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COMMISSION ON AUDIT
Commonwealth Avenue, Quezon City
No.
OBLIGATION REQUEST
Payee
Office
Address
SANTIAGO, TERESA TY
Technical Evaluation Services, Technical Services Office
COA, Central Office
Responsibility
Center
Particulars
PPA
Account
Code
Amount
Total
A.
Certified
B.
Certified
Signature
Printed
Name
REUBEN M. LIM
Printed
Name
Position
Director III
OIC Technical Services Office
Position
Date
Date
Annex B
Republic of the Philippines
COMMISSION ON AUDIT
Commonwealth Avenue, Quezon City
No.
DISBURSEMENT VOUCHER
Mode of
Payment
X
MDS Check
Commercial Check
SANTIAGO, TERESA TY
Payee
ADA
TIN/Employee No.
Others
OR/BUR No.
Responsibility Center
Office/Unit/Project
Code
EXPLANATION
AMOUNT
To payment of the Salary Adjustment from May 8, 2014 to December 2014 due to step
increment from SG 24-1 to SG 24-2:
Adjusted Annual Salary effective May 8, 2014 ------------------------------ P603,564.00
Basic Annual Salary as of May 7, 2014 --------------------------------------- P597,000.00
Difference --------------------------------------------------------------------------P 6,564.00
A.
B.
Certified
Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Signature
Printed
Name
Printed
Name
Position
Position
Head, Accounting Unit/Authorized Representative
Date
C. Received Payment
Check/
ADA No.
Signature
Official Receipt/Other Documents
JEV No.
Date
Bank Name
Date
Printed Name
Date
Annex A1
Republic of the Philippines
COMMISSION ON AUDIT
Commonwealth Avenue, Quezon City
No.
OBLIGATION REQUEST
Payee
Office
Address
SANTIAGO, TERESA TY
Technical Evaluation Services, Technical Services Office
COA, Central Office
Responsibility
Center
Particulars
PPA
Account
Code
Amount
Total
A.
Certified
B.
Certified
Signature
Printed
Name
REUBEN M. LIM
Printed
Name
Position
Director III
OIC Technical Services Office
Position
Date
Date
Annex B
COMMISSION ON AUDIT
Commonwealth Avenue, Quezon City
No.
DISBURSEMENT VOUCHER
Mode of
Payment
X
MDS Check
Commercial Check
SANTIAGO, TERESA TY
Payee
ADA
TIN/Employee No.
Others
OR/BUR No.
Responsibility Center
Office/Unit/Project
Code
EXPLANATION
AMOUNT
To payment of the Salary Adjustment from January 2015 to February 2015 due to step
increment from SG 24-1 to SG 24-2:
Adjusted Annual Salary effective May 8, 2014 ------------------------------ P603,564.00
Basic Annual Salary as of May 7, 2014 --------------------------------------- P597,000.00
Difference --------------------------------------------------------------------------P 6,564.00
A.
B.
Certified
Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Signature
Printed
Name
Printed
Name
Position
Position
Head, Accounting Unit/Authorized Representative
Date
C. Received Payment
Check/
ADA No.
Signature
Official Receipt/Other Documents
JEV No.
Date
Bank Name
Date
Printed Name
Date
Annex A1
COMMISSION ON AUDIT
Commonwealth Avenue, Quezon City
No.
OBLIGATION REQUEST
Payee
Office
Address
SANTIAGO, TERESA TY
Technical Evaluation Services, Technical Services Office
COA, Central Office
Responsibility
Center
Particulars
PPA
Account
Code
Amount
Total
A.
Certified
B.
Certified
Signature
Printed
Name
REUBEN M. LIM
Printed
Name
Position
Director III
OIC Technical Services Office
Position
Date
Date
Annex B
COMMISSION ON AUDIT
Commonwealth Avenue, Quezon City
No.
DISBURSEMENT VOUCHER
Mode of
Payment
X
MDS Check
Commercial Check
SANTIAGO, TERESA TY
Payee
ADA
TIN/Employee No.
Others
OR/BUR No.
Responsibility Center
Office/Unit/Project
Code
EXPLANATION
AMOUNT
To payment of the Salary Adjustment due to step increment from SG 24-1 to SG 24-2 from:
a.) May 8, 2014 to December 2014
b.) January 2015 to February 2015
A.
B.
Certified
Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Signature
Printed
Name
Printed
Name
Position
Position
Head, Accounting Unit/Authorized Representative
Date
C. Received Payment
Check/
ADA No.
Signature
Official Receipt/Other Documents
JEV No.
Date
Bank Name
Date
Printed Name
Date