Barangay Forms 3
Barangay Forms 3
                                         TRAVEL ORDER
                                                                                     DATE: ________________
NAME: KARREN ANN O. FONG                          SALARY PER ANNUM: ______________________________
DESIGNATION: BARANGAY TREASURER                       OFFICE : _____________________________________
STATION : Brgy. Poblacion, Columbio, Sul. Kud.      DESTINATION :
PURPOSE:
PER DIEMS & EXPENSES ALLOWANCES
ASSISTANCE OF LABORER ALLOWANCES
REMARKS:
APPROVED:
                                   CERTIFICATE OF APPEARANCE
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY that the aboved mention name actually appeared in this office from ________to _______________
          THIS CERTIFICATION is being issued upon to support his/her claim of reimbursement of expensdes
incurred his/her official travel.
                                                        ITINERARY TRAVEL
NAME: ALFREDO M. MALUYO,SR.        SALARY: ______________________
Position: PUNONG BARANGAY         Station: Brgy. Poblacion, Col.Sul.
PURPOSE OF TRAVEL: SEE ATTACHED TRAVEL ORDER.
   DATE      PLACE TO BE VISITED              TIME                  TRANSPORTATION        FARE     PER DIEM TOTAL AMOUNT
                                      DEPARTURE ARRIVAL
 7/22/2020 COLUMBIO-TAC.CITY                                               SKYLAB         300.00     400.00       700.00
            TAC.CITY-COLUMBIO
  8/5/2020 COLUMBIO-ISULAN                                                 SKYLAB         350.00     400.00       750.00
             ISULAN-COLUMBIO
TOTAL P 1,450.00
Prepared by:
                                                                                    ALFREDO M. MALUYO,SR.
                                                                                          Punong Barangay
                                                       Republic of the Philippines
                                                       Province of Sultan Kudarat
Date: ________________
_________________________
_________________________
_________________________
Sir/Maam:
   The Barangay Poblacion of Columbio, Sultan Kudarat desires to purchase the articles on the statement below.
If interested to supply us please fill up the column "PRICE QUOTATION " therein and return the same to us for our
consideration and proper action.. Payment will be made immediately upon the necessary papers for disbursement
are complete but not beyond two days from receipt of the articles.
________________________
           I HEREBY CERTIFY that prices of the above quoted are just correct and reasonable not exceed of the current
                                                 prevailing rates in the locality.
_________________________
   CONTRACTOR
                                                                                                                Appendix 3
                                          PURCHASE ORDER
Barangay: POBLACION                                                    City/Municipality : Columbio
Tel.No                                                                   Province : Sultan Kudarat
Supplier: EMPIRE CONSTRUCTION SUPPLY                                 P.O No.5
Address: COLUMBIO SK                                                   Date:JUNE-JULY, 2021
TIN:                                                                MODE OF PROCUREMENT:
                                                                   Bidding          Negotiated           Over the Counter
Gentlemen:
                Please deliver to this Office the following artcicles to the terms and conditions contained herein.
Place of Delivery:                                             Delivery Term:
Date of Delivery:                                              Paymment Term:
   UNIT                   PARTICULARS                          QUANTITY               UNIT COST              AMOUNT
    1      WOODEN BOARD                                                       14              1,000.00            14,000.00
    2      ACRYLIC WHITE                                                      15                500.00              7,500.00
    3      HOLCIM                                                             20                250.00              5,000.00
                                                                                                                 26,500.00
(TOTAL AMOUNT IN WORDS ) Twenty seven thousand two hundred pesos only
     In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one-
tenth (1/10) of one percent for everyday of delay shall be imposed.
                                                                                         Very truly yours,
                                                                                         ALFREDO M. MALUYO,SR.
                                                                                            Punong Barangay
Conformed:                                                        Existence of Available Appropriations:
                                         PURCHASE REQUEST
Barangay : POBLACION                                                P.R. No.5
Municipality: Columbio, Sultan Kudarat                      Date: JUNE-JULY, 2021
 ITEM NO. QUANTITY UNIT OF ISSUE                ITEM DESCRIPTION              ESTIMATED         ESTIMATED
                                                                               UNIT COST         AMOUNT
     1              14     UNIT                  WOODEN BOARD                     1,000.00            14,000.00
     2              15                            ACRYLIC WHITE                     500.00             7,500.00
     3              20                              HOLCIM                          250.00             5,000.00
                                           CERTIFICATION
                                          This is to certify that the above-
                                           item is urgently needed the
                                           delay of this will hamper the
                                          smooth operation of the office.
                                     ALFREDO M. MALUYO,SR.
                                         Punong Barangay
TOTAL: TWENTY EIGHT THOUSAND EIGHT HUNDRED FORTY FIVE PESOS ONLY
Purpose: BRGY USED.
           Requested by:                 Cash Availability:                             Approved by:
                           TRANSMITTAL LETTER
DATE: JANUARY 10, 2021
SIR/MADAM:
WE SUBMIT HEREWITH THE FOLLOWING DOCUMENTS:A.) CERTIFIED TRUE COPY OF THE CASHBOOK;b.) COPY OF
PBC'S ISSUED AND C.) ORIGINAL DISBURSEMENT VOUCHERS/PAYROLL ISSUED FOR THE MONTH OF DECEMBER 2020.
TOTAL P 3,300.00
ALFREDO M. MALUYO,SR.
PUNONG BARANGAY
                                       Local Government Unit of Columbio
                                     Statement of Receipts and Expenditures
                                      Department of Labor and Employment
                                          As of ______________, 2020
Add: Receipts
 Check No.    Date
    982237 3/24/2020 OR#3280259              3/30/2020                                                      P 940,464.00
Less: Expenditures
CERTIFIED CORRECT:
NOTED BY:
                                                         ALFREDO M. MALUYO,SR.
                                                         Punong Barangay
                   REPORTS OF COLLECTIONS AND DEPOSITS
NAME OF BARANGAY TREASURER:KARREN ANN O. FONG    DATE: FEBRUARY 26-MARCH 18, 2021
BARANGAY: POBLACION                              RCD NO.
A. COLLECTIONS
  OFFICIAL RECEIPTS/RCR        PAYOR/DBC          NATURE OF COLLECTION     AMOUNT        DST
    DATE       NUMBER
  2/26/2021 3543201          HIDALGO, LORNA         BRGY. CLEARANCE             20.00       30.00
               3543202       CORPUZ, TERESITA       BRGY. CLEARANCE             20.00       30.00
               3543203     SONGANO, JOSEPHINE      BRGY. CERTIFICATION          20.00       30.00
               3543204      REYES, KENTZ DARYL      BRGY. CLEARANCE             20.00       30.00
               3543205    CARBONELL, DOMINGA      MORTGAGE AGREEMENT           440.00
    3/1/2021 3543206         BUENAFE, JERALD      MORTGAGE AGREEMENT           200.00
               3543207       BUENAFE, JERALD      MORTGAGE AGREEMENT           150.00
               3543208    ZACARIA, JASMINA MAY      BRGY. CLEARANCE             20.00       30.00
               3543209       DAN, NELLIE JANE       BRGY. CLEARANCE             20.00       30.00
               3543210      ESTABILLO, JENEFER     BRGY. CERTIFICATION          20.00       30.00
               3543211        MTO-COLUMBIO           25% BRGY.SHARE        146,898.72
               3543212     BERNARDINO, DENNIS      BRGY. CERTIFICATION          20.00       30.00
               3543213    MASUKAT, MOHAMMAD         BRGY. CLEARANCE             20.00       30.00
    3/2/2021 3543214         SANTOS, RIZALDY        BRGY. CLEARANCE             20.00       30.00
               3543215                             BRGY. CERTIFICATION          20.00       30.00
                                                  MORTGAGE AGREEMENT           175.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                      BRGY. PERMIT             150.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                    FILLING SUMMON              50.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                  MORTGAGE AGREEMENT           275.00
                                                  MORTGAGE AGREEMENT           475.00
                                                  MORTGAGE AGREEMENT           530.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                   BRGY. CERTIFICATION          20.00       30.00
                                                  MORTGAGE AGREEMENT           350.00
                                                    BRGY. CLEARANCE             20.00       30.00
                                                    BRGY. CLEARANCE             20.00       30.00
TOTAL                                                                       2,865.00    1,290.00
B. DEPOSITS
    BANK/BRANCH                             REFERENCE                                    DATE                        AMOUNT
   DBP-TAC BRANCH
TOTAL
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
 NAME OF FORM         BEGINNING BALANCE                 RECEIPT                         ISSUED                     ENDING BALANCE
     NO.             QTY INCLUSIVE SERIAL NO.   QTY   INCLUSIVE SERIAL NO.   QTY INCLUSIVE SERIAL NO.        QTY   INCLUSIVE SERIAL NO.
