Republic of the Philippines

Province of Cagayan
PROVINCIAL GOVERNMENT OF CAGAYAN
Capitol Hills, Tuguegarao City

No.
DISBURSEMENT VOUCHER
Mode of
Payment:
TIN NO.: Obligation Request No.:
Payee: PEARLITA LUCIA P. MABASA 136-161-114
Responsibility Center
Address: Tuguegarao City Office/Unit/Project: Code:
P.A.
EXPLANATION AMOUNT
To payment of her salary as Assistant Department Head for the month of
OCTOBER 1- 31, 2013 as per supporting papers hereto attached
amounting to-----------------------51,410.00 51,410.00
plus:PERA 2,000.00 2,000.00
53,410.00 53,410.00
LESS:W'TAX 6320.52 (6,320.52)
TOTAL: 47089.50 47,089.48

amount due: 47,089.48

A. Certified: B. p
Allotment obligated for the purposes indicated above. Funds available

Supporting documents complete.

Signature: Signature:

Printed Name: JEANNA C. GARMA Date: Printed Name: EMILIA L. IRINGAN Date:
Position: Provincial Accountant Position: Provincial Treasurer
Head, Accounting Unit/Authorized Representative Head,Treasury Unit/Authorized Representative
C. Approved for payment: D. Received payment:
Signature: Cheque No.: Bank Name:

Printed Name: EDNA T. JUNIO,RSW,MSSW Date: Signature: Date:

Printed Name:
Position: Provincial Administator O.R./Other documents: T.E.V. No. Date:
Agency Head/Authorized Representative
 Republic of the Philippines
Province of Cagayan
PROVINCIAL GOVERNMENT OF CAGAYAN
Capitol Hills, Tuguegarao City

No.
OBLIGATION REQUEST
Peyee: PEARLITA LUCIA P. MABASA
Office: Office of the Provincial Administrator
Address: Tuguegarao City
Responsibility
Center PARTICULARS E.P.P. Code Amount

BASIC SALARY(51,410.00) 51,410.00

PERA (2,000.00) 2,000.00

TOTAL 53,410.00
A. CERTIFIED:

Existence of available appropiation.

Supporting documents valid, proper and l

Signature: Signature:

Printed Name: MS. EDNA T. JUNIO,RSW,MSSW EDNA L. LINGAN

Position: Provincial Administrator Position: Provincial Budget Officer
Agency Head/Authorized Representative Head, Budget Unit/Authorized Representative
Date: Date:
 Republic of the Philippines
Province of Cagayan
Tuguegarao City
PGC - PROVINCIAL ADMINISTRATOR'S OFFICE
PROVINCIAL GOVERNMENT OF CAGAYAN
CAPITOL HILLS, TUGUEGARAO CITY
Withholding Tax
JULY 2015 Monthly
Salary and Withholding Tax
TIN. NO. NAME position
Living Due
289-543-476 BARCELON, MINERVA T. Admin. Aide I Allowances
393.00/ day
### 216.15
###

###
TOTAL P 216.15
Certified Correct:

ATTY. JOSEPH. P. PAUIG

Chief of Staff