Republic of the Philippines

Municipality of Taytay
Palawan

LGU TAYTAY
Agency Name

OBLIGATION REQUEST No.

Payee JEFF RONEL R. LATUBE
Office Mayor’s Office
Address Taytay, Palawan
Responsibility Account
Particulars F.P.P Amount
Center Code

PUBLIC INFORMATION P 560.00

Educational and Socio Cultural
Development Program

Total P 560.00
A Certified B Certified

/ Charges to appropriation/allotment necessary, Existence of available appropriation.

lawful and under my direct supervision.
/ Supporting documents valid, proper and legal

Signature Signature

Name ROMY L. SALVAME Name ASIL D. PENUELA

Position Municipal Mayor Position Municipal Budget Officer

Date Date
 Republic of the Philippines
Municipality of Taytay
Palawan

LGU TAYTAY
Agency Name

DISBURSEMENT VOUCHER

MDS Check Commercial Check ADA / Others No.

Payee / Office: TIN / Employee No.: OS/BUR No.:

JEFF RONEL R. LATUBE
Address: Responsibility No.
Taytay, Palawan Office/Unit/Project Code:
EXPLANATION AMOUNT

Reimbursement for printing of tarpaulin to be use of LGU activities.

As per supporting papers hereto attached in the amount of - - - - - - - - - - - - - - P 560.00

Less VAT : 560/1.12x5%= 25.00

AMOUNT DUE P 535.00

A Certified B Certified

/ Allotment obligated for the purpose Funds Available

indicated above
/ Supporting documents complete

Signature: Date Signature Date

Name: RUBY S. SOCRATES Name: LUDIVINA B. PALAY

Position: Municipal Accountant Position: Municipal Treasurer
C Approved for Payment D Received Payment

Signature: Date Signature: Date

Name: ROMY L. SALVAME Name: JEFF RONEL R. LATUBE

Position: Municipal Mayor Check No. Date

Bank Name:
OR/Other s JEV No. Date