Republic of the Philippines

Province of Laguna
MUNICIPALITY OF MAJAYJAY

OBLIGATION REQUEST NO.

PAYEE LUCIA ROMERO

OFFICE

ADDRESS MAJAYJAY, LAGUNA

Responsibility Account
PARTICULARS FPP Amount
Center Code

TO PAYMENT OF FOODS SERVED IN #REF!

ELECTION 2019

A. B.
B.

TOTAL #REF!
CERTIFIED Certified

Charges to appropriation/allotment necessary, lawful Existence of available appropriation

and under my direct supervision
Supporting documents valid, proper and legal

Signature Signature

Printed Name CARLO INVINZOR B. CLADO Printed Name LEOVY B. COBRADO

Position MUNICIPAL MAYOR Position MUNICIPAL BUDGET OFFICER

Head, Requesting Office/Authorized Representative Head, Requesting Office/Authorized Representative

Date Date
General Form No. 2
Revised January 1992

REIMBURSEMENT EXPENSE RECEIPT

Date June 10, 2019

RECEIVED from MRS. MARINEL LORAYNA

(Official Designation)

the amount of EIGHT HUNDRED TWENTY FIVE PESOS ONLY

(In words)

825.00 in payment for 15 PCS CHILD AND FAMILY PROFILE BOOKLET

(In figure) (Payment for subsistence, services, rental)

(or transportations should show inclusive dates, purpose, distance,)

(inclusive points of travel, etc.)

PAYEE

Nae/Signature
Address
Res. Cert No.
Date of issue
Place of issue

WITNESS

Nae/Signature JASON N. HILARIO

Address MAJAYJAY, LAGUNA
Res. Cert No. 5312356
Date of issue 2/22/2019
Place of issue Majayjay, Laguna

* This is to certify that I don't have an Official Receipt

 170 9000
125 1800
4800

9000 12300 1500

600 2460 300
4800 9840 1200
14400 24600 3000

1950
1950
7000
7000
7000
7000
15600
14400
24600
3000
89500
General Form No. 2
Revised January 1992

REIMBURSEMENT EXPENSE RECEIPT

Date May 30, 2019

RECEIVED from MUNICIPALITY OF MAJAYJAY

(Official Designation)

the amount of TWO THOUSAND FIVE HUNDRED PESOS ONLY

(In words)

2,500.00 in payment for ID

(In figure) (Payment for subsistence, services, rental)

(or transportations should show inclusive dates, purpose, distance,)

(inclusive points of travel, etc.)

PAYEE

Nae/Signature ROSIE ROCEO

Address Majayjay, Laguna
Res. Cert No. 15949549
Date of issue 1/9/2019
Place of issue Majayjay, Laguna

WITNESS

Nae/Signature MANDY PESTIO

Address MAJAYJAY, LAGUNA
Res. Cert No. 5312356
Date of issue 2/22/2019
Place of issue Majayjay, Laguna

* This is to certify that I don't have an Official Receipt

 170 9000
125 1800
4800

9000 12300 1500

600 2460 300
4800 9840 1200
14400 24600 3000

1950
1950
7000
7000
7000
7000
15600
14400
24600
3000
89500