DV NO.

_______________
DATE: December 27, 2023
DISBURSEMENT VOUCHER FUND: Senior Citizen & PWD Fund

Barangay: #30 –PIGCALE City/Municipality: LEGAZPI

Tel. No. Province : ALBAY
Payee/Office : SABANG MULTI-PURPOSE COOPERATIVE Employee No.
Address : Legazpi City Tin No.:
PARTICULARS AMOUNT

TO PAYMENT - for the purchased of commodities for PWD

Assistance in the sum of SEVEN THOUSAND
EIGHT HUNDRED PESOS ONLY, as per supporting
P 17,800.00
Papers hereto attached

A. Certified as to the existence of B. Certified: C. Certified

Appropriation for obligation Fund (Cash) Available) As to validity, Propriety, legality of
Claim approved:
For Payment

Signature:________________________________ Signature:______________________ Signature:________________________

Printed Name : _FRANCIS A. BASALLOTE_______ Printed Name: AILEN L. BULAWAN Printed Name: FERNANDO A. LOPEZ
Position: Chairman Committee on Appropriation Position: Barangay Treasurer Position: Punong Barangay
Date : ___________________________ Date : ____________________ Date : ___________________________

D. Received Payments:

Check No. _____________ Date: December 127, 2023

SABANG MULTI-PURPOSE COOPERATIVE Bank Name: _PVB__
Signature over Printed Name O.R. No. ______________ Date: __________
_____________________________________
Date
E. Accounting Entries
ACCOUNT ACCOUNT CODE DEBIT CREDIT

Prepared by:

________________ Date: __________________

Barangay Treasurer

Approved by:

GLORIA A. ARINGO
City Accountant Date: ___________________
 DV NO. _ ______
DATE: ______________
DISBURSEMENT VOUCHER FUND: ______________

Barangay: #30 –PIGCALE City/Municipality: LEGAZPI

Tel. No. Province : ALBAY
Payee/Office : Employee No.
Address :Legazpi City Tin No.:
PARTICULARS AMOUNT

A. Certified as to the existence of B. Certified: C. Certified

Appropriation for obligation Fund (Cash) Available) As to validity, Propriety, legality of
Claim approved:
For Payment

Signature:________________________________ Signature:______________________ Signature:________________________

Printed Name : ___________________________ Printed Name: __________________ Printed Name: FERNANDO A. LOPEZ
Position: Chairman Committee on Appropriation Position: Barangay Treasurer Position: Punong Barangay
Date : ___________________________ Date : ____________________ Date : ___________________________

D. Received Payments:

Check No. ______________ Date: _____________

_____________________________ Bank Name: PVB
Signature over Printed Name O.R. No. ________________ Date______________
_____________________________________
Date
E. Accounting Entries
ACCOUNT ACCOUNT CODE DEBIT CREDIT

Prepared by:

________________ Date: __________________

Barangay Treasurer

Approved by:

GLORIA A. ARINGO
City Accountant Date: ___________________
 DV NO. _ ______
DATE: ______________
DISBURSEMENT VOUCHER FUND: ______________

Barangay: #30 –PIGCALE City/Municipality: LEGAZPI

Tel. No. Province : ALBAY
Payee/Office : Employee No.
Address :Legazpi City Tin No.:
PARTICULARS AMOUNT

B. Certified as to the existence of B. Certified: C. Certified

Appropriation for obligation Fund (Cash) Available) As to validity, Propriety, legality of
Claim approved:
For Payment

Signature:________________________________ Signature:______________________ Signature:________________________

Printed Name : _FRANCIS A. BASALLOTE_______ Printed Name: __________________ Printed Name: FERNANDO A. LOPEZ
Position: Chairman Committee on Appropriation Position: Barangay Treasurer Position: Punong Barangay
Date : ___________________________ Date : ____________________ Date : ___________________________

D. Received Payments:

Check No. ___________________ Date:______________

______________________________________ Bank Name: ___PVB___________
Signature over Printed NameO.R. No. _____________________ Date: ______________
_____________________________________
Date
E. Accounting Entries
ACCOUNT ACCOUNT CODE DEBIT CREDIT

Prepared by:

________________ Date: __________________

Barangay Treasurer

Approved by:

