Bns Basic Course.docx
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___________________________________________________________________________________
PURCHASE REQUEST No. _____________________ Date: ___________________ _________________________________________________________________________________________________________ TO: Mr. WALTER L. TRASPE (OIC) Municipal Treasurer
Nampicuan, Nueva Ecija ___________________________________________________________________________________________________________________________________
Delivery/Shipment to:
LGU – Nampicuan, Nueva Ecija Item No. In Proc.
Period of delivery:______________________
QTY.
UNIT
1.
29
packs
PANCIT MALABON
2.
29
packs
SOPAS WITH PUTO
3.
29
packs
KALAMAY
4.
9
packs
CROSSINI BISCUIT x10’s
5.
87
bottle
C2 SOLO
6.
174
bottle
REFRESH MINERAL WATER 350ML
7.
29
packs
LUNCH (RICE, F. CHICKEN,VEGES)
8.
29
packs
LUNCH (RICE, F. TILAPIA, VEGES)
9.
29
packs
LUNCH (RICE, MENUDILLO,VEGES)
10.
2
packs
BREAKFAST (PORKSILOG)
11.
2
packs
BREAKFAST (LONGSILOG)
12.
4
packs
DINNER (RICE, MEAT VIAND,VEGES)
13.
8
sachet
3 IN 1 NESCAFE TWINPACK
14.
23
pcs
LONG PLASTIC ENVELOPE
15.
23
pcs
BALL PEN
16.
4
pcs
MANILA PAPER
17.
4
pcs
PERMANENT MARKER BLACK
18.
3
packs
19.
2
way
ESTIMATED COST/UNIT
DESCRIPTION
QUANTITY ON HAND
TOKEN TRANSPORTATION ALLOWANCE (RENTAL)
I hereby certify that the foregoing description to be procure/purchase is necessary for the Municipality of Nampicuan, Nueva Ecija in connection with the following activity/project. Requested by:
Approved:
MICA JOY E. DISQUITADO,MD
VICTOR M. BADAR
(Head of Department/Office) Local Chief Executive ___________________________________________________________________________________________________________________________________
CERTIFICATION (1) Appropriations Available: ROGELIO D. GARCIA, JR. Budget Officer
FROM WHOM PURCHASED
(2) Estimated Expenditures Obligated:
(3) Funds Available:
ARIES P. ILDEFONSO Municipal Accountant
Order Number Date
WALTER L. TRASPE (OIC) Municipal Treasurer
Quantity
Cost
Unit
PURCHASE ORDER Nampicuan, Nueva Ecija Supplier: _______________________
P.O. No. ________________________ Date: _________________________ Mode of Procurement ___________ P.R. No. _________________________
Address: _______________________
Sir/Madam; Please furnish this office the following articles subject to the terms and conditions contained herein
Place of Delivery: _______________________________ Date Of Delivery: ______________________________ Item No.
Qty.
Unit
1.
29
packs
PANCIT MALABON
2.
29
packs
SOPAS WITH PUTO
3.
29
packs
KALAMAY
4.
9
packs
CROSSINI BISCUIT x10’s
5.
87
bottle
C2 SOLO
6.
174
bottle
REFRESH MINERAL WATER 350ML
7.
29
packs
LUNCH (RICE, F. CHICKEN,VEGES)
8.
29
packs
LUNCH (RICE, F. TILAPIA, VEGES)
9.
29
packs
LUNCH (RICE, MENUDILLO,VEGES)
10.
2
packs
BREAKFAST (PORKSILOG)
11.
2
packs
BREAKFAST (LONGSILOG)
12.
4
packs
DINNER (RICE, MEAT VIAND,VEGES)
13.
8
sachet
3 IN 1 NESCAFE TWINPACK
14.
23
pcs
LONG PLASTIC ENVELOPE
15.
23
pcs
BALL PEN BLACK
16.
4
pcs
MANILA PAPER
17.
4
pcs
PERMANENT MARKER BLACK
18.
3
packs
19.
2
way
Delivery Term: ___________________ Payment Term: __________________
Description
Unit Price
Amount
TOKEN TRANSPORTATION ALLOWANCE (TRICYCLE RENTAL)
TOTAL AMOUNT (In words):
PESOS ONLY
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day of delay shall be imposed. Very truly yours, WALTER L. TRASPE (OIC) Municipal Treasurer CONFORMED:
____________________ Firm/Supplier/Dealer/Contractor
_________________________ Signature over printed name
___________________ Date
Republic of the Philippines Province of Nueva Ecija MUNICIPALITY OF NAMPICUAN -oOo-
DISBURSEMENT VOUCHER Mode of Payment
x Check
No.