WITH MONEY VALUE
  CASH TICKETS
WITHOUT MONEY
    VALUE
 OFFICIAL RECEIPTS                                                              3    3279698       3279700
 OFFICIAL RECEIPTS                                                             50    3399051       3399100
 OFFICIAL RECEIPTS                                                             31    3456751       3456781
 OFFICIAL RECEIPTS
 OFFICIAL RECEIPTS
 OFFICIAL RECEIPTS
 OFFICIAL RECEIPTS
 OFFICIAL RECEIPTS
 OFFICIAL RECEIPTS
 OFFICIAL RECEIPTS
D. CERTIFICATION:
         I HEREBY CERTIFY THAT THIS REPORT OF COLLECTIONS AND DEPOSITS ; AND ACCOUNTABLE FORMS INCLUDING
SUPPORTING DOCUMENTS ARE TRUE AND CORRECT.
  DATE          PARTICULARS         REFERENCE NO.         TOTAL           RPT         SHARE          BRGY. AID      SAND         CLEARANCES      DST
                                                                                     FROM IRA       FROM LGU'S    AND GRAVEL    AND CERT. FEES
            B.ACTUAL COLLECTIONS
  Aug-20             IRA                                                               548,052.00
  Aug-20   OR NO: 3383639-3383650 RCD NO.2020-08-001A                                                                                   490.00     360.00
  Aug-20   OR NO: 3384501-3384549 RCD NO.2020-08-OOIB                                                                                   980.00   1,470.00
           DATE/                  TOTAL        HONORARIUM CASH GIFT           PHIL         T/EV         TRAININGS      OFFICE       GASOLINE       ELECTRIC     MEDICINES      R&M         ANTI-         OTHER           OTHER           OTHER        OTHER        OTHER
         REFERENCE                                                           HEALTH                    & SEMINARS     SUPPLIES      EXPENSES       EXPENSES      EXPENSE       TRANS-      ILLEGAL       MOOE           PURPOSE         PURPOSE      PURPOSE      PURPOSE
                                                                                                                                                                              PORTATION    DRUGS                       (Brgy. Worker)    (Lupon)      (BHW)        (BPAT)
A.APPROPRIATIONS
  TOTAL APPROPRIATIONS                          2,076,901.20     60,000.00    30,000.00   180,000.00     200,000.00    50,000.00      50,000.00    100,000.00    100,000.00    50,000.00   30,000.00      274,925.78     154,380.00     168,000.00   109,200.00   273,600.00
        Realignment 6/2020                                                                           -110,000.00                                                                                         110,000.00
                        TOTAL                   2,076,901.20     60,000.00    30,000.00   180,000.00   90,000.00       50,000.00      50,000.00    100,000.00    100,000.00    50,000.00   30,000.00     384,925.78      154,380.00     168,000.00   109,200.00   273,600.00
B. OBLIGATIONS
8/13/2020 DV#2020-08-327           1,450.00                                                1,450.00
             DV#2020-08-328        2,200.00                                                2,200.00
             DV#2020-08-330        7,410.00                                                                                           7,410.00
             DV#2020-08-331       29,115.00                                                                                                                      29,115.00
             DV#2020-08-332        7,500.00                                                                            7,500.00
             DV#2020-08-335       14,000.00                                                                                                                                                                                             14,000.00
             DV#2020-08-336       22,783.00                                                                                                                                                                                                                       22,783.00
             DV#2020-08-337       14,452.32                                  14,452.32
             DV#2020-08-338      165,845.84      165,845.84
             DV#2020-08-344         6,900.00                                                                                                        6,900.00
             DV#2020-08-345        5,600.00                                                                                           2,129.00                                                             5,600.00
             DV#2020-08-346        2,129.00
