BUDGET UTILIZATION REQUEST AND STATUS

DEPARTMENT OF AGRICULTURE Serial No. : ___________________

Regional Field Unit No. 8 Date : _______________________
Kanhuraw Hill, Tacloban City Fund Cluster :_________________

Payee JEF A. REPULDA

Office Philippine Rural Development Project (PRDP) RPCO 8
Address Tacloban City

UACS Object
Responsibility
Particulars MFO/PAP Code/ Amount
Center
Expenditures

To reimbursement of per diems and

travel expenses incurred while on
official travel for the month of January
2020 as per supporting documents
hereto attached in the amount of ……..
₱6,240.00

Total ₱6,240.00
A. Certified: Charges to appropriation/budget necessary, B. Certified: Budget available and utilized for
lawful and under my direct supervision; and supporting the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :

Printed Name: JENNY LYN R. ALMERIA, CESE Printed Name: ARSENIA C. CANILLAS

Position : PRDP - DEPUTY PROJECT DIRECTOR Position : Chief, Budget Section

Head, Requesting Office/Authorized Head, Budget Division/Unit/Authorized
Representative Representative
Date : _______________________________ Date : ____________________________

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/ Utilization Payable Payment Due and
Date Particulars Not Yet Due Demandable
RADAI/RTRAI No.
(a) (b) (c) (a-b) (b-c)
 BUDGET UTILIZATION REQUEST AND STATUS
DEPARTMENT OF AGRICULTURE Serial No. : ___________________
Regional Field Unit No. 8 Date : _______________________
Kanhuraw Hill, Tacloban City Fund Cluster :_________________

Payee JEF A. REPULDA

Office Philippine Rural Development Project (PRDP) RPCO 8
Address Tacloban City

UACS Object
Responsibility
Particulars MFO/PAP Code/ Amount
Center
Expenditures

To reimbursement of per diems and

travel expenses incurred while on
official travel for the month of January
2020 as per supporting documents
hereto attached in the amount of ……..
₱1,560.00

Total ₱1,560.00
A. Certified: Charges to appropriation/budget necessary, B. Certified: Budget available and utilized for
lawful and under my direct supervision; and supporting the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :

Printed Name: JENNY LYN R. ALMERIA, CESE Printed Name: ARSENIA C. CANILLAS

Position : PRDP - DEPUTY PROJECT DIRECTOR Position : Chief, Budget Section

Head, Requesting Office/Authorized Head, Budget Division/Unit/Authorized
Representative Representative
Date : _______________________________ Date : ____________________________

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/ Utilization Payable Payment Due and
Date Particulars Not Yet Due Demandable
RADAI/RTRAI No.
(a) (b) (c) (a-b) (b-c)
 Appendix 45
ITINERARY OF TRAVEL
Entity Name : DA RFO 8
Fund Cluster: ____________________ No.: _______________

Name : ALMA P. LANDIA Date of Travel : January 13-17 & 29-30, 2020
Position : RIE Purpose of Travel : See attached T.O.
Official Station : TACLOBAN CITY
Places to be visited TIME Means of Transpor- Per Total
Date Others
(Destination) Departure Arrival Transportation tation Diem Amount
January
13 Tacloban to Rosario, N. Samar 7:00 AM 12:00 PM Service -
Rosario to Catarman, N. Samar 5:00 PM 5:45 PM Service -
Overnight in Catarman 1,500.00 1,500.00
14 Catarman to Rosario 7:00 AM 7:45 AM Service
Rosario to Catarman, N. Samar 5:00 PM 5:45 PM Service -
Overnight in Catarman 1,500.00 1,500.00
15 Catarman to Rosario 7:00 AM 7:45 AM Service -
Rosario to Catarman, N. Samar 5:00 PM 5:45 PM Service
Overnight in Catarman 1,500.00 1,500.00
16 Catarman to Rosario 7:00 AM 7:45 AM Service -
Rosario to Catarman, N. Samar 5:00 PM 5:45 PM Service -
Overnight in Catarman 1,500.00 1,500.00
17 Catarman to Rosario 7:00 AM 7:45 AM Service
Rosario to Tacloban City 1:30 PM 6:30 PM Service 600.00 600.00