Cash
Others TIN/Employee No.
Payee
BRIGIDA E. GUARDION
Address
RHU – Nampicuan, Nueva Ecija
Obligation Request No. Responsibility Center
Office/Unit/Project:
Code
EXPLANATION
AMOUNT
TO CASH ADVANCE for the expenses of BARANGAY NUTRITION SCHOLAR BASIC COURSE TRAINING as per supporting papers hereto attached, amounting to THIRTEEN THOUSAND SEVEN HUNDRED PESOS ONLY. . . . . . . . . . . . . . . . . . .
A. Certified:
Php 13,700.00
B. Certified: Allotment obligation for the purpose above Supporting document complete
Funds Available
Signature Printed Name Position
Date
Signature Printed Name Position
ARIES P. ILDEFONSO
Municipal Accountant
Date
WALTER L. TRASPE
(OIC) Municipal Treasurer
Head, Accounting Unit/Authorized Representative
Treasurer/Authorized Representative
C. Approved for Payment
Signature Printed Name Position
D. Received Payment Check No. Bank Name Date
Signature Printed Name
BRIGIDA E. GUARDION
VICTOR M. BADAR Municipal Mayor
Date
OR/Other Documents
Payee JEV No.
Date
Agency Head/Authorized Representative
Date: No. :
JOURNAL ENTRY VOUCHER Collection Responsibility Center
Check Disbursement Accounts and Explanation
Cash Disbursement Account Code
Others
Ref
Amount Debit
Approved by:
ARIES P. ILDEFONSO Municipal Accountant
Credit
Republic of the Philippines Province of Nueva Ecija Municipality of Nampicuan -oOo-
OBLIGATION REQUEST Payee
BRIGIDA E. GUARDION
Address:
Nampicuan, Nueva Ecija
Office:
RHU – Nampicuan, Nueva Ecija
Responsibility Center
No.
PARTICULARS
FPP
Account Code
TO CASH ADVANCE for the expenses of BARANGAY NUTRITION SCHOLAR BASIC COURSE TRAINING as per supporting papers hereto attached, amounting to THIRTEEN THOUSAND SEVEN HUNDRED PESOS ONLY. . . . . . . . . . . . . . . . . . .
Php 13,700.00
THIRTEEN THOUSAND SEVEN HUNDRED PESOS ONLY. . . . . . . . . . . . . . . . . . Certified:
Amount
Php 13,700.00
A. Certified: Charges to appropriation/statement necessary lawful and under my direct supervision
Existence of available appropriation
Supporting documents; valid, proper and legal
Signature Printed Name Position Date
Signature MICA JOY E. DISQUITADO, M.D. Municipal Health Officer Head, Requesting Officer/Authorized Representative
Printed Name Position Date
ROGELIO D. GARCIA, JR. Municipal Budget Officer Head, Budget Unit/Authorized Representative
Date:
ITINERARY OF TRAVEL Name:
Position: MNAO
MARIA LEOWELLA R. ORCINO
Official Station: RHU NAMPICUAN
Monthly Salary
Residence: Nampicuan, Nueva Ecija
Purpose of Travel: Marketing of items for Nutrition Month Celebration Time
Date:
October 19,2017
Place/s to be visited
Arrival to Place of Destination
Departure from Place of Dest.
Paniqui, Tarlac
Means of Transportation
Tricycle Rental
Allowable Expenses Trans. Expenses
Meals
Incidental Expenses/ Allowance /Toll Fee
200.00
Total
200.00
Back to official stationNampicuan, Nueva Ecija
200.00 Breakdown of Expenses: Transportation-Toll Fees Meal Incidental Expenses Training/Seminar/Registration Fee
200.00
TOTAL ALLOWABLE EXPENSES: PHP 200.00
Prepared by: (Official /Employee)
I certify that (1) I have reviewed the foregoing itinerary (2) The travel is necessary to the service (3) The period covered is reasonable and (4) expenses claimed are proper.
