LINSO, HAZRAPHINE S.

APRIL 12, 2021

ACCTG 322N BSA 3
Midterm Terminal Output
Title: ACCOUNTING FOR DISBURSEMENT AND RELATED TRANSACTIONS (Practice)

Objective:
The purpose of this output is to enable students to apply the concepts learned in Accounting for
Disbursement and Related transactions to adopted transactions as applicable in practice.

Agency Description

HSL Agency
The HSL Agency is the lead government agency that holds and implements comprehensive and genuine
agrarian reform which actualizes equitable land distribution, ownership, agricultural productivity, and tenurial
security for, of and with the tillers of the land towards the improvement of their quality of life.

Mandate and Functions

 To lead in the implementation of the Comprehensive Agrarian Reform Program (CARP) through Land
Tenure Improvement (LTI), Agrarian Justice and Coordinated delivery of essential Support Services to
client beneficiaries.
 To provide Land Tenure security to landless farmers through land acquisition and distribution;
leasehold arrangements’ implementation and other LTI services;
 To provide legal intervention to Agrarian Reform Beneficiaries (ARBS) through adjudication of agrarian
cases and agrarian legal assistance;
 To implement, facilitate and coordinate the delivery of support services to ARBs through Social
Infrastructure and Local Capability Building (SILCAB); Sustainable Agribusiness and Rural Enterprise
Development (SARED); and Access Facilitation and Enhancement Services (AFAES).

Services

 Land Tenure Services

 Agrarian Legal Services
 Agrarian Policy Advisory Services
 Technical Advisory Support Services

Transactions Assumptions

Assumptions: Recognize receipt of NCA

HSL Agency received P 100,000 NCA from DBM.

Disbursements for the year:

1. Payment of the following utility bills, P5,000

Electric Bill P 5,004.00
PLDT Bill 1,907.00
P 6,911.00
2. Paid P 600.56 for water expenses.
3. Purchased furniture and fixtures for P 19,500.
4. Purchased a smartphone for use of employee, P 8,999.
5. Paid P 2,219.50 for purchasing medicine.
6. Granted cash advance for local travel to officers and employees.
7. Purchased medical tools for P 806.
8. Paid P 650 for veterinary services.
9. Purchased fuel for P 1,650
10. Bought food supplies for P 657.75
11. Paid P 995.25 for medicines purchased.
12. Paid P 450 for veterinary services.
13. Acquired office supplies for 364.36.
14. Bought fuel for P 500.
15. Payment for medical and laboratory, P 590.
16. Paid P 10,780 for repairs of car.
17. Bought office equipment for P 2,900.
18. Purchased a smartphone for use of employee, P 20,990.
19. Cash payment for Office Supplies, P 291.50.
20. Purchased groceries for a total amount of P 1,071.65.

Supporting Documents
1. Payment of utilities

2. Payment of Water expenses

3. Purchased furniture and fixtures

4. Purchased a smartphone

5. Paid P 2,219.50 for purchasing medicine.

6. Granted cash advance for local travel to employees, P 6,000

7. Purchased medical tools for P 806

8. Paid P 650 for veterinary services.

9. Purchased fuel for P 1,650

10. Bought food supplies for P 657.75

11. Paid P 995.25 for medicines purchased.

12. Paid P 450 for veterinary services.

13. Acquired office supplies for 364.36.

14. Bought fuel for P 500.

15. Payment for medical and laboratory, P 590.

16. Paid P 10,780 for repairs.

17. Bought office equipment for P 2,900.

18. Purchased a smartphone for P 20,990.
19. Cash payment for Office Supplies, P 291.50.

20. Purchased groceries for a total amount of P 1,071.65.

REGISTRY
 REGISTRY OF ALLOTMENTS, OBLIGATIONS, AND DISBURSEMENTS
MAINTENANCE AND OTHER OPERATING EXPENSES
For the year 2021

Entity Name: HSL Agency

Fund Cluster: Regular Agency Fund MFO/PAP: 103-00-1-00-00-00000
Legal Basis: General Appropriation Act 2016 Sheet No.: 0001

