Republic of the Philippines

Department of Justice
PAROLE AND PROBATION ADMINISTRATION
REGION I
San Fernando City, La Union

DISBURSEMENT VOUCHER
MODE OF PAYMENT

MDS Check

Commercial Check

ADA

Others

No.:
Date:

Payee/Office:
ADAIV MHELODY B. CRUZ

TIN/Employee No.:

OS/Bus. No.

Address:
San Carlos City PPO

Title:

Code:

PARTICULARS

AMOUNT

To payment of travelling expenses incurred

during the Discussion on Current Field Office Set-up, Policies and Procedures
held at PPA-DOJ Region 1, San Fernando City, La Union
on August 4, 2014

AMOUNT DUE

A. Certified:
Supporting Documents Complete
and proper
Cash Available
Subject to ADA (where applicable)

B. Approved for Payment:

Signature: _______________________________

Signature:

Printed Name : MARCELINA G. MEJIA________

Printed Name: MARISSA DC. ALQUETRA

Position: Accountant I_____________________

Position:

Date:

Date:

_________________________________

Regional Officer-in-Charge

C. Received Payment:
Signature: _______________________________
Printed Name : ___________________________
Date:

_________________________________

D. Journal Entry Vocher

Check/ADA NO. ______________
Date: _______________________
Bank Name : _________________
OR No/ Other Relevant
Document Issued:

No. ________________
Date: ______________

Republic of the Philippines

Department of Justice
PAROLE AND PROBATION ADMINISTRATION
REGION I
San Fernando City, La Union

OBLIGATION REQUEST
Payee/Office:

ADAIV MHELODY B. CRUZ

Office:

San Carlos City PPO

Address:

Hall of Justice, San Carlos City, Pangasinan

Responsibility
Center

NO.

Particulars

PPA

Account
Code

Amount

To payment of travelling expenses incurred

during the Discussion on Current Field Office
Set-up,Policies and Procedures held at PPA-DOJ
Region 1 on August 4, 2014

A. Certified:

B. Certified:
Charges to appropriation /allotment
necessary,lawful and under my direct
supervision
Supporting documents valid, proper
and legal

Allotment available and obligate

the purpose as indicated above

Signature:

Signature :

Printed Name: HERCULES N. TANDOC

Printed Name:

MACARIO G. GALVEZ

Position:

Position:

Administrative Officer II

Date:

Chief Probation and Parole Officer

Date:

Republic of the Philippines

Department of Justice
PAROLE AND PROBATION ADMINISTRATION
REGION I
San Fernando City, La Union

BUDGET UTILIZATION SLIP

Payee/Office:

ADAIV MHELODY B. CRUZ

No.:

Office:

San Carlos City PPO

Date:

Address:

Hall of Justice, San Carlos City, Pangasinan

Responsibility Center:_________________

PARTICULARS

ACCOUNT
CODE

AMOUNT

To payment of travelling expenses incurred

during the Discussion on Current Field Office Set-up, Policies and Procedures
held at the PPA-DOJ Regional Office,San Fernando City, La Union
on August 4, 2014

A. REQUESTED BY:

B. FUNDS AVAILABLE

Certified: Charges to budget necessary, lawful and under

my direct sueprvision.

Certified:

Signature:

Signature :

Budget available and funds earmarked/

obligated for the purpose as indicated
above.

Printed Name:

HERCULES N. TANDOC

Printed Name:

MACARIO G. GALVEZ

Position:

Chief Probation and Parole Officer

Position:

Administrative Officer II

Date:

Date:

ITINERARY OF TRAVEL
NAME:

ADAIV MHELODY B. CRUZ

PURPOSE: TO attend Workshop on monthly reports preparation

at DOJ-PPA Regional OfficeI, San Fernando City, La Union

DATE

6/10/2015

PLACES TOBE VISITED

TIME
DEPARTURE ARRIVAL

MEANS OF EXPENSES
TRANSPO TRANSPO

Dagupan City to San Fernando City

4:45AM
5:00AM
5:45AM

San Fernando City Proper to PPA-DOJ RO1

7:45AM

PPA-DOJ RO1 to San Fernando City Proper

SFLU Terminal to Dagupan City

5:10PM
5:20PM

5:00AM
5:45AM
7:45AM
8:00AM
5:20PM
7:20PM

Tricycle
Jeep
Minibus
Tricycle
Tricycle
Minibus

Dagupan City to San Carlos City

7:20PM
8:20PM

8:20PM
8:45PM

Jeep

San Carlos City Proper to Residence

Residence to San Carlos City Proper

San Carlos City Proper to Dagupan City

PER
DIEM

TOTAL
AMOUNT

50.00
30.00
100.00
40.00
40.00
100.00
30.00
50.00

Tricycle

TOTAL

50
30
100
40
40
100

30
50

Php

440.00

Prepared by:

I certify that (1) I have revceived the foregoing

itinerary, (2) the travel is necessary to the
service, (3) the period covered is reasonable
and (4) the expenses claimed are proper.

DANILO G. CORPUZ
Chief Probation and Parole Officer

MHELODY B. CRUZ
Adminsitrative Aide IV

APPROVED BY:

MARISSA DC. ALQUETRA

Regional Officer-in-Charge

ICATE OF TRAVEL COMPLETED

OIC-RD BENITA L. MARAMAG PPA REGION I

Regional Director
2/F & 3/F O.D. Leones Bldg.,
Gov. Aguila Rd., Sevil
San Fernando City, La
I HEREBY CERTIFY THAT I HAVE COMPLETED THE TRAVEL AUTHORIZED IN
___/__ : Strictly in accordance with the approved itinerary
_____ : was refunded per P.R. No. ___________
_____ : Extended as explained below: Additional itinerary was submitted.

Explanations or Justifications:
Attend the following Activities
Attend the 2nd National TC Enhancement Training

Evidenc

Itinerary of Travel / Certificates of Attendance / SO

Respectfully submitte

08/06/2013
Date

MHELODY B. CRUZ
Administrative Aide IV

On evidence and information of which I have knowledge, the travel was actually

HERCULES N. TANDOC
Chief Probation and Parole Officer

Leones Bldg.,
Gov. Aguila Rd., Sevilla
San Fernando City, La Union

AVEL AUTHORIZED IN ITENERARY OF TRAVEL NO. ____ DATED __________________ UNDER CON

as submitted.

Respectfully submitted:

DY B. CRUZ
ministrative Aide IV

he travel was actually taken.

___________ UNDER CONDITIONS INDICATED BELOW: