Appendix 32
Republic of the Philippines Fund Cluster :
BUREAU OF INTERNAL REVENUE FUND 101
Revenue Region No. 10 -Legazpi City
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee EDGAR B. TOLENTINO TIN/Employee No.: ORS/BURS No.:
101-186-051
Address
Office of the Regional Director
Responsibility
Particulars MFO/PAP Amount
Center
EXTRAORDINARY AND MISCELLANEOUS A.1.a
EXPRENSES - AUGUST 2017 110031100010-01 10300100010000 8,200.00
Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
EDGAR B. TOLENTINO EDGAR B. TOLENTINO
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper
Signature Signature
Printed
Printed Name
Name AIDA Q. BALANE EDGAR B. TOLENTINO
Chief, Finance Division OIC Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date
Official Receipt No. & Date/Other Documents
Appendix 32
Republic of the Philippines Fund Cluster :
BUREAU OF INTERNAL REVENUE FUND 101
Revenue Region No. 10 Legazpi City
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee EDGAR B. TOLENTINO TIN/Employee No.: ORS/BURS No.:
Address
Office of the Regional Director
Responsibility
Particulars MFO/PAP Amount
Center
A.1.a
Quarters Allowance- AUGUST 2017. 110031100010-01 103001000100000 2,000.00
Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
EDGAR B. TOLENTINO EDGAR B. TOLENTINO
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper
Signature Signature
Printed
Printed Name
Name AIDA Q. BALANE EDGAR B. TOLENTINO
Chief, Finance Division OIC Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date
Official Receipt No. & Date/Other Documents
Appendix 32
Republic of the Philippines Fund Cluster :
BUREAU OF INTERNAL REVENUE 01
Revenue Region No. 10 Legazpi City
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee JANETTE R. CRUZ TIN/Employee No.: ORS/BURS No.:
134-684-442
Address
Office of the Assistance Regional Director
Responsibility
Particulars MFO/PAP Amount
Center
A.1.a
Quarters Allowance- AUGUST 2016 110031100010-02 10300100010000 2,000.00
Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
JANETTE R. CRUZ ALBERTO S. OLASIMAN
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper
Signature Signature
Printed
Printed Name
Name AIDA Q. BALANE ALBERTO S. OLASIMAN
Chief, Finance Division Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date
Signature : Date : Printed Name:
Official Receipt No. & Date/Other Documents
Appendix 32
Republic of philippines Fund Cluster :
Department of Health 01
DOH-Camarines Sur Treatment and Rehabilitation Center
Pamukid, San Fernando, Camarines Sur (0917-3006725) Date :
DV No. :
Mode of MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee TIN/Employee No.: ORS/BURS No.:
Address
Responsibility
Particulars MFO/PAP Amount
Center
Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper
Signature Signature
Printed
Printed Name
Name MARIA AVEGAIL Q. BALANE, CPA MA. LOURDES M. ANSON, MD, DPCAM
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date
Official Receipt No. & Date/Other Documents
Appendix 32
Republic of the Philippines Fund Cluster :
BUREAU OF INTERNAL REVENUE
Revenue Region No. 10 Legazpi City
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee AIDA Q. BALANE ET AL TIN/Employee No.: ORS/BURS No.:
Address
Responsibility
Particulars MFO/PAP Amount
Center
Overtime Pay of Finance and AHRMD Personnel 11-003-11-0010-07 A.1.a 149,786.58
for the months of January -April, 2017 11-003-11-0010-06 10300100010000 178,874.15
(07) gross - 197,576.61 (06)gross - 248,571.61
w/tax 47,790.03 w/tax 69,697.46
net 149,786.58 net 178,874.15
Amount Due 328,660.73
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
AIDA Q. BALANE EDGAR B. TOLENTINO
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper
Signature Signature
Printed
Printed Name
Name AIDA Q. BALANE EDGAR B. TOLENTINO
Chief, Finance Division Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date