             DV#2020-08-348        2,150.00                                                2,150.00
             DV#2020-08-349        4,365.66                                                                                                         4,365.66
             DV#2020-08-352       12,864.00                                                                                                                                                                              12,864.00
             DV#2020-08-354        2,150.00                                                2,150.00
     Total as of January 2020                    173,072.00                           -    11,000.00              -            -      3,281.00      8,582.76              -   1,257.00               -    13,400.00      12,864.00      14,000.00    18,200.00    22,800.00
    Total as of February 2020                    167,639.00              -            -    7,950.00               -    8,139.00                -    7,933.96              -   11,500.00              -    75,763.00      12,864.00      14,000.00    18,200.00    22,800.00
      Total as of March 2020                     173,072.00              -    7,323.42     9,400.00               -    7,439.00       10,154.25     8,273.73              -          -               -    18,730.00      12,864.00      14,000.00    18,200.00    22,800.00
        Total as of April 2020                   173,072.00              -            -            -              -    1,271.00                     6,300.00     27,900.00    2,000.00               -    57,651.00      12,864.00      14,000.00    18,200.00    22,800.00
        Total as of May 2020                     173,072.00              -            -            -              -    2,830.00      4,675.00       8,560.62              -          -               -    15,870.00      12,864.00      14,000.00    18,200.00    22,800.00
        Total as of June 2020                    173,072.00                           -            -              -    2,830.00       5,512.00     10,887.73              -   5,000.00               -   135,685.00      12,864.00      14,000.00    18,200.00    22,800.00
         Total as of July 2020                   173,072.00              -            -    8,900.00               -    1,290.00       6,578.00      6,800.00              -          -               -    54,630.00      12,864.00      14,000.00            -    22,800.00
   Total as of August 2020                       165,845.84              -    7,226.16     7,950.00               -    7,500.00       9,539.00     11,265.66     29,115.00           -               -     5,600.00      12,864.00      14,000.00                 22,783.00
 Total BALANCE of the month                      704,984.36      60,000.00   15,450.42    134,800.00      90,000.00    18,701.00     10,260.75     31,395.54     42,985.00    30,243.00    30,000.00       7,596.78      51,468.00      56,000.00       O.OO       91,217.00
                                              RECORDS OF APPROPRIATIONS AND OBLIGATIONS
BARANGAY : POBLACION                               CITY/MUNICIPALITY: COLUMBIO                               PAGE NO.
CHAIRMAN,COMMITTEE ON APPROP. DINDO S. SALIGAN,JR. PROVINCE: SULTAN KUDARAT
FUND SOURCE:10% SK FUND
         REFERENCE                 TOTAL          PERSONAL          MAINTENANCE & OTHER OPERATING EXPENSES      FINANCIAL   CAPITAL OUTLAY
                                                   SERVICES
   DATE    REFERENCE NO.                                           OTHERS
A. APPROPRIATIONS
ANNUAL BUDGET
B. OBLIGATIONS
 7/8/2020 DV# 2020-08-                                                30,000.00
          DV# 2020-08-                                                 3,000.00
          DV# 2020-08-                                                20,000.00
                                                              RECORDS OF APPROPRIATIONS AND OBLIGATIONS
BARANGAY : POBLACION                                  CITY/MUNICIPALITY: COLUMBIO                                                                          PAGE NO.
CHAIRMAN,COMMITTEE ON APPROP. DINDO S. SALIGAN,JR.    PROVINCE: SULTAN KUDARAT
FUND SOURCE: 20% DEVELOPMENT FUND
          REFERENCE                   TOTAL            PERSONAL                        MAINTENANCE & OTHER OPERATING EXPENSES                                FINANCIAL   CAPITAL OUTLAY
                                                        SERVICES
   DATE      REFERENCE NO.                                          REHAB. OF FMR        LIVELIHOOD       SUPPORT TO      PURCHASE OF    SUPPORT TO
                                                                                       PROGRAM WOMENS B-ELECTRIFICATION     CULVERT   SOLID WASTE MNGT.