GLORIA A. ARINGO
City Accountant Date: ___________________
 DV NO. _ ______
DATE: ______________
DISBURSEMENT VOUCHER FUND: _______________

Barangay: #30 –PIGCALE City/Municipality: LEGAZPI

Tel. No. Province : ALBAY
Payee/Office : Employee No.
Address :Legazpi City Tin No.:
PARTICULARS AMOUNT

C. Certified as to the existence of B. Certified: C. Certified

Appropriation for obligation Fund (Cash) Available) As to validity, Propriety, legality of
Claim approved:
For Payment

Signature:________________________________ Signature:______________________ Signature:________________________

Printed Name : _FRANCIS A. BASALLOTE_______ Printed Name: __________________ Printed Name: FERNANDO A. LOPEZ
Position: Chairman Committee on Appropriation Position: Barangay Treasurer Position: Punong Barangay
Date : ___________________________ Date : ____________________ Date : ___________________________

D. Received Payments:

Check No. ______________ Date: ______________

_________________________ Bank Name: ____________
Signature over Printed Name O.R. No. _____________________ Date: ______________
_____________________________________
Date
E. Accounting Entries
ACCOUNT ACCOUNT CODE DEBIT CREDIT

Prepared by:

________________ Date: __________________

Barangay Treasurer

Approved by:

GLORIA A. ARINGO
City Accountant Date: ___________________
 DV NO. _ ______
DATE: November 20, 2023
DISBURSEMENT VOUCHER FUND: SK FUND_________

Barangay: #30 –PIGCALE City/Municipality: LEGAZPI

Tel. No. Province : ALBAY
Payee/Office : SK BARANGAY 30 PIGCALE Employee No.
Address :Legazpi City Tin No.:
PARTICULARS AMOUNT

TO TRANSFER – NTA Fund for November ‘2023 and RPT Jan. –

Sept. ‘2023 of Sangguniang Kabataan of Brgy.
30 Pigcale in the sum of SEVENTY FOUR P 74,250.98
THOUSAND TWO HUNDRED FIFTY PESOS AND
38/100 ONLY, as per supporting papers hereto
Attached

NTA November ‘2023 – P 27,189.70

RPT January ‘2023 - 47,061.28
P 74,250.98

A. Certified as to the existence of B. Certified: C. Certified

Appropriation for obligation Fund (Cash) Available) As to validity, Propriety, legality of
Claim approved:
For Payment

Signature:________________________________ Signature:______________________ Signature:________________________

Printed Name : _FRANCIS A. BASALLOTE_______ Printed Name: AILEN L. BULAWAN Printed Name: FERNANDO A. LOPEZ
Position: Chairman Committee on Appropriation Position: Barangay Treasurer Position: Punong Barangay
Date : ___________________________ Date : ____________________ Date : ___________________________

D. Received Payments:

Check No. 4217658 Date: _11-20-2023_

SK BARANGAY 30 PIGCALE Bank Name: ___PVB___________
Signature over Printed Name O.R. No. _____________________ Date: ______________
_____________________________________
Date
E. Accounting Entries
ACCOUNT ACCOUNT CODE DEBIT CREDIT

Prepared by:

AILEN L. BULAWAN Date: __________________

Barangay Treasurer

Approved by:

GLORIA A. ARINGO
City Accountant Date: ___________________
 PURCHASE REQUEST
Barangay: Brgy. #30-Pigcale P.R No.: ________________
City/Municipality: Legazpi City_____________ Date: __________________
Province: Albay_________________________
REQUISITION

Item Number QTY. Unit of Item description Estimated Estimated

Measurement Unit Cost Amount

1. 2 SACKS RICE 2,930.00 P 5,860.00

2. 4 KGS. RICE 60.00 240.00
3. 52 PCS. BEARBRAND 135g. 55.00 2,860.00
4. 156 PCS. MILO 156 g. 10.00 1,560.00
5. 52 PCS. SUGAR 1/4 kg 25.00 1,300.00
6. 52 PKS. SKYFLAKES 55.00 2,860.00
7. 104 PCS. PONKAN 5.00 520.00
8. 104 PCS. APPLE. 25.00 2,600.00

Certified included in the Annual Procurement Plan 2019

KGD. FRANCIS A. BASALLOTE

BAC Chairman

Total estimated Amount: Seventeen Thousand Eight Hundred Pesos Only (P 17,800.00)

Purpose: Purchased of Other Supplies and Materials Expenses for Health & Nutrition Program.

Requested by: Approved:

FERNANDO A. LOPEZ
HON. _ Signature over Printed Name
Signature over Printed Name Punong Barangay
Requesting Officer

_________________
__________________ Date
Date
 PURCHASE ORDER
Barangay: Brgy. #30-Pigcale City/Municipality: LEGAZPI CITY
Tel: No: _______________________________ Province: ALBAY
Supplier: Address: _______________________
TIN: _____________________ PO NO: ___________________
Date: _____________________
Mode of Procurement:
Gentlemen:
Please deliver to this office of the following articles subject to the
terms and conditions contained herein Bidding Negotiated Over the
Counter
Place of Delivery: Barangay Hall Pigcale, Legazpi City
Date of Delivery : ____________________________ Delivery Term: ______________________________
Payment Term: ______________________________

Unit Particular Quantity Unit Cost Amount

(Total Amount in needs): Ten Thousand Pesos Only (P 10,000.00)

In case of failure to make full delivery within the time specified above, penalty of one-tenth (1-10) of one percent for everyday of
Delay shall be imposed
Very truly yours,

FERNANDO A. LOPEZ
Punong Barangay
Conforme: Existence of Available Appropriations of

FRANCIS A. BASALLOTE

(Signature over Printed Name) ( Signature over Printed Name)

Supplier Chairman, Committee on Appropriations

Date Date
 PROPERTY ACKNOWLEDGEMENT RECEIPT
Barangay: #30-PIGCALECity/Municipality: LEGAZPI CITY PAR No.:
Tel. No: Province: ALBAY

Quantity Unit Description Property No. Date Cost

Acquired

Received by: Issued by:

AILEN L. BULAWAN
(Signature over Printed Name) (Signature over Printed Name)
Recipient/User Barangay Treasurer

Date Date
 No: _96_
LIQUIDATION REPORT
BRGY. #30-PIGCALE, LEGAZPI CITY, ALBAY
Barangay, City/ Municipality, Province Date: _APRIL 30, 2023_

PARTICULARS AMOUNT

TO SETTLEMENT – C/A for Traveling Expenses of Barangay Secretary

In the sum of FIVE THOUSAND PESOS ONLY, as per P 5,000.00
Supporting papers hereto attached

P 5,000.00
TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO.______ DTD______

AMOUNT REFUNDED PER O.R NO._______DTD_______

AMOUNT TO BE REIMBURSED
Submitted by: Received By:

Accountable Officer Accounting Unit

Date Date

ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit

Prepared by: ______________________ Approved by:__________________________

Barangay Treasurer City/Municipal Accountant

________________ ________________
Date Date
 Summary of Petty Cash Disbursements
For the period________________

Barangay: ______________________ City/Municipality: ____________________

Barangay Treasurer : ____________________ Province: ___________________________

OR PCV
Date No./Ref. No. Payee Particulars Amount

Certification:

I hereby certify that the foregoing is the complete list of all payments from then Petty
Cash for the period ___________________________. The original copies of all paid
Petty Cash Vouchers and supporting documents are hereto attached.

____________________________
Barangay Treasurer/Petty
Cash Custodian

________________________
Date

STOCK CARD
Supplies: __________________________________ Supplies Number: ______________

Description: _________________________________

Issuance
Date Reference Quantity Balance
Received
Quantity Received by
 SUMMARY OF SUPPLIES AND MATERIALS ISSUED
____________________________
Barangay City/Municipality Province

For the Period______________to________________20__

No._________________

ITEM Unit of Requisition and Slip Numbers

Measurement Quantity Issued Total Unit Total
Quantity Cost Cost
No. Description (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Issued

Prepaded by: Certified by: Posted in the SLC by/date:

Clerk Supply Officer Accounting Clerk

 ACCEPTANCE AND INSPECTION REPORT
Barangay: #30-PIGCALE City/Municipality: LEGAZPI CITY
Tel. No. : Province: ALBAY
Supplier: _________________ Invoice AIR No: RIS No.:
PO No.:__________________ No._______________ Date: Date:
Date:____________________ Date: ______________

Unit Description Quantity

ACCEPTANCE INSPECTION

Date Received: _______________ Date Inspected: ____________

X Complete Inspected, verified as to quantity

and specifications

Partial (Pls. specify quantity received)

_________________ ______________________
Signature over Printed Name Signature over Printed Name
Barangay Treasurer Authorized Inspector
 ACCEPTANCE AND INSPECTION REPORT
Barangay: #30-PIGCALE City/Municipality: LEGAZPI CITY
Tel. No. : Province: ALBAY
Supplier: ___________ Invoice AIR No: RIS No.:
PO No.: ____________ No.: _______________ Date: Date:
Date:_____________ Date: ______________
Unit Description Quantity

ACCEPTANCE INSPECTION

Date Received: Date Inspected:

Complete Inspected, verified as to quantity

and specifications

Partial (Pls. specify quantity received)

_____________________
___________________________ Signature over Printed Name
Signature over Printed Name Authorized Inspector
Barangay Treasurer
 Republic of the Philippines
Province of Albay
City of Legazpi
BARANGAY NO. 30 PIGCALE, LEGAZPI CITY
OFFICE OF THE BIDS AND AWARDS COMMITTEE

CERTIFICATION ON ALTERNATIVE METHOD OF PROCUREMENT

(Pursuant to section 48, 52 7 54 of the Rule XVI of republic Act 9184)

SHOPPING

This is to certify that, SHOPPING a an alternative method of procurement in order to

promote
Economy and efficiency given the following cases and reasons:

1. The goods to be procure are readily available off the shelf goods ordinary/regular
x

X 2. The goods will be procured/supplies directly by the supplier of known qualifications

3. This procurement will meet an unforeseen contingency, which requires immediate
x
purchased
Not exceeding FIFTY THOUSAND PESOS (50,000.00) or a procurement of
ordinary or regular
Offices supplies and equipment at available in the Procurement Services involving an
amount not exceeding TWO HUNDRED FIFTY THOUSAND PESOS (250,000.00)
X 4. This procurement does not result in splitting contracts; and
X 5. That at least three (3) price quotations from bona fide supplier had been obtained.
Issued on _____day of _______________2023 .

____________________
BAC Chairman
APPROVED BY:

FERNANDO A. LOPEZ
Punong Barangay

With respect to unforeseen- contingency requiring immediate purchase into mount not
exceeding Php 50,000.00 ( Item (a) of Section 52 of Republic act 9184 and its IRRA-A) while
the procurement activity would still have to be posted in accordance with the provisions
of section 21.2.3 of IRR-A, the period for posting required maybe waived by the concerned
procuring entity.
Control No. ____________
Item(s) to be procured:__________
Period Covered: ________________
General Form No. 9

MEMORANDUM RECEIPT FOR EQUIPMENT, SEMI-EXPENDABLE

AND NON-EXPENDABLE PROPERTY
Office/Agency: Address: Date:
Barangay 30 Pigcale Legazpi City
I acknowledge to have received from___________________________
(Name of Accountable Officer)
__________________________, the following property/ies which will be used in
_______Barangay 30-Pigcale, Legazpi City_____, and for which I am accountable.
(Office)

Quan- Unit NAME AND DESCRIPTION Date Property Class Unit Total
tity
Required Number Number Value Value

REMARKS:
4 units Cellphones for communication & documentation of Brgy. Kagawad’s to their respective committee’s

NAME & SIGNATURE POSITION

_______________________ Punong Barangay

 Republic of the Philippines
Province of Albay
City of Legazpi
PIGCALE, LEGAZPI CITY

OFFICE OF THE PUNONG BARANGAY

ABSTRACT OF CANVASS AND AWARDS

QTY UNIT DESCRIPTION AGUA CHUA

ENTERPRISES

Date: _____________________

AWARD TO: ________________________

_________________ ROMEL M. RANGASAJO

BAC Member BAC Member

___________________ ___________________ _____________________

BAC Member BAC Member BAC Chairman
 Barangay #30-PIGCALE
City of Legazpi
Province of Albay

Transmittal Letter

Date: ____________________

To: The City/Municipal Accountant

City of Legazpi

Sir/Madam:

We submit here with the following documents: a) certified copy of the cashbook; b. copy of PBCs issued; and c) original of
the Disbursement Voucher/payroll issued for the (month and year) duly acknowledged by the payees:

A.DV/Payroll Check PB Certification

Date No. Date No. Payee Amount Date No.

