Annex A

Y OF
Republic of the Philippines
MU
Province of Bukidnon
GF
AN
IA L
MUNICIPALITY OF DANGCAGAN
No.
DISBURSEMENT VOUCHER Date: 02/17/2023
Mode of
Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee RUNMEN JAN J. RABAGO, CPA
Responsibility Center
Address DANGCAGAN, BUKIDNON Office/Unit/Project Code

EXPLANATION AMOUNT

Payment of travelling expenses

as per supporting papers hereto attached in the total amount of 4,800.00

4,800.00
A. Certifies that: B. Certifies that:
Allotment obligated for the purpose as indicated above
Funds are available.
Supporting documents complete

Signature Signature

Printed Printed
Name
RUNMEN JAN J. RABAGO, CPA Name
ELFRED B. TAGUTONGAN

Municipal Accountant Municipal Treasurer

Position Position
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative
C. Approved for Payment D Received Payment
Check No. Bank Name: Date

Signature
Signature
Printed Printed
Name MARK VINCENT DANDASAN Name
RUNMEN JAN J. RABAGO, CPA
Municipal Mayor OR/Other Documents JEV No. Date
Position
Agency Head/Authorized Representative

ACCOUNTING ENTRIES
Responsibilty
Center
AMOUNT
Accounts and Explanation Account Code PR
Debit Credit

Prepared By: Approved by:

RUNMEN JAN J. RABAGO, CPA

Accounting Staff Municipal Accountant
 Annex B
Y OF
Republic of the Philippines

GF
M UN

GAN
Province of Bukidnon

IA L
MUNICIPALITY OF DANGCAGAN
No.
OBLIGATION REQUEST Date: 2/16/2023
Payee RUNMEN JAN J. RABAGO, CPA
Office
Address DANGCAGAN, BUKIDNON
Responsibility Amount
Center Particulars Account Code

Payment of travelling expenses

as per supporting papers hereto attached in the total amount of 4,800.00

TOTAL ₱ 4,800.00
A Certifies that: B Certify as to
Charges to appropriation/allotment necessary, Existence of available appropriation.
lawful and under my direct supervision;
Supporting documents valid, proper and legal.

Signature Signature

Printed Name RUNMEN JAN RABAGO, CPA Printed Name ROSITTE Q. EMATA
Municipal Accountant Municipal Budget Officer
Position Head, Requesting Office/Authorized Position
Head, Requesting Office/Authorized Representative
Representative
Date Date
 OF DA
IT Y
AL
N
Republic of the Philippines

G
IP

CA
M U N IC

GAN
Province of Bukidnon
O
FF A MUNICIPALITY OF DANGCAGAN
L
IC I A L SE

No.
PURCHASE REQUEST Date: 8/3/2024
Department: MMO Section:
SAI No: Date:
ALOBS No: Date:
Purpose:
Item # Units Description Quantity Estimated Unit Cost Estimated Cost
1 Rental of sports equipment, suits, 45,000.00
special tools and other materials
necessary in the participation of
Kaamulan 2024 activity entitled
TABUK 3 Adventour de Mindanao

TOTAL ₱ 45,000.00

Requested by: Cash Availability: Approved by:

MARK VINCENT DANDASAN ELFRED B. TAGUTONGAN MARK VINCENT DANDASAN

Municipal Mayor Acting Municipal Treasurer Municipal Mayor

BAC MBO
 Y OF
Republic of the Philippines
Province of Bukidnon
MU

AN
IA L
MUNICIPALITY OF DANGCAGAN
No.
REQUEST FOR QUOTATION Date:
Name of PR No.
Entity
Contact Number Email Address
Address

Please quote your lowest price on the items listed below subject to the general condition stated herein, stating
the shortest time of delivery and submit your quotation duly signed by your representative not later than
_____________________________________________________ in the envelope attached herewith.

ENGR. MELVIN PACAMPARA

Procurement Officer

Item # Units Articles Quantity Unit Price

Brand and Model: ____________________________________________________________________

Delivery Period: ____________________________________________________________________
Warranty: ____________________________________________________________________
Price Validity: ____________________________________________________________________

After having carefully read and accepted your general condition, I/We quote the items with prices noted above.

_____________________________________
Printed Name and Signature
 Y OF
Republic of the Philippines
Province of Bukidnon
MU

AN
IA L
MUNICIPALITY OF DANGCAGAN

ABSTRACT OF BIDS

Abstract of bids opened on August 26, 2022 at 9:00 (AM/PM) for furnishing meals and snacks during circuit race for Araw ng Dangcagan 2022
for the office/s of MMO

Item No. Quantity Unit Description of Articles Name of Bidders

LA COMIDA DULCE FOOD JUBEL'S FASTFOODS 5'S EATERY
1 0 pc Rental of sports equipment, suits, 19,200.00 19,200.00 19,300.00 19,300.00 19,250.00 19,250.00

Award recommended to: LA COMIDA DULCE FOOD HAUS AND SARI-SARI STORE of KITAOTAO, BUKIDNON

This is to certify that we actually witnessed the opening of bids on the date shown above. Actual canvassed and shopping was done by the authorized personnel.

ENGR. MELVIN PACAMPARA ENGR. FELIPE MORICA JR. CECILIO PALINGCOD ROSITTE EMATA ENGR. LUIS ANDOY
MPDO/ BAC Chairman LDRRMO/BAC Vice-Chairman MAO/BAC Member MBO/BAC Member MEO/BAC Member
 Y OF
Republic of the Philippines
Province of Bukidnon
MU

AN
IA L
MUNICIPALITY OF DANGCAGAN
No.
PURCHASE ORDER Date: 2/9/2022
Name of TIN Purchase Request No.
Supplier
VALENCIA COPY CENTER
Contact Number Mode of Procurement
Address VALENCIA, CITY
Shopping

Gentlemen: Please furnish the office the following articles subject to the terms and conditions contained herein:
Place of Delivery: Dangcagan Municipal Hall Delivery Term: 10 days
Date of Delivery: Payment Term: Payment after delivery
Stock # Units Description Quantity Unit Cost Amount
1 pc Office Table 2 3,100.00 6,200.00
2 pc Office Table 1 2,760.00 2,760.00
3 pc Office Chair 3 3,490.00 10,470.00

TOTAL ₱ 19,430.00
Total Amount (in Words)

In case of failure to make the full delivery within the time specified above, a penalty of one tenth (1/10) of one (1)
percent for every day delay shall be imposed.

Very truly yours:

Conforme:

VALENCIA COPY CENTER MARK VINCENT DANDASAN

Signature over Printed Name Authorized Oficial

Funds Available:

RUNMEN JAN J. RABAGO, CPA

Municipal Accountant
 O
Republic of the Philippines
Province of Bukidnon

N
M

L
MUNICIPALITY OF DANGCAGAN
No.
INSPECTION AND ACCEPTANCE REPORT Date: 6/9/2022
Name of Supplier: VALENCIA COPY CENTER
Purchase Order No: 2022-PO-B-303 Delivered on: 09/05/2022
Purchase Order Date: 09/02/2022 Inspected on: 09/06/2022
Unit Articles Quantity Unit Price Total Cost
pc Office Table 2 3,100.00 ₱ 6,200.00
pc Office Table 1 2,760.00 ₱ 2,760.00
pc Office Chair 3 3,490.00 ₱ 10,470.00

TOTAL ₱ 19,430.00
RECOMMENDATIONS AND FINDINGS

Invoice No: Date: Amount:

Accepted by: Inspected by:

AIDA PACTORES RUNMEN JAN J. RABAGO, CPA

MR-I/Acting General Services Officer Representative from Inspection Committee or End User
 GENERAL PAYROLL

LGU : MUNICIPALITY OF DANGCAGAN, BUKIDNON Payroll No. : ________________

Fund :GF Sheet _________of __________Sheets
We acknowledge receipt of cash shown opposite our name as full compensation or payment of

DEDUCTIONS
Employee
No. Name Position Daily Travel Total Net Amount Due Signature of Recipient
No.
Allowance Deductions

1 -

2 -

3 -

4 -

5 -

6 -

7 -

8 -

9 -
TOTAL - - -
A CERTIFIED: Expenses necessary, valid, proper, lawful B CERTIFIED: Supporting documents complete and proper. C CERTIFIED: Cash available for the
and incurred under my direct supervision. purpose.

MARK VINCENT B. DANDASAN ______________ RUNMEN JAN J. RABAGO, CPA _________________ MARIA FEE GOMEZ ______________
Head of Office/Unit Date Municipal Accountant Date Municipal Treasurer Date

D APPROVED FOR PAYMENT: P_________________ E CERTIFIED: Each employee whose name appears on F
the payroll has been paid the amount as indicated
opposite his/her name OR No. : ________________
_______________ _________________ Date: __________________
MARK VINCENT B. DANDASAN Date JOCELYN JAVELONA Date
Municipal Mayor Disbursing Officer
G ACCOUNTING ENTRIES
Particulars Account Code Debit Credit Particulars Account Code Debit Credit
Prepared by: Certified Correct:

RUNMEN JAN J. RABAGO, CPA

Accounting Personnel Municipal Accountant
 ITINERARY OF TRAVEL
LGU : MUNICIPALITY OF DANGCAGAN, BUKIDNON
Fund : GF No.: ___ No.: _______________
Name : RUNMEN JAN RABAGO Date of Travel : 02/1-16/2023
Position : Municipal Accountant Purpose of Travel: Official Travel
Official Station : Dangcagan, Bukidnon
Places to be visited TIME Means of Accomodati Transpor- Per Registra
Date Others Total Amount
(Destination) Departure Arrival Transportation on tation/ Fuel Diem tion

3/2/2023 Station to Valencia City sv 1,000.00 300 1,300.00

Back to Station -

10/2/2023 Station to Valencia City SV 500.00 300 800.00

Back to Station -

02/14/2023 Station to Malaybalay City SV 1,500.00 900 2,400.00

Back to Station -
02/15/2023 Station to Valencia City SV 300 300.00
Back to Station -
-

-
-
-
-
-

TOTAL - 3,000.00 1,800 - - 4,800.00

Prepared by :

RUNMEN JAN RABAGO

I certify that : (1) I have reviewed the foregoing Signature over Printed Name
itinerary, (2) the travel is necessary to the service,
(3) the period covered is reasonable and (4) the Approved by:
expenses claimed are proper.

MARK VINCENT B. DANDASAN MARK VINCENT B. DANDASAN

Direct Supervisor Signature over Printed Name
Municipal Mayor
 Y OF
Republic of the Philippines
Province of Bukidnon
MU

AN
IA L
MUNICIPALITY OF DANGCAGAN

TRAVEL ORDER
This order is being issued to the person indicated below with the following travel details:
TRAVEL ORDER NO:

NAME: RUNMEN JAN J. RABAGO, CPA

DATE OF TRAVEL: 09/20/2022 TIME OF DEPARTURE: 01:00PM

OFFICIAL STATION: Dangcagan, Bukidnon

PLACE OF DESTINATION: Aglayan, Malaybalay, Bukidnon

PURPOSE: Transmit remittance at FVB

If the abovementioned travel is subject for DTE, such expense shall be charged under : MACCTO

Recommending Approval: Approved by:

MARK VINCENT B. DANDASAN

Department Head/ Supervisor Municipal Mayor

CERTIFICATE OF APPEARANCE
This is to certify that the personnel indicated in this travel order has personally appeared to this agency or establishment
on ___________ for its intended purpose.
Certified by: __________________________________
Designation and Contact No.:
----- ---------------------------------------------------------------------------------
Y OF
Republic of the Philippines
Province of Bukidnon
MU

AN

IA L
MUNICIPALITY OF DANGCAGAN

TRAVEL ORDER
This order is being issued to the person indicated below with the following travel details:
TRAVEL ORDER NO:

NAME: RUNMEN JAN J. RABAGO, CPA

DATE OF TRAVEL: 09/20/2022 TIME OF DEPARTURE: 01:00PM

OFFICIAL STATION: Dangcagan, Bukidnon

PLACE OF DESTINATION: Aglayan, Malaybalay, Bukidnon

PURPOSE: Transmit remittance at FVB

If the abovementioned travel is subject for DTE, such expense shall be charged under : MACCTO

Recommending Approval: Approved by:

0 MARK VINCENT B. DANDASAN

Department Head/ Supervisor Municipal Mayor

CERTIFICATE OF APPEARANCE
This is to certify that the personnel indicated in this travel order has personally appeared to this agency or establishment
on ___________ for its intended purpose.
Certified by: __________________________________
Designation and Contact No.:
 Y OF
Republic of the Philippines
Province of Bukidnon
MU

AN
IA L
MUNICIPALITY OF DANGCAGAN
No.
VEHICLE TRIP TICKET Date:
Instructions:
1. Please accomplish the form manually, in duplicate.
2. One copy for driver, one copy for attachment to requisition and fuel slip.
3. Submit the following copies to respective offices upon completion for control.
TO BE FILLED BY THE PERSON REQUESTING THE USE OF VEHICLE
DATE OF TRAVEL:
VEHICLE PLATE NUMBER:
NAME OF DRIVER:

AUTHORIZED PASSENGERS:

PLACE OF ORIGIN: DANGCAGAN, BUKIDNON

PLACE OF DESTINATION:
PURPOSE: OFFICIAL TRANSACTIONS
Approved by:

MARK VINCENT B. DANDASAN

Municipal Mayor

TO BE FILLED BY THE DRIVER AFTER THE TRIP

TIME DEPARTED:
TIME ARRIVED:
ODOMETER START OF TRIP:
ODOMETER END OF TRIP:
DISTANCE TRAVELLED:
Balance in Tank: ltrs.
Issued from stock: ltrs. Certified Correct by:
Purchased outside: ltrs.
Total ltrs.
Less: Fuel consumed ltrs.
Balance in tank after trip ltrs. Driver
Gear Oil put in (added) ltrs.
Engine Oil put in (added) ltrs.
Brake Fluid put in (added) ltrs.
Grease issued ltrs.
PASSENGER CERTIFICATION

I hereby certify that the above vehicle was used in official business as stated above.

Authorized Passenger