29 Tacloban to Basey 7:00 AM 7:30 AM Service

Basey to Tacloban 5:00 PM 6:00 PM Service 600.00 600.00
30 Tacloban to Basey 5:00 AM 5:30 AM Service
Basey to Tacloban 5:30 PM 6:30 PM Service 600.00 600.00

TOTAL 0.00 7,800.00 0.00 7,800.00

Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the JEF A. REPULDA
travel is necessary to the service, (3) the period covered is Signature over Printed Name
reasonable and (4) the expenses claimed are proper.
Approved by:

ANGEL C. ENRIQUEZ, CESO III

Regional Executive Director
ENGR. ALMA P. LANDIA and PRDP RPCO 8 Project Director
PRDP - RPCO 8 - I-BUILD HEAD
FOR AND ON BEHALF OF THE PRDP RPCO 8 PROJECT DIRECTOR

JENNY LYN R. ALMERIA, CESE

PRDP - RPCO 8 Deputy Project Director

121
 DEPARTMENT OF AGRICULTURE Fund Cluster :
Regional Field Office No. 8
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JEF A. REPULDA
257-370-336
Address TACLOBAN CITY
Responsibility
Particulars MFO/PAP Amount
Center
To reimbursement of per diems and travel expenses incurred
while on official travel for the month of January 2020 as per
supporting documents hereto attached in the amount of ……..
Php6,240.00

Amount Due Php6,240.00

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

JENNY LYN R. ALMERIA, CESE

PRDP - DEPUTY PROJECT DIRECTOR

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to Regional Office 2030103000

Cash in Bank LCCA - LBP 1010202000

C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Sup
proper

Signature Signature
Printed
Printed Name
Name FRANCES GLYNIS B. BENITEZ,CPA ANGEL C. ENRIQUEZ, CESO III
Regional Accountant Regional Executive Director
Position 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 No. & Date/Other Documents

92
 DEPARTMENT OF AGRICULTURE Fund Cluster :
Regional Field Office No. 8
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JEF A. REPULDA
257-370-336
Address TACLOBAN CITY
Responsibility
Particulars MFO/PAP Amount
Center
To reimbursement of per diems and travel expenses incurred
while on official travel for the month of January 2020 as per
supporting documents hereto attached in the amount of ……..
Php1,560.00

Amount Due Php1,560.00

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

JENNY LYN R. ALMERIA, CESE

PRDP - DEPUTY PROJECT DIRECTOR

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to Regional Office 2030103000

Cash in Bank LCCA - LBP 1010202000

C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Sup
proper

Signature Signature
Printed
Printed Name
Name FRANCES GLYNIS B. BENITEZ,CPA ANGEL C. ENRIQUEZ, CESO III
Regional Accountant Regional Executive Director
Position 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 No. & Date/Other Documents

92
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name : DA - RFO 8 Fund Cluster: _____________

ANGEL C. ENRIQUEZ, CESO III RPCO - 8, TACLOBAN CITY

Director in-Charge Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. (see attached TO's) dated January 13-17 & 29-30, 2020
under conditions indicated below:

/ x / Strictly in accordance with the approved itinerary.

/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:
Apperance are from PPMIU since Suprojects are under the management of PPMIU (Province);
Evidence of travel:
Approved Travel Order, Certificate of Appearance, Tickets, Voucher, Budget Utilization
Request & Itinerary of Travel.
____________________________________________________________________________

Respectfully submitted:

JEF A. REPULDA
Name of Employee

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

Approved:

JENNY LYN R. ALMERIA, CESE

PRDP - DEPUTY PROJECT DIRECTOR
 DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8

CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee JEF A. REPULDA Employee
Office DA-PRDP-RPCO 8 No.
Division I-BUILD
Particulars Amount (Php)
Taxi Fare (Cebu - Mandaue) 150.00
Taxi Fare (Mandaue - Cebu) 150.00

TOTAL 300.00
Purpose:

Payment for Transportation Fare on Official Travel (June 3-5, 2019)

To # 2019-01-00024
I hereby certify that the above expenses are incurred as they are necessary for the
above cited purpose, that above goods and services were acquired from parties
not issuing receipts. And that I am fully aware that witful falsification of statement
is punishable by law. Certified Correct: Noted by:

