Republic of the Philippines DEPARTMENT OF EDUCATION DIVISION OF CAMARINES SUR (School) (Address) OBLIGATION REQUEST No. Payee Office Address Particulars P.P.A Total A. B. Certified Certified Charges to appropriation/allotment necessary, lawful Allotment available and obligated for the and incurred under my direct supervision as indicated above Supporting documents valid, proper and legal Signature Signature EMMA I. CORNEJO Printed Name SONIA M. LASALA Position Schools Division Superintendent Position Accountant ll Date Date Responsibilit y Center Account Code Printed Name Head, Requesting Office/Authorized Representative Head, Budget Unit/Autho Representative
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Republic of the PhilippinesDEPARTMENT OF EDUCATIONDIVISION OF CAMARINES SUR
(School)
(Address)
OBLIGATION REQUEST
Payee
Office
Address
Particulars P.P.A Amount
Total
A. B.Certified Certified
Charges to appropriation/allotment necessary, lawful Allotment available and obligated for the purpose
and incurred under my direct supervision as indicated above
Supporting documents valid, proper and legal
Signature Signature
EMMA I. CORNEJO Printed Name SONIA M. LASALA
Position Schools Division Superintendent Position Accountant ll
Date Date
No.
Responsibility Center
Account Code
Printed Name
Head, Requesting Office/Authorized Representative
Head, Budget Unit/Authorized Representative
Republic of the PhilippinesDEPARTMENT OF EDUCATIONDIVISION OF CAMARINES SUR
DISBURSEMENT VOUCHERNo.
Date :
MDS Check Commercial Check ADA Others
Payee
TIN/Employee No. OR/BUR No.
Address
Responsibility CenterOffice/Unit/Project Code
EXPLANATION AMOUNT
A. Certified B. Approved for Payment Cash available
Supporting documents complete
Signature Signature
Position Position
Date Date
C. Received Payment JEV No.
Date Bank Name
Signature Date Printed Name Date
Official Receipt/Other Documents
Mode of Payment
Subject to Authority to Debit Account (when applicable)
Printed Name
Printed Name
Check/ ADA No.
MONTHLY CASH PROGRAMCALENDAR YEAR 2009
School ________________________________________________Annual School MOOE Allocation: _______________________
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov
Prepared By: Approved:
School Head Schools Division Superintendent
MONTHLY CASH PROGRAMCALENDAR YEAR 2009
Dec TOTAL
Schools Division Superintendent
Maintenance & Other Operating Expenses (MOOE)
Travelling Expenses751 Travelling Expenses - Local
Training and Seminar Expenses753 Training Expenses - Seminar754 Scholarship Expenses
Supplies and Materials Expenses755 Office Supplies Expenses - School ID756 Accountables Forms Expenses760 Medical, Dental and Laboratory Supplies Expenses761 Gasoline, Oil and Lubricants Expenses763 Textbooks and Instructional Materials Expenses765 Other Supplies Expenses
Utility Expenses766 Water Expenses767 Electricity Expenses
Communication Expenses771 Postage and Deliveries772 Telephone Expenses - Landline773 Telephone Expenses - Mobile774 Internet Expenses775 Cable, Satellite, Telegraph and Radio Expenses781 Printing and Binding Expenses - Reproduction784 Transportation and Delivery Expenses786 Subscriptions Expenses787 Survey Expenses795 General Expenses796 Janitorial Expenses797 Security Expenses
Buildings812 Repairs and Maintenance - School Building
Office Equipment, Furnitures and Fixtures821 Repairs and Maintenance - Office Equipment822 Repairs and Maintenance - Furnitures and Fixtures823 Repairs and Maintenance - IT Equipment and Software
Machineries and Equipment829 Repairs and Maintenance - Communication Equipment833 Repairs and Maintenance - Medical, Dental and Laboratory Equipment835 Repairs and Maintenance - Sports Equipment
Transportation Equipment841 Repairs and Maintenance - Motor Vehicles
Taxes, Insurance Premiums and Other Fees892 Fidelity Bond Premiums
Other Maintenance and Operating Expenses
969 Other Maintenance and Operating Expenses
ANNUAL SCHOOL BUDGET
School _______________________________________________________
Annual School MOOE Allocation: _______________________________
PARTICULARS
1 Water Expenses
2 Electricity Expenses
3 Telephone Expenses-Landline
4 Telephone Expenses-Mobile
5 Internet Expenses
6 Office Supplies Expenses
7 School Supplies Expenses
8 General/Janitorial Services
9 Fuel, Oil and Lubricants Expenses
10 Repairs and Maintenance-Buildings
and Structures
11 Travel Expenses
12 Training and Scholarship Expenses
13 Postage and Deliveries
14 Medical, Dental and Laboratory
Supplies Expenses
15 Cable, Satellite and Telegraph
16 Repairs and Maintenance -
Furniture and Fixtures
17 Repairs and Maintenance -
Office Equipment
18 Repairs and Maintenance -
School Equipment
19 Security Services
20 Other MOOE
T O T A L
Prepared by: Approved:
_______________________________ __________________________________ School Head Schools Division Superintendent
A] Certified; Correctness of the above data B.] Certified: Purpose of travel/cash advance C.] Certified: Supporting documents complete duly accomplished and proper
JEV.