Official Receipt No. & Date/Other Documents
Appendix 32
BUREAU OF INTERNAL REVENUE-REV. REGION 10 LEGAZPI CITY Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee GRACE TRIUMFANTE TIN/Employee No.: ORS/BURS No.:
Address
RDO 67 Legazpi City
Responsibility
Particulars MFO/PAP Amount
Center
TEV. - Sept- Dec., 2016 A.11.a.4
11-003-12-0074 101003010400000 7,800.00
Amount Due 7,800.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
GRACE TRIUMFANTE ATTY KAY T. VELASCO
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper
Signature Signature
Printed
Printed Name
Name AIDA Q. BALANE
Chief, Finance Division
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date
Official Receipt No. & Date/Other Documents
Appendix 32
BUREAU OF INTERNAL REVENUE-REV. REGION 10 LEGAZPI CITY Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
Payee JONATHAN N. NACION TIN/Employee No.: ORS/BURS No.:
Address
DPD RR 10 LEGAZPI CITY
Responsibility
Particulars MFO/PAP Amount
Center
TEV. - July 112-14, 2017 A.11.a.4
11-003-11-0010-09 101003010400000 4,760.00
Amount Due 4,760.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
JONATHAN N. NACION IMELDA L. MOROÑA
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable
Supp
proper
Signature Signature
Printed Printed
Name AIDA Q. BALANE Name EDGAR B. TOLENTINO
Chief, Finance Division Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32
BUREAU OF INTERNAL REVENUE-REV. REGION 10 LEGAZPI CITY Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee AIDA O. NAVARRA
Address
AHRMD. RR 10 LEGAZPI CITY
Particulars Responsibility Center MFO/PAP Amount
A.1.a
Gasoline Expenses- March- JUNE 2017 11-003-11-0010-07 10300100010000 11,568.73
SGY 342
Amount Due 11,568.73
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
AIDA O. NAVARRA EDGAR B. TOLENTINO
Claimant/ Project Proponent Supervisor of Claimant/ Project Proponent
B. Accounting Entry:
Account Title UACS Code Debit Credit
C. Certified: D. AApproved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper
Signature Signature
Printed Name Printed Name
AIDA Q. BALANE EDGAR B. TOLENTINO
Chief, Finance Division Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
RESPONSIBILITY CENTER
SEQ CODE PARENT_ CODE TYPE ACRONYM
1 11-003-11-0000 Regional RO
2 11-003-12-0000 Revenue District Office RDO
3 11-003-11-0010 11-003-11-0000 Revenue Region RR 10
4 11-003-11-0010-01 11-003-11-0010 Office ORD RR 10
5 11-003-11-0010-02 11-003-11-0010 Office OARD RR 10
6 11-003-11-0010-03 11-003-11-0010 Division ASMTD RR 10
7 11-003-11-0010-04 11-003-11-0010 Division COLLD RR 10
8 11-003-11-0010-05 11-003-11-0010 Division LEGD RR 10
9 11-003-11-0010-06 11-003-11-0010 Division FIND RR 10
10 11-003-11-0010-07 11-003-11-0010 Division AHRMD RR 10
11 11-003-11-0010-08 11-003-11-0010 Division RID RR 10
12 11-003-11-0010-09 11-003-11-0010 Division DPD RR 10
13 11-003-11-0010-10 11-003-11-0001 Group/Division/Service GC
14 11-003-11-0010-11 11-003-11-0001 Office RA
15 11-003-12-0071 11-003-12-0000 Office RDO 64
16 11-003-12-0072 11-003-12-0000 Office RDO 65
17 11-003-12-0073 11-003-12-0000 Office RDO 66
18 11-003-12-0074 11-003-12-0000 Office RDO 67
19 11-003-12-0075 11-003-12-0000 Office RDO 68
20 11-003-12-0076 11-003-12-0000 Office RDO 69
21 11-003-12-0077 11-003-12-0000 Office RDO 70
GAA'S - ADMIN, FINANCE, ORD & ARD
A.1.a
10300100010000
OPERATION -RDO'S LEGAL, RID, COL. ASS., DPD
A.11.a..4
101003010400000
DESCRIPTION
Regional Office
Revenue District Office
Revenue Region No. 10 -Legazpi City
Office of the Regional Director, RR 10
Office OF Office
Division Office
Division Office
Division Office
Division Office
Division Office
Division Office
Division Office
General Classification, RR 10
Resident Auditor, RR 10
RDO NO. 64 Daet Cam. Norte
RDO NO. 65 Naga City
RDO NO. 66 Iriga City
RDO NO. 67 Legazpi City
RDO NO. 68 Sorsogon City
RDO NO. 69 Virac Catanduanes
RDO NO. 70 Masbate City