A. APPROPRIATIONS
ANNUAL BUDGET
B. OBLIGATIONS
 8/13/2020 DV#2020-08-                     9,620.50                         9,620.50
           DV#2020-08-                    15,512.00                                           15,512.00
           DV#2020-08-                    19,014.00                                           19,014.00
           DV#2020-08-                     2,156.00                                                            2,156.00
           DV#2020-08-                    15,000.00                                                                          15,000.00
           DV#2020-08-                    50,000.00                                                                                            50,000.00
                                                   RECORDS OF APPROPRIATIONS AND OBLIGATIONS
BARANGAY : POBLACION                               CITY/MUNICIPALITY: COLUMBIO                                 PAGE NO.
CHAIRMAN,COMMITTEE ON APPROP. DINDO S. SALIGAN,JR. PROVINCE: SULTAN KUDARAT
FUND SOURCE: 5% GAD FUND
          REFERENCE                 TOTAL          PERSONAL           MAINTENANCE & OTHER OPERATING EXPENSES      FINANCIAL   CAPITAL OUTLAY
                                                    SERVICES
   DATE       REFERENCE NO.                                    SUPPORT TO        SUPPORT TO
                                                                  BHW               DCW
A. APPROPRIATIONS
ANNUAL BUDGET
B. OBLIGATIONS
 12/14/2020 DV#2020-12-                18,200.00                    18,200.00
            DV#2020-12-                12,012.00                                    12,012.00
TAX WITH HELD-BUSINESS
BLGU-POBLACION, COLUMBIO, SULTAN KUDARAT
BUSINESS NAME
FOR THE MONTH OF AUGUST , 2020
               MOOE-MAINTENANCE AND OTHER OPERATING EXPENSES
      NAME OF SUPPLIERS        TIN NO.                        1%         TOTAL
1. GOLDWAY PETROL STATION                                     257.69         257.69
2. FJK'S GENERAL MDSE.                                         74.10          74.10
3. MV PHARMACY                                                251.15         251.15
4. MACRONET COMPUTER CENTER                                    75.00          75.00
5. FJK'S GENERAL MDSE.                                        155.12         155.12
6. JEG PRINTING HOUSE                                         100.00         100.00
7. FJK'S GENERAL MDSE.                                         21.00          21.00
TOTAL P 934.06
               BUDGETARY REQUIREMENTS
  ITEM NO.          PARTICULARS               UNIT        QUANTITY        UNIT COST            AMOUNT
      1         HYDRAULIC JACK 1 TON                         1
      2         TYWRENCH FOR BONGO                           1
      3         BOX COMNINATION #17                          1
      4         BOX COMNINATION #14                          1
      5         BOX COMNINATION #12                          1
      6         BOX COMNINATION #10                          1
                       TOTAL
A. APPROPRIATIONS
ANNUAL BUDGET
B. OBLIGATIONS
 8/13/2020 DV#2020-08-         2,100.00
OPRIATIONS AND OBLIGATIONS
                               PAGE NO.
                                                     2,100.00
                                              RECORDS OF APPROPRIATIONS AND OBLIGATIONS
BARANGAY : POBLACION                               CITY/MUNICIPALITY: COLUMBIO                                PAGE NO.
CHAIRMAN,COMMITTEE ON APPROP. DINDO S. SALIGAN,JR. PROVINCE: SULTAN KUDARAT
FUND SOURCE: 10% SK FUND
         REFERENCE                  TOTAL          PERSONAL          MAINTENANCE & OTHER OPERATING EXPENSES      FINANCIAL   CAPITAL OUTLAY
                                                    SERVICES
  DATE      REFERENCE NO.                                       YOUTH CAMP/      OTHERS
                                                                 TEAM BUIDING
A. APPROPRIATIONS
ANNUAL BUDGET
B. OBLIGATIONS
 8/13/2020 DV#2020-08-                 80,000.00                     80,000.00
           DV#2020-08-                 20,000.00                                 20,000.00
           DV#2020-08-                 13,720.00                                 13,720.00