B. RCDs and Supporting Documents (RCRs, Ors and VDS)

Date No. Amount

C. Other Reports
Date Type of Report
Liquidation Report

Please acknowledge receipt hereof.

Very truly yours,

AILEN L. BULAWAN
Barangay Treasurer
Noted by: Received by:

FERNANDO A. LOPEZ
Punong Barangay Signature, Name and Designation
 REPORT OF COLLECTIONS AND REMITTANCES

Name of Collecting Officer: Date:

Barangay: RCR No.
City/Municipality:
Province:
A. COLLECTIONS
Official Receipt
Payor Nature of Collection Amounts
Date Number

TOTAL
B. SUMMARY OF COLLECTIONS
Beginning Balance ___________ 20 ____ P List of Checks
Add: Collections Check No. Payee Amount
Cash
Checks
Tot

TOTAL
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Begginning Balance Begginning Balance Begginning Balance Begginning Balance
Name of Form and Inclusive Serial Inclusive Serial Inclusive Serial No.
No. Qty No. Qty No. Qty Qty
From To From To From To From To
With Money Value
Cash Tickets

Without Money Value

Official Receipts

D. CERTIFICATION: E. ACKNOWLEDGEMENT:

I hereby certify that this Report of Collections I hereby certify that this Report of Collections
and Remittances; and Accountable Forms including supporting and Remittances; and Accountable Forms including supporting
documents are true and correct. documents are true and correct.

Deputized Barangay Collector Date Barangay Treasurer

Date
 REPORT OF COLLECTIONS AND REMITTANCES

Name of Collecting Officer: Date:

Barangay: RCR No.
City/Municipality:
Province:
A. COLLECTIONS
Official Receipt/RCR
Payor/BDC Nature of Collection Amounts
Date Number
 TOTAL

B. DEPOSITS
BANK/BRANCH Reference Amount

TOTAL
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Begginning Balance Receipt Issued Ending Balance
Name of Form and Inclusive Serial Inclusive Serial Inclusive Serial No. Inclusive Serial No.
No. Qty No. Qty No. Qty Qty
From To From To From To From To
With Money Value
Cash Tickets

Without Money Value

Official Receipts

D. CERTIFICATION:

I hereby certify that this Report of Collections and Deposits; and Accountable Forms including supporting documents are true and
Correct

AILEN L. BULAWAN___________________
Barangay treasurer Date

E. ACCOUNTING ENTRIES
Account title Account Code Debit Credit

Prepared by: _________________________________ Approved by: ______________________________________

Republic of the Philippines Project Reference No: _________________
City Government of Legazpi Name of the Project: __________________
City of Legazpi Location of the Project: ________________

Standard Form Number: ___________ Date : ______________________________

Revised on: _____________________ Quotation Number: ___________________
Standard Form : REQUEST FOR QUOTATION

____________________________________
____________________________________

Please quote your lowest price on the item’s listed below, subject to the General Conditions on the last page stating
the shortest time of delivery and submit your quotation duly signed by your representative not later
than_______________________ in the return envelope attached herewith.

____________________________
ABC -P ______________________ BAC Chairman
Note: 1. All entries must be typewritten
2. Delivery Period within seven (7) calendar days
3. Warranty shall be for a period of the six (6) month for supplies and materials, one (1) year for the equipment from
date
Of acceptance by the procuring entity
4. Price validity shall be for a period of thirty (30) calendar days
5. G-EPS registration certificate shall be attached upon submission of the quotation
6. Bidders shall submit original brochures showing certificate of the product being offers

Item No. Item and Description Quantity Unit Price

Brand and Model ___________________________

Delivery Period : ____________________________
Warranty : _________________________________
Price Validity : _______________________________

After having read and accepted your general condition. I/We quote you on the item at price noted above.

