A4 Preview
Republic of the Philippines
Province of Occidental Mindoro
MUNICIPALITY OF MAGSAYSAYOBLIGATION REQUEST
No.:
Budget Ref. No.:
| Payee | |
| Office | |
| Address |
| Responsibility Center | Particulars | F.P.P. | Account Code | AMOUNT |
|---|---|---|---|---|
| ₱0.00 | ||||
| TOTAL | ₱0.00 | |||
A. Certified
✓ Charges to appropriation/allotment necessary, lawful and under my direct supervision
✓ Supporting documents valid, proper and legal
B. Certified
✓ Existence of available appropriation
| Signature | Signature | ||
| Printed Name | Printed Name | ||
| Position | Head, Requesting Officer/Authorized Representative | Position | Head, Budget Unit/Authorized Representative |
| Date | Date |