Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE

MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE Marilou G. Cayongcong
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the Closing of LGU Books of Accounts CY 2016, as per supproting papers hereto attached in
the total amount of..
Php 1,252.93
Computation:
Basic Monthly pay: 6,000.00 Total Overtime Pay:
Rate per day (22days): 272.73 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 34.09
Overtime Rate per hr.(@ 1.25%/hr): 42.61 P 51.14 x 24.5 hrs. 1,252.93
Overtime Rate per hr.(@ 1.5%/hr): 51.14
No. of Hours overtimed: TOTAL 1,252.93
No. of Hours overtimed: 24.5 Holidays

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name PRAXIDES C. ARCINO Date:
Municipal Accountant OIC-Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name Marilou G. Cayongcong Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
 Date:_______________________

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Supporting documents complete and paper Funds Available

Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
26,000 x 25x.0478087
TLB 31075.66
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE LETTY A. BESTES
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the Closing of LGU Books of Accounts CY 2016, as per supproting papers hereto attached in
the total amount of..
Php 2,406.64
Computation:
Basic Monthly pay: 11,526.00 Total Overtime Pay:
Rate per day (22days): 523.91 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 65.49
Overtime Rate per hr.(@ 1.25%/hr): 81.86 P 98.23 x 24.5 hrs. 2,406.64
Overtime Rate per hr.(@ 1.5%/hr): 98.23
No. of Hours overtimed: TOTAL 2,406.64
No. of Hours overtimed: 24.5 Holidays

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name PRAXIDES C. ARCINO Date:
Municipal Accountant OIC-Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name LETTY A. BESTES Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
 Date:_______________________

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Supporting documents complete and paper Funds Available

Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
26,000 x 25x.0478087
TLB 31075.66
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE LOLITA B. DELLABA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the Closing of LGU Books of Accounts CY 2016, as per supproting papers hereto attached in
the total amount of..
Php 4,750.84
Computation:
Basic Monthly pay: 13,298.00 Total Overtime Pay:
Rate per day (22days): 604.45 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 75.56
Overtime Rate per hr.(@ 1.25%/hr): 94.45 P 94.45 x 27.5 hrs. 2,597.38
Overtime Rate per hr.(@ 1.5%/hr): 113.34 P 113.34 x 19hrs. 2,153.46
No. of Hours overtimed: 28 Regular days TOTAL 4,750.84
No. of Hours overtimed: 19 Holiday

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name PRAXIDES C. ARCINO Date:
Municipal Accountant OIC-Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name LOLITA B. DELLABA Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
 Date:_______________________

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abov
Supporting documents complete and paper Funds Available

Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
26,000 x 25x.0478087
TLB 31075.66
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE VICTORY GEGRIMOSA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 898.38
Computation:
Basic Monthly pay: 5,500.00 Total Overtime Pay:
Rate per day (22days): 250.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 31.25 P 39.06 x 23 hrs. 898.38
Overtime Rate per hr.(@ 1.25%/hr): 39.06
No. of Hours overtimed: 23

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name VICTORY GEGRIMOSA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE RONITO Y. LOYGOS
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 1,630.16
Computation:
Basic Monthly pay: 8,198.00 Total Overtime Pay:
Rate per day (22days): 372.64 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 46.58 P 58.22 x 28 hrs. 1,630.16
Overtime Rate per hr.(@ 1.25%/hr): 58.22
No. of Hours overtimed: 28

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name RONITO Y. LOYGOS Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE EDILBERTO E. JATICO JR.
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 1,667.68
Computation:
Basic Monthly pay: 8,386.00 Total Overtime Pay:
Rate per day (22days): 381.18 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 47.65 P 59.56 x 28 hrs. 1,667.68
Overtime Rate per hr.(@ 1.25%/hr): 59.56
No. of Hours overtimed: 28

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name EDILBERTO E. JATICO JR. Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No:

PAYEE EDILBERTO JATICO JR. Date:
OFFICE
ADDRESS Tampilisan, zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Php 1,667.68
Overtime Pay

TOTAL Php 1,667.68

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No.:

PAYEE EDILBERTO JATICO JR.
OFFICE
ADDRESS Tampilisan, zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Php 1,667.68

Overtime Pay

TOTAL Php 1,667.68

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ANGELES R. CARLOTO II Printed Name GRACE A. GUMANSING
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No:

PAYEE JOANNE G. VILLAGRACIA Date:
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 24,885.36

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 24,885.36

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No.:

PAYEE JOANNE G. VILLAGRACIA
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 24,885.36

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 24,885.36

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No:

PAYEE EDSEL F. MAGHANOY Date:
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 8,907.20

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 8,907.20

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No.:

PAYEE EDSEL F. MAGHANOY
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 8,907.20

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 8,907.20

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE BONNA A. BAGSICAN
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 1,687.68
Computation:
Basic Monthly pay: 3,300.00 Total Overtime Pay:
Rate per day (22days): 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P 23.44 x 72 hrs. 1,687.68
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 72

