Republic of the Philippines COMMISSION ON AUDIT Quezon City No.
DISBURSEMENT VOUCHER Mode of Pa ment ment
MDS Check
ADA
Commercial Check
Others
TIN/Employee No.
PAYEE
ANDREW T. GARCIA
ADDRESS
Cluster D-Economic Services,COA-BFAR CO, Q.C.
OR/BUR No.
292-494-062/0245828 Responsibility Center Office/Unit/Project
EXPLANATION
Code
AMOUNT
RE: Salary and Amelioration Allowance differential for the period November 10, 2011 to January 20, 2012 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary SAE II Salary Monthly Differential 2 months and 8/22 from Nov. 10 to Jan. 20
X Total Salary Differential Amelioration Allowance (1 1/2 mos.) 4756 x 1.5 Total Differential
24,423.00 19,658.00 4,765.00 2.36 11,245.40 7,134.00 18,379.40
18,379 40
TOTAL A.
18,379 40 B.
CERTIFIED Cash available
Approved for Payment
Subject to Audthority to Debit Account (when applicable)
Supporting documents complete Signature
________________________________ ________________________________
Signature
Printed Name Position
Printed Name
Accountant Head, Accounting Unit/Authorized Representative
Date
Position : Agency Head/Authorized Representative
Date
C.
Received Payment Check/ ADA No. Signature
Official Receipt/Other Documents
JEV No. Date
Bank Name
Date
Printed Name Date
Republic of the Philippines COMMISSION ON AUDIT Commonwealth Avenue, Quezon City No.
OBLIGATION REQUEST Payee Office Address:
ANDREW T. GARCIA NGS CLUSTER D-ECONOMIC SERVICES COA-BFAR-CO, Quezon City
Responsibility Center
PARTICULARS
P.P.A
Account Code
RE: Salary and Amelioration Allowance Differential for the period November 10, 2011 to January 20, 2012 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary
24,423.00
SAE II Salary
19,658.00
Monthly Differential 2 months and 8/22 from Nov. 10 to Jan. 20
4,765.00 X
2.36
Total
11,245.40
Amelioration Allowance (1 1/2 mos.) 4756 x 1.5
7,134.00
Total Differential
18,379.40
Total A. Certified
B. Certified
Charges to appropriation/ allotment necessary, lawful and under my direct supervision
Supporting documents valid, proper and legal
Signature Printed Name Position Date
Allotment available and obligated for the indicated above
Signature Mr. JOSEPH B. ANACAY Director IV Head, Requesting Office/Authorized Representative
Printed Name Position Date
Head, Budget Unit/Authorized
Amount
18,379.40 urpose as
epresentative
Republic of the Philippines COMMISSION ON AUDIT Quezon City No.
DISBURSEMENT VOUCHER Mode of Pa ment
MDS Check
ADA
Commercial Check
Others
TIN/Employee No.
PAYEE
ANDREW T. GARCIA
ADDRESS
Cluster D-Economic Services,COA-BFAR CO, Q.C.
OR/BUR No.
292-494-062/0245828 Responsibility Center Office/Unit/Project
EXPLANATION
Code
AMOUNT
RE: Salary and Amelioration Allowance differential for the period November 10, 2011 to December 31, 2011 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011.
SA I Salary
24,423.00
SAE II Salary
19,658.00
Monthly Differential 1 month and 15/22 from Nov. 10 to Dec. 31, 2011
4,765.00 X
Total Salary Differential
1.68 8,005.20
Amelioration Allowance (1 1/2 mos.) 4756 x 1.5
7,134.00
Total Differential
15,139 20
15,139.20
TOTAL A.
15,139 20 B.
CERTIFIED Cash available
Approved for Payment
Subject to Audthority to Debit Account (when applicable)
Supporting documents complete Signature
________________________________ ________________________________
Signature
Printed Name Position
Printed Name
Accountant Head, Accounting Unit/Authorized Representative
Date
Position : Agency Head/Authorized Representative
Date
C.