Claimant Immediate Supervisor Head, Accounting Unit NO.: _____
[NAME OF SCHOOL][NAME OF DISTRICT][NAME OF DIVISION]
[ADDRESS]FOR THE PERIOD _________________________________
CASH DISBURSEMENT REGISTERType of Working Fund: MOOE Control No.
WORKING FUND BREAKDOWN OF PAYMENTSACCOUNT NAME/AMOUNT
DATE REFERENCE PAYEE PARTICULARS CASHADVANCE PAYMENTS BALANCE TOTAL
TOTAL
CERTIFIED CORRECT: CERTIFIED: APPROVED:SUPPORTING DOCUMENTS COMPLETE AND PROPER
Agency: Name of Disbursing Officer:Sub-Office/District/Division: Bank:Municipality/City/Province: Location:
Date Check No. Payee Particulars
CASH IN BANKBREAKDOWN of Withdrawals/Payments OTHERS
MAINTENANCE AND OTHER OPERATING EXPENSES Total Due to BIR
DepositsWithdrawals/
BalancePayments
TOTALS
Prepared by: Certified Correct: Noted by:
_____________________________________ _________________________________________ _________________________________Disbursing Officer School Head Accountant
REPORT OF DISBURSEMENTS
_____________________________________Agency
Date DV/Payroll Responsibility Payee Nature of AmountNo Center Code Payment
CERTIFICATION
I hereby certify that this Report of Disbursement in ________ sheet(s) is a full, true and correctstatement of the disbursements made by me and that this is in liquidation of the cash advancegranted last ________ in the amount of P________ per Check No. ________ dated ________.
_________________________ ____________________Disbursing Officer Date
Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page,
Procurement Officer
NOTE: 1. All entries must be typewritten.
3. Warranty shall be for a period of six (6) months for supplies and naterials. one (1) year for equipment, from date of acceptance by the Procuring Entity.
5. G-EPS registration certificate shall be attached upon submission of the quotation.6. Bidders shall submit original brochures showing certifications of the product being offered.
Approved Budget for the Contract:ITEM NO. Item & Description Qty Unit Unit Cost Bidders Quote Total Cost
TotalBrand and Model Delivery PeriodWarrantyPrice Validity
After having carefully read and accepted your General Conditions, I/We quote you on the items at prices noted above.
Printed Name/Signature
Tel No./Cellphone No.
Date
stating the shortest time of delivery and submit your quotation duly signed by your representative not later than 3 daysin the return envelop attached herewith.
2. Delivery period within 7 calendar days.
4. Price validity shall be for a period of 30 calendar days.
DEPARTMENT OF EDUCATIONProject Reference Number: ____________
Agency Name of Project: ____________________Location of the Project: _______________
ABSTRACT OF BIDS
NAME OF BIDDERSITEMNO. DESCRIPTION QTY UNIT UNIT COST TOTAL COST UNIT COST TOTAL COST UNIT COST TOTAL COST UNIT COST TOTAL COST
TotalRemarks Lowest Quotation
Project Reference NumberName of the Project
Location of the ProjectStandard Form Number: SF-GOOD-58Revised on: May 24, 2004
PURCHASE ORDER__________________________________
Agency / Procuring Entity
Supplier : D.O. No. :
Address : Date :
E-mail Address : Mode of
Telephone No. : Procurement :
TIN :
Place of Delivery : Delivery Term :Date of Delivery : Payment Term:
STOCK NO. UNIT DESCRIPTION QTY. UNIT COST AMOUNT
(Total Amount in Words)
Standard Form Title: Purchase Order
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein:
In case of Failure to make the full delivery within the time specified above, a penalty of onetenth (1/10) of one(1) percent for every day of delay shall be imposed.
Very truly yours,
______________________________ Authorized Official
Conforme:
_____________________________________________ Signature over printed name of Supplier
Responsibility Center Code:_______________________________
Department of Education Region V
DIVISION OF CAMARINES SUR
Agency
APPENDIX A
Name: Monthly Salary: ________________Position:Official Station:Purpose of Travel:
DATE Place to be Visited Time Means of Allowable Expenses TotalDeparture Arrival Transportation Transportation Per Diem
I hereby certify that: (1) I have reveiwed the foregoing itinerary; Prepared By:(2) the travel is necessary to the service (3) the period coveredis reasonable; (4) the expenses claimed are proper. _____________________________
I hereby certify that I have completed the travel authorized in the Itinerary of Traveldated ____________ under condition indicated below :
( ) Strictly in accordance with the approved itinerary
( ) Cut short as explained below. Excess payment in the amt of is refunded under O.R. No. dated .
( ) Other deviation as explained below :
Explanation or justification below :
Respectfully yours,
Officer or Employee
On evidence and information of which I have knowledge, the travel was actually undertaken.
Immediate Supervisor
DEPARTMENT OF EDUCATION
Region VDIVISION OF CAMARINES SUR
AUTHORITY TO TRAVEL
NAME:
OFFICIAL STATION:
DESTINATION:
DATE:
PURPOSE OF TRAVEL:
CHARGEABLE AGAINST:
Requested by:
Recommending Approval:
APPROVED:
GENERAL FORM NO. 2 GENERAL FORM NO. 2
REVISED JANUARY 1992 REVISED JANUARY 1992
REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPTDate No. Date No.
RECEIVED from ___________________________ RECEIVED from ___________________________(Name) (Name)
the amount the amount
of of(Payments for subsistence, services, (Payments for subsistence, services,
rental or transportation should show ionclusive dates, rental or transportation should show ionclusive dates,
(purpose, distance,inclusive points of travel, etc) (purpose, distance,inclusive points of travel, etc)
PAYEE PAYEE
Name/Signature Name/Signature
Address Address
CTC Number CTC Number
Date of Issue Date of Issue
Place of Issue Place of Issue
WITNESS WITNESS
Name/Signature Name/Signature
Address Address
CTC Number CTC Number
Date of Issue Date of Issue
Place of Issue Place of Issue
1 For the Period
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
2 Taxpayer
Identification Number
3 Payee's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address
5 Foreign Address
Payor Information
6 Taxpayer
Identification Number
7 Payor's Name
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address
PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to ATC
AMOUNT OF INCOME PAYMENTS
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total
the Quarter the Quarter the Quarter
Total
Money Payments Subject to Withholding
of Business Tax (Government & Private)
Republika ng PilipinasKagawaran ng PananalapiKawanihan ng Rentas Internas
Certificate of Creditable Tax Withheld At Source
Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct,pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory(Signature Over Printed Name)
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory(Signature Over Printed Name)
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Payee Information
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4A Zip Code
5A Zip Code
Payor Information
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8A Zip Code
Details of Monthly Income Payments and Tax Withheld for the Quarter
AMOUNT OF INCOME PAYMENTS
Total Tax Withheld
For the Quarter
BIR Form No.
2307September 2005 (ENCS)
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct,
Title/Position of Signatory
Date of Expiry
Title/Position of Signatory Date Signed
Date of Expiry
SCHEDULES OF ALPHANUMERIC TAX CODES
A Income Payments subject to Expanded Withholding Tax ATCIND
1 Professional/talent fees paid to juridical persons/individuals (lawyers, CPAs, etc.)-if current year's gross income does not exceed P720,000.00 WI 010-if current year's gross income exceed P720,000.00 WI 011
2 Professional entertainers- WI 020-if current year's gross income does not exceed P720,000.00-if current year's gross income exceed P720,000.00 WI 021
3 Professional athletes- WI 030
-if current year's gross income exceed P720,000.00 WI 0314 Movie, stage, radio, television and musical directors- WI 040
-if current year's gross income exceed P720,000.00 WI 0415 Management & technical consultants
WI 050-if current year's gross income exceed P720,000.00 W 051
6 Bookkeeping agents and agenciesWI 060
-if current year's gross income exceed P720,000.00 WI 0617 Insurance agents & insurance adjusters
WI 070-if current year's gross income exceed P720,000.00 WI 071
8 Other recipient of talents fees- WI 080
-if current year's gross income exceeds P720,000.00 WI 0819 Fees of directors who are not employee of the company
WI 090-if current year's gross income exceeds P720,000.00 WI 091
10 Rentals - Real Properties and Personal Properties, Poles, Satellites and Transmission facilities and Billboards WI 10011 Cinematographic film rentals WI 11012 Prime contractors/Sub-contractors WI 12013 Income distribution to beneficiaries of estates & trusts WI 13014 Gross commissions or service fees of customs, insurance, stock, real estate, immigration & commercial brokers WI 140& fees of agents of professional entertainers 15 Payment to medical practitioners thru a duly registered professional partnership WI 14116 Payments for medical/dental veterinary services thru hospitals/clinics/health maintenance organizations including
direct payments to service providersWI 151
-if current year's gross income exceeds P720,000.00 WI 15017 Payment to partners in general professional partnership
WI 152-if current year's gross income exceeds P720,000.00 WI 153
18 Income payments made by credit card companies to any business entity WI 15619 Income payments made by the government to its local/resident suppliers of goods WI 64020 Payments made by government offices on their purchases of goods and services from local/resident suppliers WI 15721 Payments made by top 10,000 private corporations to their local/resident suppliers of goods WI 15822 Payments made by top 10,000 private corporations to their local/resident suppliers of services WI 16023 Additional payments to gov't. personnel from importers , shipping and airline companies or their agents WI 15924 Commissions, rebates, discounts and other similar considerations paid/granted to independent and exclusive
WI 515distributors, medical/technical and sales reperesentatives and marketing agents and sub-agents of multi-level marketing companies
25 Gross payments made to embalmers by funeral companies WI 53026 Payments made by pre-need companies to funeral parlors WI 53527 Tolling fee paid to refineries WI 54028 Sale of Real Property (Ordinary Asset) 1.5% WI 555
3% WI 5565% WI 5576% WI 558
29 Income payments made to suppliers of agricultural products WI 61030 Interest payments by any person other than those subject to final tax WI 62031 Income payments on purchases of minerals, mineral products & quarry resources WI 630B Money Payments Subject to Withholding of Business Tax by Government Payor only32 Tax on carriers and keepers of garages WB 03033 Franchise Tax on Gas and Water Utilities WB 04034 Franchise Tax on radio & TV broadcasting companies whose annual gross receipts does not exceed P10M WB 050 and who are not Value-Added Tax registered taxpayers35 Tax on life insurance premiums WB 07036 Tax on Overseas Dispatch, Message or Conversation originating from the Phils. WB 090Tax on Banks and Non-Bank Financial Intermediaries Performing Quasi-Banking Functions37 A. On interest, commissions and discounts from lending activities as well as income from financial leasing, on the
basis of the remaining maturities of instrument from which such receipts are derived - Maturity period is five years or less 5% WB 301 - Maturity period is more than five years 1% WB 303
38 Tax on royalties, rentals of property, real or personal, profits from exchange & all other items treated as gross income WB 103 under Section 32 of the Code 7%39 On net trading gains within the taxable year on foreign currency,debt securities, derivatives, and other
WB 104 financial instruments 7%Tax on Other Non-Banks Financial Intermediaries Not Performing Quasi-Banking Functions
A. On interest, commissions and discounts from lending activities as well as income from financial leasing, on the basis
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
-if current year's gross income does not exceed P720,000.00
of the remaining maturities of instrument from which such receipts are derived40 - Maturity period is five years or less 5% WB 10841 - Maturity period is more than five years 1% WB 10942 B. On all other items treated as gross income under the code 5% WB 11043 Business Tax on Agents of foreign insurance co.- insurance agents 10% WB 12044 Business Tax on Agents of foreign insurance co.-owner of the property 5% WB 12145 Tax on International Carriers WB 13046 Tax on Cockpits WB 14047 Tax on Cabaret, night and day club WB 15048 Tax on Boxing exhibitions WB 16049 Tax on Professional basketball games WB 17050 Tax on jai-alai and race tracks WB 18051 Tax on sale, barter or exchange of stocks listed & traded through Local Stock Exchange WB 20052 Tax on shares of stock sold or exchanged through initial and secondary public offering
- Not over 25% 4% WB 201- Over 25% but not exceeding 33 1/3 % 2% WB 202- Over 33 1/3% 1% WB 203
C53 Person exempt from VAT under Sec. 109 (v) (Government withholding agent) 3% WB 08054 Person exempt from VAT under Sec. 109 (v) (Private withholding agent) 3% WB 08255 Vat Withholding on Purchase of Goods (with waiver of privilege to claim input tax credits) 10% WV 01256 Vat Withholding on Purchase of Services (with waiver of privilege to claim input tax credits) 10% WV 022
Money Payments Subject to Withholding of Business Tax by Government or Private Payors (Individual & Corporate)