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name BONNA A. BAGSICAN Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE MAXIMO LICOMES
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 656.32
Computation:
Basic Monthly pay: 3,300.00 Total Overtime Pay:
Rate per day (22days): 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P 23.44 x 28 hrs. 656.32
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 28

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name MAXIMO LICOMES Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE JAIME LARATO
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 937.44
Computation:
Basic Monthly pay: 5,500.00 Total Overtime Pay:
Rate per day (22days): 250.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 31.25 P 39.06x 24hrs. 937.44
Overtime Rate per hr.(@ 1.25%/hr): 39.06
No. of Hours overtimed: 24

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name JAIME LARATO Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE PETER BALILI
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 1,154.25
Computation:
Basic Monthly pay: 8,554.00 Total Overtime Pay:
Rate per day (22days): 388.82 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 48.60 P 60.75 x 19 hrs. 1,154.25
Overtime Rate per hr.(@ 1.25%/hr): 60.75
No. of Hours overtimed: 19

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name PETER BALILI Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE ZIDNEY MALAGUM
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 655.16
Computation:
Basic Monthly pay: 8,386.00 Total Overtime Pay:
Rate per day (22days): 381.18 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 47.65 P 59.56 x 11 hrs. 655.16
Overtime Rate per hr.(@ 1.25%/hr): 59.56
No. of Hours overtimed: 11

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name ZIDNEY MALAGUM Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE Marlene D. Bagsican
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 1,349.92
Computation:
Basic Monthly pay: 8,639.00 Total Overtime Pay:
Rate per day (22days): 392.68 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 49.09 P 61.36x 22hrs. 1,349.92
Overtime Rate per hr.(@ 1.25%/hr): 61.36
No. of Hours overtimed: 22

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name Marlene D. Bagsican Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE JOVITO PERATER
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay from October 2012-April 2013 for May 13, 2013 National and Local Elections, as per supproting
papers hereto attached in the total amount of..
Php 1,093.68
Computation:
Basic Monthly pay: 5,500.00 Total Overtime Pay:
Rate per day (22days): 250.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 31.25 P 39.06x 28 hrs. 1,093.68
Overtime Rate per hr.(@ 1.25%/hr): 39.06
No. of Hours overtimed: 28

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name JOVITO PERATER Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE MARY JANE K. CALUMBA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 517.93
Computation:
Basic Monthly pay: 10,418.00 Total Overtime Pay:
Rate per day (22days): 473.55 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 59.19 P 73.99 x 7 hrs. 517.93
Overtime Rate per hr.(@ 1.25%/hr): 73.99
No. of Hours overtimed: 7

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name MARY JANE K. CALUMBA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE SAMSON Q. DOMPALES
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 2,120.58
Computation:
Basic Monthly pay: 11,058.00 Total Overtime Pay:
Rate per day (22days): 502.64 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 62.83 P 78.54 x 27hrs. 2,120.58
Overtime Rate per hr.(@ 1.25%/hr): 78.54
No. of Hours overtimed: 27

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name SAMSON Q. DOMPALES Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE IDELFONSO A. VERGARA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 1,663.20
Computation:
Basic Monthly pay: 8,363.00 Total Overtime Pay:
Rate per day (22days): 380.14 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 47.52 P59.40 x 28 hrs. 1,663.20
Overtime Rate per hr.(@ 1.25%/hr): 59.40
No. of Hours overtimed: 28

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name IDELFONSO A. VERGARA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE EDSEL MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay from October 2012-April 2013 for May 13, 2013 National and Local Elections, as per supproting
papers hereto attached in the total amount of..
Php 10,899.60
Computation:
Basic Monthly pay: 3,300.00 Total Overtime Pay:
Rate per day (22days): 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 465 hrs. 10,899.60
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 465

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE OLIVIA G. EBORDE
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of October 28, 2013 Barangay Elections, as per supproting papers hereto
attached in the total amount of..
Php 7,667.80
Computation:
Basic Monthly pay: 38,558.00 Total Overtime Pay:
Rate per day (22days): 1,752.64 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 219.08 P273.85x 28 hrs. 7,667.80
Overtime Rate per hr.(@ 1.25%/hr): 273.85
No. of Hours overtimed: 28

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name SHERRY LOU P. DAPROSA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ANGELES R. CARLOTO II
Name Printed Name OLIVIA G. EBORDE Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other

PAYMENT TIN/Employee No.: Obligation Request No.
PAYEE DELIA B. CABILIN
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 32,164.00
Computation:
Basic Monthly pay: 21,064.00 Total Overtime Pay:
Rate per day (22days): 957.45 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 119.68 P149.60 x 215hrs. 32,164.00
Overtime Rate per hr.(@ 1.25%/hr): 149.60
No. of Hours overtimed: 215

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name DELIA B. CABILIN Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Waste Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________

Republic of the Philippines

 PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN

DISBURSEMENT VOUCHER No.

MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE JOANNE G. VILLAGRACIA
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 24,885.36
Computation:
Basic Monthly pay: 12,469.00 Total Overtime Pay:
Rate per day (22days): 566.77 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 70.85 P88.56 x 281hrs. 24,885.36
Overtime Rate per hr.(@ 1.25%/hr): 88.56
No. of Hours overtimed: 281

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Supporting documents complete and paper Funds Available

Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name JOANNE G. VILLAGRACIA Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:

Name/Signature-Pre-Audit Section
Date:_______________________

Republic of the Philippines

 PROVINCE OF ZAMBOANGA DEL NORTE
MUNICIPALITY OF TAMPILISAN
DISBURSEMENT VOUCHER No.
MODE OF Check Cash Other
TIN/Employee No.: Obligation Request No.
PAYEE EDSEL F. MAGHANOY
RESPONSIBILITY CENTER
ADDRESS Tampilisan. Zamboanga del Norte
Office/Unit/Project: Code:
EXPLANATION AMOUNT
Payment of overtime pay during the conduct of registration and other activities in connection with the May 10, 2010 National
and Local Elections, as per supproting papers hereto attached in the total amount of..
Php 8,907.20

Computation: Total Overtime Pay:

Rate per day: 150.00 (Overtime rate/hr x No. of Hrs)
Rate per hour(8 hrs. a day): 18.75 P23.44 x 380hrs. 8,907.20
Overtime Rate per hr.(@ 1.25%/hr): 23.44
No. of Hours overtimed: 380

CERTIFIED: CERTIFIED:
Allotment obligated for the purpose as indicated abo
Funds Available
Supporting documents complete and paper
Signature Signature
Printed Name JULITO P. LADEZA Date: Printed Name OLIVIA G. EBORDE Date:
Municipal Accountant Municipal Treasurer
Position Position
(Head,Accounting Unit/Authorized Representative) (Head,Treasury Unit/Authorized Representative)
APPROVED FOR PAYMENT: RECEIVED PAYMENT:
Signature Check No.: Bank Name: Date:
Printed Date: Signature Date:
ENRIQUIETA D. BOMEDIANO
Name Printed Name EDSEL F. MAGHANOY Date:
Municipal Mayor OR. No./Other Documents JEV No. Date:
Position
(Local Chief Executive/Authorized Representative)
FOR ACCOUNTING/PRE-AUDIT PERSONNEL USE ONLY:
CHECKLIST: MANDATORY MINIMUM SUPPORTING DOCUMENTS FOR COMMON TRANSACTIONS
(Maintenance & Other Operating Expenses/Capital Outlay)
Claims for Repairs:
3.h Repairs thru negotiated procurement and competitive bidding refer to Nos._____ and______, except Plans &
Specification.
Job Order / Contract
Watse Material Report
Certification that damage is due to fair wear
and tear and not due to negligence, by
Motorpool Incharge
Pre-Repair Inspection Report
Post-Repiar Inspection Report
Certification of the Motorpool Incharged of
their inability to repair.
3.I Other Claims
Statement of Account/Bill
Other Reasonable supporting documents
Reviewed by:
Name/Signature-Pre-Audit Section
Date:_______________________
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No:

PAYEE DELIA B. CABILIN Date:
OFFICE COMELEC
ADDRESS Tampilisan, zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 32,164.00

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 32,164.00

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No.:

PAYEE DELIA B. CABILIN
OFFICE COMELEC
ADDRESS Tampilisan, zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 32,164.00

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 32,164.00

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No:

PAYEE JOANNE G. VILLAGRACIA Date:
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 24,885.36

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 24,885.36

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No.:

PAYEE JOANNE G. VILLAGRACIA
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 24,885.36

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 24,885.36

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No:

PAYEE EDSEL F. MAGHANOY Date:
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 8,907.20

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 8,907.20

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)

Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE
Municipality of Tampilisan

OBLIGATION REQUEST No.:

PAYEE EDSEL F. MAGHANOY
OFFICE COMELEC
ADDRESS Tampilisan, Zamboanga del Norte

Responsibility
Center PARTICULARS F.P.P ACCOUNT CODE AMOUNT

Payment of overtime pay during the conduct of Php 8,907.20

registration and other activities in connection with the May 10,
2010 National and Local Elections, as per supproting papers
hereto attached in the total amount
of..

TOTAL Php 8,907.20

CERTIFIED: CERTIFIED:
Charges to appropriation/allotment necessary,
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and
legal
Signature Signature
Printed Nam ENRIQUIETA D. BOMEDIANO Printed Name JOVITA C. SAMUYA
Position Municipal Mayor Position Municipal Budget Officer
Date (Head Unit/Authorized Representative) Date (Head Unit/Authorized Representative)