__________________________________
Printed Name/Signature

____________________________________
Tel No. Cellphone No. /e-mail address

_____________________________________________
Date

`
POOL TREASURE HUNT

WATER PONG
WATER BALLOON TOSS

FLOUR RELAY
MONEY CATCH
 Barangay 30-Pigcale

TRANSMITTAL
MAY ‘2023

ACCOUNTING Copy

Barangay 30-Pigcale

TRANSMITTAL
MAY ‘2023

ACCOUNTING Copy
Barangay #30-PIGCALE
City of Legazpi
Province of Albay

Transmittal Letter
 Date: _____________________
To: The City/Municipal Accountant
City of Legazpi

Sir/Madam:

We submit here with the following documents: a) certified copy of the cashbook; b. copy of PBCs issued; and c) original of
the Disbursement Voucher/payroll issued for the (month and year) duly acknowledged by the payees:

A.DV/Payroll Check PB Certification

Date No. Date No. Payee Amount Date No.

B. RCDs and Supporting Documents (RCRs, Ors and VDS)

Date No. Amount

C. Other Reports
Date Type of Report
Liquidation Report

Please acknowledge receipt hereof.

Very truly yours,

AILEN L. BULAWAN
Barangay Treasurer
Noted by: Received by:

FERNANDO A. LOPEZ
Punong Barangay Signature, Name and Designation
PURCHASE REQUEST
Barangay: Brgy. #30-Pigcale P.R No.: ________________
City/Municipality: Legazpi City_____________ Date: __________________
Province: Albay_________________________
REQUISITION

Item Number QTY. Unit of Item description Estimated Unit Estimated

Measurement Cost Amount

1.

Certified included in the Annual Procurement Plan 2019.

________________________
BAC Chairman

Total estimated Amount:

Purpose:

Requested by: Approved:

_________________________________
___________________________________ Signature over Printed Name
Signature over Printed Name Punong Barangay
Requesting Officer

_________________
__________________ Date
Date
 Barangay #30-PIGCALE
City of Legazpi
Province of Albay

Transmittal Letter

Date: ___________________

To: The City/Municipal Accountant

City of Legazpi

Sir/Madam:

We submit here with the following documents: a) certified copy of the cashbook; b. copy of PBCs issued; and c) original of
the Disbursement Voucher/payroll issued for the (month and year) duly acknowledged by the payees:

A.DV/Payroll Check PB Certification

Date No. Date No. Payee Amount Date No.
11-16-23 112 11-16-23 4217655 Ailen L. Bulawan (Honoraria) P 120,650.00 11-16-23 58-23
11-16-23 113 11-16-23 4217656 Ailen L. Bulawan (Year End Bonus CY ‘2023) P 82,350.00 11-16-23 58-23
11-16-23 114 11-16-23 4217657 Ailen L. Bulawan (Cash Gift CY ‘2023) P 55,000.00 11-16-23 58-23
11-20-23 115 11-20-23 4217658 SK Barangay 30 Pigcale P 74,250.98 11-20-23 59-23
11-22-23 116 11-22-23 4217659 Ailen L. Bulawan (Leave Benefits CY ‘2023) P 66,612.70 11-22-23 60-23

B. RCDs and Supporting Documents (RCRs, Ors and VDS)

Date No. Amount

C. Other Reports
Date Type of Report
Liquidation Report
117 – November 30, 2023 Settlement – C/A Honoraria of Elected and Appointed Brgy. Officials for the month of
November 1-30, 2023
118 – November 30, 2023 Settlement – C/A Year End Bonus of Barangay Officials for CY ‘2023
119 – November 30, 2023 Settlement – C/A Cash Gift of Barangay Offcials for CY ‘2023
120 – November 30, 2023 Settlement – C/A Leave Benefits of Barangay Officials for CY ‘2023

Please acknowledge receipt hereof.

Very truly yours,

AILEN L. BULAWAN
Barangay Treasurer
Noted by: Received by:

FERNANDO A. LOPEZ
Punong Barangay Signature, Name and Designation
 Barangay #30-PIGCALE
City of Legazpi
Province of Albay

Transmittal Letter

Date: _______________________

To: The City/Municipal Accountant

City of Legazpi

Sir/Madam:

We submit here with the following documents: a) certified copy of the cashbook; b. copy of PBCs issued; and c) original of
the Disbursement Voucher/payroll issued for the (month and year) duly acknowledged by the payees:

A.DV/Payroll Check PB Certification

Date No. Date No. Payee Amount Date No.

