Republic of the Philippines

LOCAL GOVERNMENT UNIT

Perez, Quezon

OBLIGATION REQUEST No.

Payee Municipal Mayor Personnel

Office Municipal Mayor
Address Perez, Quezon
Responsibility PARTICULARS F.P.P. Account Amount
Center Code

1011 FEBRUARY 1-15, 2016 41,459.77

Salaries & Wages-Regular 35,459.77 5 01 01 010

Personal Economic Relief Allowance(PERA) 6,000.00 5 01 02 010
41,459.77

Total 41,459.77
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name PEPITO C. REYES Printed Name LORELIE R. BUERANO
Municipal Mayor Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive
Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee Municipal Mayor Personnel

Office Municipal Mayor
Address Perez, Quezon
Responsibility PARTICULARS F.P.P. Account Amount
Center Code

1011 JANUARY 16-31, 2016

Salaries & Wages-Regular 35,459.77 5 01 01 010 46,739.21

Personal Economic Relief Allowance(PERA) 6,000.00 5 01 02 010
Retirement and Life Insurance Premiums 3,857.97 5 01 03 010
Pag-IBIG Contributions 600.00 5 01 03 020
Philhealth Contributions 500.00 5 01 03 030
Employees Compensation Insurance Premiuns 321.47 5 01 03 040
46,739.21

Total 46,739.21
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name PEPITO C. REYES Printed Name LORELIE R. BUERANO
Municipal Mayor Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive
Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee Municipal Mayor Personnel

Office Municipal Mayor
Address Perez, Quezon
Responsibility PARTICULARS F.P.P. Account
Center Code

1011 SALARY DIFFERENTIAL( OCT. 1 - NOV. 30, 2015)

Salaries & Wages-Regular 2,049.27 5 01 01 010

Retirement and Life Insurance Premiums 224.49 5 01 03 010
Employees Compensation Insurance Premiuns 20.45 5 01 03 040
2,294.21

Total
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name PEPITO C. REYES Printed Name LORELIE R. BUERANO
Municipal Mayor Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive

Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

Amount

2,294.21

2,294.21

LORELIE R. BUERANO
Municipal Budget Officer
Head, Budget Unit/ Authorized Representaive
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee Municipal Mayor Personnel

Office Municipal Mayor
Address Perez, Quezon
Responsibilit PARTICULARS F.P.P. Account
Center Code

1011 CLOTHING/UNIFORM ALLOWANCE 22,500.00 5 01 02 040

Total
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name RODRIGO A. CAPARROS Printed Name LORELIE R. BUERANO
Acting Municipal Mayor Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive
Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

Amount

22,500.00

22,500.00

LORELIE R. BUERANO
Municipal Budget Officer
Head, Budget Unit/ Authorized Representaive
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee Municipal Mayor Personnel

Office Municipal Mayor
Address Perez, Quezon
Responsibility PARTICULARS F.P.P. Account
Center Code

1011 Bonus 16,053.88 5 01 02 140

Cash Gift 12,500.00 5 01 02 150
28,553.88

Total
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name PEPITO C. REYES Printed Name LORELIE R. BUERANO
Municipal Mayor Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive
Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

Amount

28,553.88

28,553.88

LORELIE R. BUERANO
Municipal Budget Officer
Head, Budget Unit/ Authorized Representaive
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee Municipal Accountant Personnel

Office Accounting Office
Address Perez, Quezon
Responsibility PARTICULARS F.P.P. Account Amount
Center Code

1081 Representation Allowance(RA) 5 01 02 020 4,200.00

Transportation Allowance(TA) 5 01 02 030 4,200.00

Total 8,400.00
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name JEREMY S. BAYAN Printed Name LORELIE R. BUERANO
Municipal Accountant Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive
Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee MARITONI T. RAMOS

Office LGU- PEREZ
Address PEREZ, QUEZON
Responsibility PARTICULARS F.P.P. Account Amount
Center Code

1081 Traveling Expenses - Local 5 02 01 010 1,380.00

Total 1,380.00
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name JEREMY S. BAYAN Printed Name LORELIE R. BUERANO
Municipal Accountant Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive
Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee Municipal Accountant Personnel

Office Accounting Office
Address Perez, Quezon
Responsibility PARTICULARS F.P.P. Account Amount
Center Code

1081 JANUARY 16-31, 2016

Salaries & Wages-Regular 25,106.26 5 01 01 010 35,363.70

Personal Economic Relief Allowance(PERA) 3,000.00 5 01 02 010
Retirement and Life Insurance Premiums 6,055.51 5 01 03 010
Pag-IBIG Contributions 300.00 5 01 03 020
Philhealth Contributions 612.50 5 01 03 030
Employees Compensation Insurance Premiuns 289.43 5 01 03 040
35,363.70

Total 35,363.70
A. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision

Supporting documents valid, proper and legal

Signature Signature
Printed Name JEREMY S. BAYAN Printed Name LORELIE R. BUERANO
Municipal Accountant Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive

Date Date
 Republic of the Philippines
LOCAL GOVERNMENT UNIT
Perez, Quezon

OBLIGATION REQUEST No.

Payee AIRISH T. ROPEREZ

Office
Address Perez, Quezon
Responsibility PARTICULARS F.P.P. Account Amount
Center Code

SALARY OF JUNIOR HIGH SCHOOL SEF 30,000.00

(Mainit Sur Elementary School)
Labor Payroll for the month of
January and February

APPROPRIATION SEF
SEF/ Salary of 1 JHS teacher 60,000.00
this payment 30,000.00
Balance 30,000.00

Total 30,000.00
A. Certified B. Certified

Charges to appropriation/allotment necessary

Lawful and under my direct supervision Existence of available appropriation

Supporting documents valid, proper and legal

Signature Signature
Printed Name LILIOSA DIASANTA Printed Name LORELIE R. BUERANO
District Supervisor Municipal Budget Officer
Position Head,Requesting Office/Authorized Position Head, Budget Unit/ Authorized Representaive
Date Date