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ANNEX "A"

Republic of the Philippines


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

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

1031 Subscription Expenses 5-02-16-078 837.00

TOTAL 837.00
A. CERTIFIED: B.

Charges to appropriation allotment necessary,


Existence of available appropiation.
and under my direct supervision.

Supporting documents valid, proper and legal.

Signature: Signat

Printed Name: BGEN. RODOLFO G. ALVARADO (RET.) Print RAYNALD RAUL B. RAMIREZ
Position: Provincial Administrator Positi Officer-In-Charge
Agency Head/Authorized Representative Head, Budget Unit/Authorized Representative
Date: Date:

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