Signature

Printed Name JEF A. REPULDA ALMA P. LANDIA

Employee Immediate Supervisor

Date Date
 Republic of the Philippines
DEPARTMENT OF AGRICULTURE
Philippine Rural Development Project
Regional Program Coordination Office 8
DA Building, Kanhuraw Hill,
Tacloban City 6500, Philippines

BACK-TO-STATION REPORT

Travel Order Contact Person

Approving Date Purpose and Findings Action Taken / Recommendation
Authority Contact Number

TUSCAN Structures and Supply, the contractor for the

"Concreting of Salhag-Kailingan FMR, Rosario 1) Provided Technical assistance on the coming-up/forming of
To coordinate with MPMIU Rosario and Northern Samar", submitted an as-stake plan in variation order.
conduct site verification os as-stake plan, support of their variation claims which is for upproval 2) Provided Technical assistance on the construction methodogies
by the MLGU and concurence of the PRDP Project. and analysis to minimize the occurrence of variation orders.
Dir. Milo D. January 13- Monthly Progress Report and provide
technical assistancein the preparation of
EnP. RETCHEL C.
DEPENA The as-take survey were conducted by the contractor 3) Participate in the conduct joint as-stake survey with the MLGU
Delos Reyes 17, 2020 variation order for the subproject 09157083718 without the coordination of the MLGU. Based on the Engineer and Contractor forrelocation of station 0+000 and
as-stake plan submitted, it differs from the original quantity verification.
"Concreting of Salhag-Kailingan FMR, plan due to the start/location of the Sta. 0+000 which 4) Assited and provide technical assistance in the preparation of
Rosario Northern Samar. results on inconsistent location of the intermidiate variation espicailly on filling-up the PRDP standard forms for
structures like slope protections, Line canals and Variation Orders.
cross drains.
 Republic of the Philippines
DEPARTMENT OF AGRICULTURE
Philippine Rural Development Project
Regional Program Coordination Office 8
DA Building, Kanhuraw Hill,
Tacloban City 6500, Philippines

BACK-TO-STATION REPORT

Travel Order Contact Person

Approving Date Purpose and Findings Action Taken / Recommendation
Authority Contact Number

Previous Findings on POW that were already

corrected:
1) Adoption DPWH D.O. 197 with application of 12%
VAT, ACEL rate of 2014 & Current Labor rate
Still for revision:
1) Provision of Occupational Safety & Health 1) Provided Technical assistance on the updating/revision of
2) Provision of Facilities for the Engineer Program of Works.
To attend the Joint NPCO-PSO-RPCO 3) Lack of forms like Minimum Material Test 2) Provided Technical on analysis of pipes networks thru EPANET
Dir. Milo D. December 16- Technical Review for the proposed Engr. Levi Mendros Requirements, Inspection Test Plan, Quality Plan, S- software.
Delos Reyes 17, 2019 Hilongos Barangay Water Development 09164430307 Curve/PERT-CPM, Cost Computation & 3) Recommended to break the pressure on pipes by adding
Project Manpower&Equipment Utilization. reservoir of other methods.
Design Matters: 4) Recommended to provide fence and drainage for protection of
1) During the simultation of pipe network thru the intake box from contamination.
software EPANET, it shows that there were high
pressure which means possible lickage/burst of
pipes.
2) No proposed fence and drainage on the Intake box.

Prepared by: Noted by:

JEF A. REPULDA ENGR. ALMA P. LANDIA

PRDP, RIE PRDP - RPCO 8 - I-BUILD HEAD
 DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8 DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8

CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017 Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee JEF A. REPULDA Employee Name of Employee JEF A. REPULDA Employee
Office DA-PRDP-RPCO 8 No. Office DA-PRDP-RPCO 8 No.
Division I-BUILD Division I-BUILD
Particulars Amount (Php) Particulars Amount (Php)
Overnight in Catarman 0 0.00 Overnight in Catarman 0 0.00

TOTAL - TOTAL -
Purpose: Purpose:

Payment for Transportation Fare on Official Travel (December 16-17, 2019) Payment for Transportation Fare on Official Travel (December 16-17, 2019)
To # _________________________ To # _________________________
above cited purpose, that above goods and services were acquired from parties above cited purpose, that above goods and services were acquired from parties
not issuing receipts. And that I am fully aware that witful falsification of statement not issuing receipts. And that I am fully aware that witful falsification of statement
Certified Correct: Noted by: Certified Correct: Noted by:

Signature Signature

Printed Name JEF A. REPULDA ALMA P. LANDIA Printed Name JEF A. REPULDA ALMA P. LANDIA

Employee Immediate Supervisor Employee Immediate Supervisor

Date Date Date Date

DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8 DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8

CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017 Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee JEF A. REPULDA Employee Name of Employee JEF A. REPULDA Employee
Office DA-PRDP-RPCO 8 No. Office DA-PRDP-RPCO 8 No.
Division I-BUILD Division I-BUILD
Particulars Amount (Php) Particulars Amount (Php)
Rosario to Tacloban City Service 0.00 Tacloban to Basey Service 0.00

TOTAL - TOTAL -
Purpose: Purpose:

Payment for Transportation Fare on Official Travel (December 16-17, 2019) Payment for Transportation Fare on Official Travel (December 16-17, 2019)
To # _________________________ To # _________________________
I hereby certify that the above expenses are incurred as they are necessary for the I hereby certify that the above expenses are incurred as they are necessary for the
above cited purpose, that above goods and services were acquired from parties above cited purpose, that above goods and services were acquired from parties
not issuing receipts. And that I am fully aware that witful falsification of statement not issuing receipts. And that I am fully aware that witful falsification of statement
is punishable by law. Certified Correct: Noted by: is punishable by law. Certified Correct: Noted by:

Signature Signature

Printed Name JEF A. REPULDA ALMA P. LANDIA Printed Name JEF A. REPULDA ALMA P. LANDIA

Employee Immediate Supervisor Employee Immediate Supervisor

Date Date Date Date
 DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8 DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8

CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017 Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee JEF A. REPULDA Employee Name of Employee JEF A. REPULDA Employee
Office DA-PRDP-RPCO 8 No. Office DA-PRDP-RPCO 8 No.
Division I-BUILD Division I-BUILD
Particulars Amount (Php) Particulars Amount (Php)
Taxi Fare (Airport to Venue) 300.00 Taxi Fare (Venue to Airport) 300.00

TOTAL 300.00 TOTAL 300.00

Purpose: Purpose:

Payment for Transportation Fare on Official Travel (September 24-26, 2019) Payment for Transportation Fare on Official Travel (September 24-26, 2019)
To # 2019-09-1886 To # 2019-09-1886
I hereby certify that the above expenses are incurred as they are necessary for the I hereby certify that the above expenses are incurred as they are necessary for the
above cited purpose, that above goods and services were acquired from parties above cited purpose, that above goods and services were acquired from parties
not issuing receipts. And that I am fully aware that witful falsification of statement not issuing receipts. And that I am fully aware that witful falsification of statement
is punishable by law. Certified Correct: Noted by: is punishable by law. Certified Correct: Noted by:

Signature Signature

Printed Name JEF A. REPULDA ALMA P. LANDIA Printed Name JEF A. REPULDA ALMA P. LANDIA

Employee Immediate Supervisor Employee Immediate Supervisor

Date Date Date Date

DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8 DEPARTMENT OF AGRICULTURE-REGIONAL FIELD OFFICE NO. 8

CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS CERTIFICATION OF EXPENSES NOT REQUIRED RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017 Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee JEF A. REPULDA Employee Name of Employee JEF A. REPULDA Employee
Office DA-PRDP-RPCO 8 No. Office DA-PRDP-RPCO 8 No.
Division I-BUILD Division I-BUILD
Particulars Amount (Php) Particulars Amount (Php)
Taxi Fare (Airport to Station) 150.00

TOTAL 150.00 TOTAL -

Purpose: Purpose:

Payment for Transportation Fare on Official Travel (September 24-26, 2019) Payment for Transportation Fare on Official Travel (September 24-26, 2019)
To # 2019-09-1886 To # 2019-09-1886
above cited purpose, that above goods and services were acquired from parties above cited purpose, that above goods and services were acquired from parties
not issuing receipts. And that I am fully aware that witful falsification of statement not issuing receipts. And that I am fully aware that witful falsification of statement
Certified Correct: Noted by: Certified Correct: Noted by:

Signature Signature

Printed Name JEF A. REPULDA ALMA P. LANDIA Printed Name JEF A. REPULDA ALMA P. LANDIA

Employee Immediate Supervisor Employee Immediate Supervisor

Date Date Date Date