Received Payment Check/ ADA No. Signature
Official Receipt/Other Documents
JEV No. Date
Bank Name
Date
Printed Name Date
Republic of the Philippines COMMISSION ON AUDIT Commonwealth Avenue, Quezon City No.
OBLIGATION REQUEST Payee Office Address:
ANDREW T. GARCIA NGS CLUSTER D-ECONOMIC SERVICES COA-BFAR-CO, Quezon City
Responsibility Center
PARTICULARS
P.P.A
Account Code
RE: Salary and Amelioration Allowance Differential for the period November 10, 2011 to January 20, 2012 resulting from promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary
24,423.00
SAE II Salary
19,658.00
Monthly Differential
4,765.00
1 month and 15/22 from Nov. 10 to Dec. 31, 2011 X
1.68
Total
8,005.20
Amelioration Allowance (1 1/2 mos.) 4756 x 1.5
7,134.00
Total Differential
15,139.20
Total A. Certified
B. Certified
Charges to appropriation/ allotment necessary, lawful and under my direct supervision
Supporting documents valid, proper and legal
Signature Printed Name Position Date
Allotment available and obligated for the indicated above
Signature Mr. JOSEPH B. ANACAY Director IV Head, Requesting Office/Authorized Representative
Printed Name Position Date
Head, Budget Unit/Authorized
Amount
15,139.20 urpose as
epresentative
Republic of the Philippines COMMISSION ON AUDIT Quezon City No.
DISBURSEMENT VOUCHER Mode of Pa ment
MDS Check
ADA
Commercial Check
Others
TIN/Employee No.
PAYEE
ANDREW T. GARCIA
ADDRESS
Cluster D-Economic Services,COA-BFAR CO, Q.C.
OR/BUR No.
292-494-062/0245828 Responsibility Center Office/Unit/Project
EXPLANATION
Code
AMOUNT
RE: Salary differential for the period January 16 to February 29 due to promotion from SAE II to SA I pursuant to COA Resolution No. A-11035 dated November 10, 2011.
SA I Salary SAE II Salary Monthly Differential 1 and 1/2 month Total Salary Differential
X
24,423.00 19,658.00 4,765.00 1.5 7,147.50
7,147 50
TOTAL A.
7,147 50 B.
CERTIFIED Cash available
Approved for Payment
Subject to Audthority to Debit Account (when applicable)
Supporting documents complete Signature
________________________________ ________________________________
Signature
Printed Name Position
Printed Name
Accountant Head, Accounting Unit/Authorized Representative
Date
Position : Agency Head/Authorized Representative
Date
C.
Received Payment Check/ ADA No. Signature
Official Receipt/Other Documents
JEV No. Date
Bank Name
Date
Printed Name Date
Republic of the Philippines COMMISSION ON AUDIT Commonwealth Avenue, Quezon City No.
OBLIGATION REQUEST Payee Office Address:
ANDREW T. GARCIA NGS CLUSTER D-ECONOMIC SERVICES COA-BFAR-CO, Quezon City
Responsibility Center
PARTICULARS
P.P.A
Account Code
RE: Salary differential for the period January 16 to February 29 due to promotion from SAE II to SA I pursuant to COA Resolution No. A-11-035 dated November 10, 2011. SA I Salary
24,423.00
SAE II Salary
19,658.00
Monthly Differential 1 and 1/2 months
4,765.00 X
1.5
Total
7,147.50
Total A. Certified
B. Certified
Charges to appropriation/ allotment necessary, lawful and under my direct supervision
Supporting documents valid, proper and legal
Signature Printed Name Position Date
Allotment available and obligated for the indicated above
Signature Mr. JOSEPH B. ANACAY Director IV Head, Requesting Office/Authorized Representative
Printed Name Position Date
Head, Budget Unit/Authorized
Amount
7,147.50 urpose as
epresentative
