVENTY-TWO PESOS
Subject to Authority to Debit Account (when applicable) ONLY
Supporting documents complete and amount claimed proper

Signature Signature

Printed Name JOVELYN R. JAVIER, CPA Printed Name ROMELITO G. FLORES, CESO V
Division Accountant Schools Division Superintendent
Position Head Accounting Unit/Authorized Representative
Position Agency Head/Authorized Representative
Date Date
E. Receipt of Payment
Check/ADA Date: Bank Name & Account Name: JEV No.:
No.:
Date: Printed Name:
Signature
LESTER JAO R. SEGUBAN Date:
Official Receipt No. & Date/Other Documents
 Annex G-3
JEV no.:
JOURNAL ENTRY VOUCHER
Department of Education

Entity Name: Date:

Fund Cluster: GENERAL FUND 101101
ACCOUNTING ENTRIES
Responsibility
Center Account Amount
Accounts & Explanation Ref.
Code Debit Credit

Advances for Operating Expense 1990101000 1,672.00

Cash in Bank - MDS Regular 1010404000 1,672.00

To record cash advance of Elem. MOOE

District 2 - CY 2015
LESTER JAO R. SEGUBAN
Kidapawan City

TOTAL 1,672.00 1,672.00

Prepared by: Approved by:

ROLLYCITO D. GARCIA JOVELYN R. JAVIER, CPA

Administrative Assistant III Division Accountant

Annex G-3
JEV no.:
JOURNAL ENTRY VOUCHER
Department of Education
Entity Name: Date:
Fund Cluster: GENERAL FUND 101101
ACCOUNTING ENTRIES
Responsibility
Center Account Amount
Accounts & Explanation Ref.
Code Debit Credit

Advances for Operating Expense 1990101000 1,672.00

Cash in Bank - MDS Regular 1010404000 1,672.00

To record cash advance of Elem. MOOE

District 2 - CY 2015
LESTER JAO R. SEGUBAN
Kidapawan City

TOTAL 1,672.00 1,672.00

Prepared by: Approved by:
ROLLYCITO D. GARCIA JOVELYN R. JAVIER, CPA
Administrative Assistant III Division Accountant