MARIA LEOWELLA R. ORCINO Employee
Approved: VICTOR M BADAR Municipal Mayor
PURCHASE REQUEST No. _____________________ Date: ___________________ _________________________________________________________________________________________________________ TO: Mr. WALTER L. TRASPE (OIC) Municipal Treasurer
Nampicuan, Nueva Ecija ___________________________________________________________________________________________________________________________________
Delivery/Shipment to:
LGU – Nampicuan, Nueva Ecija Item No. In Proc.
Period of delivery:______________________
QTY.
UNIT
1.
29
packs
PANCIT MALABON
2.
29
packs
SOPAS WITH PUTO
3.
29
packs
KALAMAY
4.
9
packs
CROSSINI BISCUIT x10’s
5.
87
bottle
C2 SOLO
6.
174
bottle
REFRESH MINERAL WATER 350ML
7.
29
packs
LUNCH (RICE, F. CHICKEN,VEGES)
8.
29
packs
LUNCH (RICE, F. TILAPIA, VEGES)
9.
29
packs
LUNCH (RICE, MENUDILLO,VEGES)
10.
2
packs
BREAKFAST (PORKSILOG)
11.
2
packs
BREAKFAST (LONGSILOG)
12.
4
packs
DINNER (RICE, MEAT VIAND,VEGES)
13.
8
sachet
3 IN 1 NESCAFE TWINPACK
14.
23
pcs
LONG PLASTIC ENVELOPE
15.
23
pcs
BALL PEN
16.
4
pcs
MANILA PAPER
17.
4
pcs
PERMANENT MARKER BLACK
18.
3
packs
19.
2
way
ESTIMATED COST/UNIT
DESCRIPTION
QUANTITY ON HAND
TOKEN TRANSPORTATION ALLOWANCE (RENTAL)
I hereby certify that the foregoing description to be procure/purchase is necessary for the Municipality of Nampicuan, Nueva Ecija in connection with the following activity/project. Requested by:
Approved:
MICA JOY E. DISQUITADO,MD
VICTOR M. BADAR
(Head of Department/Office) Local Chief Executive ___________________________________________________________________________________________________________________________________
CERTIFICATION (1) Appropriations Available: ROGELIO D. GARCIA, JR. Budget Officer
FROM WHOM PURCHASED
(2) Estimated Expenditures Obligated:
(3) Funds Available:
ARIES P. ILDEFONSO Municipal Accountant
Order Number Date
WALTER L. TRASPE (OIC) Municipal Treasurer
Quantity
Cost
Unit
PURCHASE ORDER Nampicuan, Nueva Ecija Supplier: _______________________
P.O. No. ________________________ Date: _________________________ Mode of Procurement ___________ P.R. No. _________________________
Address: _______________________
Sir/Madam; Please furnish this office the following articles subject to the terms and conditions contained herein
Place of Delivery: _______________________________ Date Of Delivery: ______________________________ Item No.
Qty.
Unit
1.
29
packs
PANCIT MALABON
2.
29
packs
SOPAS WITH PUTO
3.
29
packs
KALAMAY
4.
9
packs
CROSSINI BISCUIT x10’s
5.
87
bottle
C2 SOLO
6.
174
bottle
REFRESH MINERAL WATER 350ML
7.
29
packs
LUNCH (RICE, F. CHICKEN,VEGES)
8.
29
packs
LUNCH (RICE, F. TILAPIA, VEGES)
9.
29
packs
LUNCH (RICE, MENUDILLO,VEGES)
10.
2
packs
BREAKFAST (PORKSILOG)
11.
2
packs
BREAKFAST (LONGSILOG)
12.
4
packs
DINNER (RICE, MEAT VIAND,VEGES)
13.
8
sachet
3 IN 1 NESCAFE TWINPACK
14.
23
pcs
LONG PLASTIC ENVELOPE
15.
23
pcs
BALL PEN BLACK
16.
4
pcs
MANILA PAPER
17.
4
pcs
PERMANENT MARKER BLACK
18.
3
packs
19.
2
way
Delivery Term: ___________________ Payment Term: __________________
Description
Unit Price
Amount
TOKEN TRANSPORTATION ALLOWANCE (TRICYCLE RENTAL)
TOTAL AMOUNT (In words):
PESOS ONLY
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day of delay shall be imposed. Very truly yours, WALTER L. TRASPE (OIC) Municipal Treasurer CONFORMED:
____________________ Firm/Supplier/Dealer/Contractor
_________________________ Signature over printed name
___________________ Date
Republic of the Philippines Province of Nueva Ecija MUNICIPALITY OF NAMPICUAN -oOo-
DISBURSEMENT VOUCHER Mode of Payment
x Check
No.
