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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: BGEN. RODOLFO G. ALVARADO (Ret.)
Office: PA
Address: TUGUEGARAO CITY
Responsibility
Center
PARTICULARS E.P.P. Code Amount

Telephone Expenses (mobile) 5-02-05-020 5,000.00

TOTAL 5,000.00
A. CERTIFIED: B.

CHARGES to appropriation allotment necessary


Existence of available appropiation.
and under my direct supervision.

Supporting documents valid, proper and lega

Signature: Signature:

Printed Name: BGEN. RODOLFO G. ALVARADO (Ret.)Printed Name EDNA L. LINGAN


Position: Provincial Administrator Position: Provincial Budget Officer
Head, Budget Unit/Authorized Representative
Date: Date:
ANNEX "A"

Republic of the Philippines


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

No.
OBLIGATION REQUEST
Peyee: GOLDLACE SOUVENIR AND PRINT CENTER
Office: Office of the Provincial Administrator
Address: Tuguegarao City
Responsibility
Center
PARTICULARS E.P.P. Code Amount

1031 Other Maintenance and Operating Expenses 969 3,000.00

TOTAL 3,000.00
A. CERTIFIED: B.

Charges to appropriation allotment necessary,


Existence of available appropiation.
and under my direct supervision.

Supporting documents valid, proper and legal.

Signature: Signature:
Signature: Signature:

Printed Name: ENGR. TITO A. PERLAS, JR. Printed Name EDNA L. LINGAN
Position: Provincial Administrator Position: Provincial Budget Officer
Agency Head/Authorized Representative Head, Budget Unit/Authorized Representative
Date: Date:

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