Reference Unpaid Obligations

UACS Object
Unobligated Not yet due
Date Code/ Allotments Obligations Disbursements Due and
Date Serial No. Allotments and
Expenditures Demandable
Demandable
100,000
3/24/2021 5-02-04-020 5,004 94,996.00 5004.00
3/17/2021 5-02-05-030 1,907 93089.00 1907.00
4/12/2021 5-02-04-010 600.56 92488.44 600.56
6/19/2021 5-02-04-020 19,500 72988.44 19500.00
1/9/2021 5-02-05-010 8,999 63989.44 8999.00
6/11/2021 5-02-03-070 2,219.50 61769.94 2219.50
8/17/2021 5-02-01-010 6,000 55769.94 6000.00
6/11/2021 5-02-03-070 806 54963.94 806.00
3/11/2021 5-02-11-990 650 54313.94 650.00
3/25/2021 5-02-03-090 1,650 52663.94 1650.00
1/10/2021 5-02-03-050 657.75 52006.19 657.75
3/2/2021 5-02-03-070 995.25 51010.94 995.25
4/10/2021 5-02-11-990 450 50560.94 450.00
3/20/2021 5-02-03-010 364.36 50196.58 364.36
1/6/2021 5-02-03-070 500 49696.58 500.00
9/11/2021 5-02-03-080 590 49106.58 590.00
2/3/2021 5-02-13-060 10,780 38326.58 10780.00
4/6/2021 5-02-03-210 2,900 35426.58 2900.00
1/9/2021 5-02-05-010 20,990 14436.58 20990.00
6/21/2021 5-02-03-010 291.5 14145.08 291.50
12/30/2021 5-02-03-050 1,071.65 13073.43 1071.65
86926.57

REGISTRY OF ALLOTMENTS AND NOTICE OF CASH ALLOCATION

For the period 2021

Entity Name : HSL Agency Fund Cluster : Regular Agency Fund

Sheet Number : __________________

AMOUNT
Notice of Cash Allocation Balance
Allotment
Date Reference Unutilized Unfunded
Received Received Utilized
NCA Allotment

(a) (b) ( c) (b - c) (a - b)
100,000 100,000 86926.57 13,073.43

OBLIGATION REQUEST AND STATUS

 HSL AGENCY Date : March 24, 2021
Entity Name Fund Cluste r : Regular Agency Fund

Paye e Cotabato Light

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Electricity 103-00-1-00-00-00000 5-02-04-020 ₱ 5,004.00

Total ₱ 5,004.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Refe rence Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDue and Demandable
ADA/TRA No.
(a) (b) (c) (a-b) (b-c)
MOOE - Electricity ₱ 5,004.00

Serial No. : 02-01101101-2021-

OBLIGATION REQUEST AND STATUS 03-00020
HSL AGENCY Date : March 17, 2021
Entity Name Fund Cluster : Regular Agency
Fund
Payee PLDT

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Internet Subscription 103-00-1-00-00-00000 5-02-05-030 ₱ 1,907.00

Total ₱ 1,907.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance

ORS/JEV/Check/ Obligation Payable Payment Due and

Date Particulars Not Yet Due
ADA/TRA No. Demandable

(a) (b) (c) (a-b) (b-c)

MOOE - Internet Subscription ₱ 1,907.00
 OBLIGATION REQUEST AND STATUS Serial No. : 02-01101101-2021-01-000019
HSL AGENCY Date :April 12, 2021
Entity Name Fund Cluster : Regular Agency Fund

Payee Metro Cotabato Water District

Office

Address

UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code
MOOE - Water Expenses 103-00-1-00-00-000005-02-04-010 ₱ 600.56

Total ₱ 600.56

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)
MOOE - Water Expenses ₱ 600.56

HSL AGENCY Date :June 19, 2021

Entity Name Fund Cluster : Regular Agency
Fund
Payee Superama Hypermarket

Office

Address

UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code
MOOE - Furniture and Fixtures 103-00-1-00-00-00000 5-02-04-020 ₱ 19,500.00

Total ₱ 19,500.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Furniture and Fixtures ₱ 19,500.00
 HSL AGENCY Date :January 09, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee DKT Phonetech World

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Mobile 103-00-1-00-00-000005-02-05-010 ₱ 8,999.00

Total ₱ 8,999.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Mobile ₱ 8,999.00

HSL AGENCY Date :June 11, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee Mercury Drug - Cot City Rosary Heights Sinsuat Ave.

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Drugs and Medicine Expenses 103-00-1-00-00-000005-02-03-070 ₱ 2,219.00

Total ₱ 2,219.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Drugs and Medicine Expenses ₱ 2,219.00
 HSL AGENCY Date :August 17, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee CITIHARDWARE GENSAN INC.,

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Traveling Expenses-Local 103-00-1-00-00-00000 5-02-01-010 ₱ 6,000.00

Total ₱ 6,000.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Traveling Expenses-Local ₱ 6,000.00

HSL AGENCY Date :June 11, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee Mercury Drug - Cotabato City Plaza

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Drugs and Medicine Expenses 103-00-1-00-00-000005-02-03-070 ₱ 806.00

Total ₱ 806.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Drugs and Medicine Expenses ₱ 806.00
 HSL AGENCY Date :March 11, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee ANIMAL CLINIC

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Other Professional Services 103-00-1-00-00-00000 5-02-11-990 ₱ 650.00

Total ₱ 650.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Other Professional Services ₱ 650.00

HSL AGENCY Date :March 25, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee BANGSAMORO OIL AND FUELS CORPORATION

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Fuel, Oil and Lubricant Expenses 103-00-1-00-00-000005-02-03-090 ₱ 1,650.00

Total ₱ 1,650.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Fuel, Oil and Lubricant Expenses ₱ 1,650.00
 HSL AGENCY Date :January 10, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee Savemore

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Food Supplies Expense 103-00-1-00-00-000005-02-03-050 ₱ 657.75

Total ₱ 657.75

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Food Supplies Expense ₱ 657.75

HSL AGENCY Date : March 02, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee Mercury Drug - Cotabato City Plaza

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Drugs and Medicine Expenses 103-00-1-00-00-00000 5-02-03-070 ₱ 995.25

Total ₱ 995.25

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Drugs and Medicine Expenses ₱ 995.25
 HSL AGENCY Date :April 10, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee ANIMAL CLINIC

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Other Professional Services 103-00-1-00-00-000005-02-11-990 ₱ 450.00

Total ₱ 450.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Other Professional Services ₱ 450.00

HSL AGENCY Date : March 20, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee FIESTA SHOPPING CENTER

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Office Supplies Expense 103-00-1-00-00-000005-02-03-010 ₱ 364.36

Total ₱ 364.36

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Office Supplies Expense ₱ 364.36
 HSL AGENCY Date :January 06, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee DMC Petron Station

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Fuel, Oil and Lubricant Expenses 103-00-1-00-00-00000 5-02-03-070 ₱ 500.00

Total ₱ 500.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Fuel, Oil and Lubricant Expenses ₱ 500.00

HSL AGENCY Date :September 11, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee Cotabato Puericulture Center & General Hospital Foundation, Inc.

Office

Address
UACS
Responsibility Center Particulars MFO/PAP
Object Amount
Code
MOOE - Medical, Dental and Laboratory Supplies Expenses
103-00-1-00-00-000005-02-03-080 ₱ 590.00

Total ₱ 590.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Medical, Dental and Laboratory Supplies Expenses ₱ 590.00
 HSL AGENCY Date :February 03, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee COTABATO KARHOUSE

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Repairs and Maintenance - Motor Vehicles 103-00-1-00-00-000005-02-13-060 ₱ 10,780.00

Total ₱ 10,780.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Repairs and Maintenance - Motor Vehicles ₱ 10,780.00

HSL AGENCY Date :April 06, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee GOOD 1 COMPUTER MARKETING

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Office Equipment 103-00-1-00-00-00000 5-02-03-210 ₱ 2,900.00

Total ₱ 2,900.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Office Equipment ₱ 2,900.00
 HSL AGENCY Date :January 9, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee DKT Phonetech World

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Mobile 103-00-1-00-00-000005-02-05-010 ₱ 20,990.00

Total ₱ 20,990.00

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Mobile ₱ 20,990.00

HSL AGENCY Date :June 21, 2021

Entity Name Fund Cluster : Regular
Agency Fund
Payee SOUTHSEAS

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Office Supplies Expense 103-00-1-00-00-00000 5-02-03-010 ₱ 291.50

Total ₱ 291.50

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Office Supplies Expense ₱ 291.50
 HSL AGENCY Date :December 30, 2021
Entity Name Fund Cluster : Regular
Agency Fund
Payee Savemore

Office

Address
UACS
Responsibility Center Particulars MFO/PAP Object Amount
Code
MOOE - Food Supplies Expense 103-00-1-00-00-000005-02-03-050 ₱ 1,071.65

Total ₱ 1,071.65

A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature : ______________________________

