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PAYMENT REQUEST FORM

Date June 17, 2023

Acctg. PRF Ctrl No.


PAYABLE TO RUVS CARGO FORWARDER

PAYMENT Currency ______ Amount PHP 61,366.06 PAYMENT MODE Check Remittance / TT

PAYMENT TERMS DATE NEEDED

BANK NAME/BRANCH/ACCOUNT NO.

PURPOSE & CHARGING DETAILS


1. TSUNIESHI BALAMBAN.DELIVERY.DATE 02-JUNE 2023 @ 4576 liters
2. EASTERN VISAYAS DELIVERY. DATE 03-JUNE 2023 @ 3076 liters
3. ILOILO PANAY ISLAND DELIVERY. DATE 07-JUNE 2023 @ 1867 liters
4. ORMOC LIBERTY-EASTERN VISYAS.PICK UP DATE 08-JUNE 2023 @ 416 liters [
CUSTOMER REFUSED THE DELIVERY. 2 DRUMS BACKLOAD TO CEBU WAREHOUSE ]
With Budget Without Budget
(If w/o budget, kindly specify what account
total cost per liter : 6.18
will be offsetted for this transaction)

REQUESTOR
Issued by: Checked by: Approved by: Verified by: Approved for Payment:

ANTHONY C. RECILLA ELMER IAN PARIS


Requestor Immediate Superior Manager CCO/CFO Finance CEO
= & Php20K below above Php20K Php20K above

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