RAD GREEN SOLUTIONS CORPORATION
RAD HQ, Rosa Sanz Stret, Cor. Vinzons Street, Barrio Obrero, Davao City, Philippines. 8000
Tel. (082) 224-2504; 224-2505
REQUEST FOR PAYMENT
Date:
MODE OF PAYMENT (please check the box)
COMMERCIAL CHECK OTHERS (please specify):
ACTIVITY /PROJECT NAME:
Cost Center :
Business Unit: [___] Pyc Systems [___] Haz Waste Treatment [____] MG Project
[___] Other/s (Please Specificy:
Corporate Support: [__] Finance [__]Supply Chain [X] R and D Engineering [__] MIS & ICT [__]HROD
Payee/Office: Davao Waste Management Services Department TIN/Govt ID No.:
Address:
DAVAO CITY
PAYMENT DETAILS BELOW:
No. Particulars Amount
1 ADDITIONAL FENCE FOR CARMEN FACILITY(Details attached at the back) PhP.23,380.00
2 BACKHOE RENTAL (Detail attached at the back) PhP.80,000.00
3
4
5
6
Amount Due For Payment ► PhP.103,380.00
Amount in Words :
REQUIRED SUPPORTING DOCUMENTS:
Purchase Requisition Charge Invoice Other/s (Please Specify):
Work Order Cash Invoice
Progress Report
Billing/Statement of Account
A B
REQUESTED BY: APPROVED:
Certified: Charges to budget necessary, lawful and under my Certified: Supporting documents are complete
direct supervision. for the purpose as indicated above.
Signature: __________________________________ Signature: __________________________________
Printed Name: MEL JAMES B. BANADOS Printed Name: LIGAYA BATOLBATOL
Designation: TSD Incharge Designation: __________________________________
( In-Charge / Team Lead Representative) (Supervisor/Managing Head/ General Manager)
Date: __________________________________ Date:
C D
FUNDS AVAILABILITY: APPROVED FOR PAYMENT:
Certified: Budget available and funds earmarked/ obligated
for the purpose as indicated above.
Signature: __________________________________ Signature: __________________________________
Printed Name: __________________________________ Printed Name: __________________________________
Designation: __________________________________ Designation: __________________________________
(Head, Accounting Unit/Authorized Representative) CEO/Vice President/President
Date: __________________________________ Date: __________________________________