Cash
Others TIN/Employee No.
Payee
BRIGIDA E. GUARDION
Address
RHU – Nampicuan, Nueva Ecija
Obligation Request No. Responsibility Center
Office/Unit/Project:
Code
EXPLANATION
AMOUNT
TO CASH ADVANCE for the expenses of BARANGAY NUTRITION SCHOLAR BASIC COURSE TRAINING as per supporting papers hereto attached, amounting to THIRTEEN THOUSAND SEVEN HUNDRED PESOS ONLY. . . . . . . . . . . . . . . . . . .
A. Certified:
Php 13,700.00
B. Certified: Allotment obligation for the purpose above Supporting document complete
Funds Available
Signature Printed Name Position
Date
Signature Printed Name Position
ARIES P. ILDEFONSO
Municipal Accountant
Date
WALTER L. TRASPE
(OIC) Municipal Treasurer
Head, Accounting Unit/Authorized Representative
Treasurer/Authorized Representative
C. Approved for Payment
Signature Printed Name Position
D. Received Payment Check No. Bank Name Date
Signature Printed Name
BRIGIDA E. GUARDION
VICTOR M. BADAR Municipal Mayor
Date
OR/Other Documents
Payee JEV No.
Date
Agency Head/Authorized Representative
Date: No. :
JOURNAL ENTRY VOUCHER Collection Responsibility Center
Check Disbursement Accounts and Explanation
Cash Disbursement Account Code
Others
Ref
Amount Debit
Approved by:
ARIES P. ILDEFONSO Municipal Accountant
Credit
Republic of the Philippines Province of Nueva Ecija Municipality of Nampicuan -oOo-
OBLIGATION REQUEST Payee
BRIGIDA E. GUARDION
Address:
Nampicuan, Nueva Ecija
Office:
RHU – Nampicuan, Nueva Ecija
Responsibility Center
No.
PARTICULARS
FPP
Account Code
TO CASH ADVANCE for the expenses of BARANGAY NUTRITION SCHOLAR BASIC COURSE TRAINING as per supporting papers hereto attached, amounting to THIRTEEN THOUSAND SEVEN HUNDRED PESOS ONLY. . . . . . . . . . . . . . . . . . .
Php 13,700.00
THIRTEEN THOUSAND SEVEN HUNDRED PESOS ONLY. . . . . . . . . . . . . . . . . . Certified:
Amount
Php 13,700.00
A. Certified: Charges to appropriation/statement necessary lawful and under my direct supervision
Existence of available appropriation
Supporting documents; valid, proper and legal
Signature Printed Name Position Date
Signature MICA JOY E. DISQUITADO, M.D. Municipal Health Officer Head, Requesting Officer/Authorized Representative
Printed Name Position Date
ROGELIO D. GARCIA, JR. Municipal Budget Officer Head, Budget Unit/Authorized Representative
Date:
ITINERARY OF TRAVEL Name:
Position: MNAO
MARIA LEOWELLA R. ORCINO
Official Station: RHU NAMPICUAN
Monthly Salary
Residence: Nampicuan, Nueva Ecija
Purpose of Travel: Marketing of items for Nutrition Month Celebration Time
Date:
October 19,2017
Place/s to be visited
Arrival to Place of Destination
Departure from Place of Dest.
Paniqui, Tarlac
Means of Transportation
Tricycle Rental
Allowable Expenses Trans. Expenses
Meals
Incidental Expenses/ Allowance /Toll Fee
200.00
Total
200.00
Back to official stationNampicuan, Nueva Ecija
200.00 Breakdown of Expenses: Transportation-Toll Fees Meal Incidental Expenses Training/Seminar/Registration Fee
200.00
TOTAL ALLOWABLE EXPENSES: PHP 200.00
Prepared by: (Official /Employee)
I certify that (1) I have reviewed the foregoing itinerary (2) The travel is necessary to the service (3) The period covered is reasonable and (4) expenses claimed are proper.
MARIA LEOWELLA R. ORCINO Employee
Approved: VICTOR M BADAR Municipal Mayor
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