Printed Name: ___________________________________ Printed Name: ______________________________
Position : ___________________________________ Position : ______________________________
Head, Requesting Office/Authorized Representative Head, Budget
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
Due and
ORS/JEV/Check/ Obligation Payable Payment
Date Particulars Not Yet DueDemand
ADA/TRA No.
able
(a) (b) (c) (a-b) (b-c)
MOOE - Food Supplies Expense ₱ 1,071.65
 VOUCHERS
HSL AGENCY Fund Cluster : Regular Agency Fund
Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Advances to Employees 103-00-1-00-00-0000 ₱ 6,000.00

Amount Due ₱ 6,000.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Advances to Offi cers and Employees 19901040 ₱ 6,000.00

Cash - MDS, Regular 10104040 ₱ 6,000.00

To recognize granting of travel allowance to employees
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: 198 TRAVEL AND TOURS Date 3/29/2021
Signature :
198 Travel and Tours
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Drugs and Medicine Expenses 103-00-1-00-00-0000 ₱ 806.00

Amount Due ₱ 806.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Drugs and Medicine Expenses 50203070 ₱ 806.00

Cash-MDS, Regular 10104040 ₱ 806.00

To record cash payment for purchase of medicine.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: MERCURY DRUG - COTABATO CITY PLAZA Date 3/29/2021
Signature :
Mercury Drug - Cotabato City Plaza
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Other Professional Services 103-00-1-00-00-0000 ₱ 650.00

Amount Due ₱ 650.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Professional Services 50211990 ₱ 650.00

Cash-MDS, Regular 10104040 ₱ 650.00

To record cash payment for veterinary services.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: ANIMAL CLINIC Date 3/29/2021

Signature :
Animal Clinic
Official Receipt No. & Date/Other Documents
 HSL AGENCY Fund Cluster : Regular Agency Fund
Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Fuel, Oil and Lubricant Expenses 103-00-1-00-00-0000 ₱ 1,650.00

Amount Due ₱ 1,650.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fuel, Oil and Lubricant Expenses 50203090 ₱ 1,650.00

Cash-MDS, Regular 10104040 ₱ 1,650.00

To record cash payment for fuel.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: BANGSAMORO OIL AND FUELS CORPORATION Date 3/29/2021
Signature :
BANGSAMORO OIL AND FUELS CORPORATION
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Food Supplies Expenses 103-00-1-00-00-0000 ₱ 657.75

Amount Due ₱ 657.75

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 ₱ 657.75

Cash-MDS, Regular 10104040 ₱ 657.75

To record payment for puchase of food supplies.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: SAVEMORE Date 3/29/2021

Signature :
Savemore
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Drugs and Medicine Expenses 103-00-1-00-00-0000 ₱ 995.25

Amount Due ₱ 995.25

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Drugs and Medicine Expenses 50203070 ₱ 995.25

Cash-MDS, Regular 10104040 ₱ 995.25

To record cash payment for purchase of medicine.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: MERCURY DRUG - COTABATO CITY PLAZA Date 3/29/2021
Signature :
Mercury Drug - Cotabato City Plaza
Official Receipt No. & Date/Other Documents
 HSL AGENCY Fund Cluster : Regular Agency Fund
Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Other Professional Services 103-00-1-00-00-0000 ₱ 450.00

Amount Due ₱ 450.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Professional Services 50211990 ₱ 450.00

Cash-MDS, Regular 10104040 ₱ 450.00

To record cash payment for veterinary services.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: ANIMAL CLINIC Date 3/29/2021

Signature :
Animal Clinic
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Office Supplies Expense 103-00-1-00-00-0000 ₱ 364.36

Amount Due ₱ 364.36

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Offi ce Supplies Expenses 50203010 ₱ 364.36

Cash-MDS, Regular 10104040 ₱ 364.36

To record payment for purchased offi ce supplies.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: FIESTA SHOPPING CENTER Date 3/29/2021

Signature :
Fiesta Shopping Center
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Office Supplies Expense 103-00-1-00-00-0000 ₱ 364.36

Amount Due ₱ 364.36

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Offi ce Supplies Expenses 50203010 ₱ 364.36

Cash-MDS, Regular 10104040 ₱ 364.36

To record payment for purchased offi ce supplies.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: FIESTA SHOPPING CENTER Date 3/29/2021