B. RCDs and Supporting Documents (RCRs, Ors and VDS)

Date No. Amount

C. Other Reports
Date Type of Report
Liquidation Report

Please acknowledge receipt hereof.

Very truly yours,

AILEN L. BULAWAN
Barangay Treasurer
Noted by: Received by:

FERNANDO A. LOPEZ
Punong Barangay Signature, Name and Designation
Barangay 30-Pigcale – CHILDREN’S CONGRESS 2022
BARANGAY 30 PIGCALE – CHILDREN’S CONGRESS 2022
 Republic of the Philippines
Province of Albay
City of Legazpi
Barangay #30 Pigcale

OFFICE OF THE PERSON WITH DISABILITY (PWD)

This is to certifies that the names listed below are the recepients of 2 Kgs. Rice, 1 pc. Bearbrand
135g,3 sachets Milo 156g, 1/4 kg. Sugar, 1 pk. Skyflakes 10pcs/pk.,2 pcs. Ponkan and 2 pcs. Apple.

NO. NAME OF MEMBER SIGNATURE/

THUMBMARK
1. DAEN, ISABEL D.
2. MOYA, FATIMA A.
3. DAMASO, DANIEL, JR. M.
4. DAYTO, PHOEBE ELLAINE R.
5. AYO, JEROME B.
6. ORO, JEAN P.
7. BERSABE, JOHN PAUL E.
8. VARGAS, LIZEL E.
9. MALAIBA, ELLA KARLA A.
10. VILLANUEVA, JAMAICA R.
11. JAMIR, LYDIA M.
12. TAN, JERRY G.
13. DAMASO, JOAN L.
14. BAROMA, YSSA BELLE A.
15. REDIRA, REDEN
16. SELFIDES, PEDRO, JR. LL.
17. ALCERA, SAMANTHA R. G.
18. LANDICHO, GLENDA D.
19. BASALLOTE, CASSY A.
20. FORMENTO, ALFRED
21. SELFIDES, EZEQUIEL, JR. LL.
22. LADIM ALLEN S.
23. MALAIBA, JOHN NOEL II
24. VALENCIA, SHINE E.
25. GUILLERMO, ABRAHAM Z.
26. DELA ROSA, CONSTANTINO V.
27. ARNALDO, KRISTINE S.
28. BASALLOTE, DOLWIN JOSEPH D.
29. NAPOLIS, SHERILYN S.
30. ESTANISLAO, SALVACION B.
31. ARNALDO, MARLON B.
32. ABALETA, SHEILA MAE
33. ROXAS, RODEN D.
34. ALAMO, CHERRISE E.
35. BAL, MILO, JR.
36. BUENAFE, CLIMACO A.
37. ARCINUE, JOSE B.
38. BALLARBARE, CHRIS A.
 Republic of the Philippines
Province of Albay
City of Legazpi
Barangay #30 Pigcale

OFFICE OF THE PERSON WITH DISABILITY (PWD)

This is to certifies that the names listed below are the recepients of 2 Kgs. Rice, 1 pc. Bearbrand
135g,3 sachets Milo 156g, 1/4 kg. Sugar, 1 pk. Skyflakes 10pcs/pk.,2 pcs. Ponkan and 2 pcs. Apple.

NO. NAME OF MEMBER SIGNATURE/

THUMBMARK
39. PINAS, YOLANDA D.
40. BANTA, JOMAR LL.
41. SERORIALES, AUBREY A.
42. DUE, MARISSA B.
43. DUE, ALFRED B.
44. PANES, SYRON B.
45. ROBLES, MARK GERALD B.
56. BAYNADO, WILSON L.
47. MARFIL, CRISTINA S.
48. DERAMAS, CLARK KEVIN T. ..
49. BALLERAS, ANGEL M.
50. MOYA, MIGUELITO A.
51. BONCODIN, MARIBEL
52. BASALLOTE, PAUL JUSTINE A.
Prepared by:

AILEN L. BULAWAN
Barangay Treasurer

Noted by:

FERNANDO A. LOPEZ
Punong Barangay

PEDRO LL. SE;FIDES, JR.

PWD President