Sir Pio
Sir Pio
Sir Pio
:
NATIONAL FOOD AUTHORITY REGIONAL OFFICE IV Date:
Entity Name Fund Cluster:
REIMBURSEMENT OF TRAVELLING
EXPENSES INCURRED WHILE ON
OFFICIAL TRAVEL ON JULY 29-30, 2019
AT NFA PALAWAN.
Total
A. B.
Certified: Charges to appropriation/budget necessary, 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: MIGUEL S. TECSON Printed Name: LOLITA M. DEL MUNDO
Position: Asst. Regional Director Position: Budget Officer III
Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized Represent
Date: Date:
C. STATUS OF UTILIZATION
Reference Amount
d Cluster:
Amount
Php 2,466.01
Php 2,466.01
Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
Payee TIN/Employee No.: ORS/BURS No.:
PIO A. VILLACES
118802
Address BATANGAS CITY
Responsibility
Particulars MFO/PAP Amount
Center
Php 5,331.59
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
MIGUEL S. TECSON
ASST. REGIONAL DIRECTOR
B. Accounting Entry:
Account Title UACS Code Debit Credit
Signature Signature
Printed Name REBECCA H. ANDAL Printed Name MIGUEL S. TECSON
Accountant IV Asst. Regional Director
Position Head, Accounting Unit/Authorized Representative Position Agency Head/Authorized Representative
Date Date
E. Receipt of Payment
JEV No.
Check/ADA Date: Bank Name & Account Number:
No.:
Signature: Date: Printed Name: Date
Date:
DV No.:
_______________
ORS/BURS No.:
Amount
Php 5,331.59
Php 5,331.59
pervision.
Credit
EL S. TECSON
egional Director
uthorized Representative