Signature :
Fiesta Shopping Center
Official Receipt No. & Date/Other Documents
 HSL AGENCY Fund Cluster : Regular Agency Fund
Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Fuel, Oil and Lubricant Expenses 103-00-1-00-00-0000 ₱ 500.00

Amount Due ₱ 500.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fuel, Oil and Lubricant Expenses 50203090 ₱ 500.00

Cash-MDS, Regular 10104040 ₱ 500.00

To record cash payment for fuel.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: DMC PETRON STATION Date 3/29/2021

Signature :
DMC Petron Station
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Medical, Dental and Laboratory Supplies Expenses 103-00-1-00-00-0000 ₱ 590.00

Amount Due ₱ 590.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Medical, Dental and Laboratory Supplies Expenses 50203080 ₱ 590.00

Cash-MDS, Regular 10104040 ₱ 590.00

To record payment for medical and laboratory expenses.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: COTABATO PUERICULTURE & GENERAL HOSPITAL FOUNDATION INC. Date 3/29/2021
Signature :
Cotabato Puericulture Center & General Hospital Foundation, Inc.
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Repairs and Maintenance - Motor Vehicles 103-00-1-00-00-0000 ₱ 10,780.00

Amount Due ₱ 10,780.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance - Motor Vehicle 50213060 ₱ 10,780.00

Cash-MDS, Regular 10104040 ₱ 10,780.00

To record payment for repairs.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: COTABATO KARHOUSE Date 3/29/2021

Signature :
Cotabato Karhouse
Official Receipt No. & Date/Other Documents
 HSL AGENCY Fund Cluster : Regular Agency Fund
Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Office Equipment 103-00-1-00-00-0000 ₱ 2,900.00

Amount Due ₱ 2,900.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Offi ce Equipment 50203210 ₱ 2,900.00

Cash-MDS, Regular 10104040 ₱ 2,900.00

To record purchase of offi ce equipment.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: GOOD 1 COMPUTER MARKETING Date 3/29/2021

Signature :
GOOD 1 COMPUTER MARKETING
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Mobile 103-00-1-00-00-0000 ₱ 20,990.00

Amount Due ₱ 20,990.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Mobile 50205020 ₱ 20,990.00

Cash-MDS, Regular 10104040 ₱ 20,990.00

To record purchase of communication equipment.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: DKT PHONETECH WORLD Date 3/29/2021

Signature :
DKT Phonetech World
Official Receipt No. & Date/Other Documents

HSL AGENCY Fund Cluster : Regular Agency Fund

Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Office Supplies Expense 103-00-1-00-00-0000 ₱ 291.50

Amount Due ₱ 291.50

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Offi ce Supplies Expenses 50203010 ₱ 291.50

Cash-MDS, Regular 10104040 ₱ 291.50

To record payment for purchased offi ce supplies.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: SOUTHSEAS Date 3/29/2021

Signature :
Southseas
Official Receipt No. & Date/Other Documents
 HSL AGENCY Fund Cluster : Regular Agency Fund
Entity Name
Date : March 29, 2021
DISBURSEMENT VOUCHER DV No. : 2021-03-0001

Mode of Payment √ MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.: 02-01101101-2021-03-00001
Payee

Address

Particulars Responsibility Center MFO/PAP Amount

MOOE - Food Supplies Expenses 103-00-1-00-00-0000 ₱ 1,071.65

Amount Due ₱ 1,071.65

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Hazraphine S. Linso
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 ₱ 1,071.65

Cash-MDS, Regular 10104040 ₱ 1,071.65

To record payment for puchase of food supplies.
C. Certified: D. ApprovedApproved for Payment
for Payment
√ Cash available hlinso

Subject to Authority to Debit Account (when applicable)

Supporting documents
Supporting complete
documentsandcomplete
amount and
claimed
amount claimed
proper

Signature hlinso Signature hlinso

Printed Name Printed Name

Hazraphine S. Linso Hazraphine S. Linso

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Date : 3-29-21 Bank Name & Account Number:
Check/ ADA No. :

Date : 3-29-21 Printed Name: SAVEMORE Date 3/29/2021

Signature :
Savemore
Official Receipt No. & Date/Other Documents
 JOURNAL ENTRY VOUCHERS

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Electricity Expenses 50204020 P 5004.00
Cash in Bank-Local Currency, Savings
50205020Account-LBP 5004.00
To record payment of electricity expenses.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Internet Subscription Expenses 50205020 P 1907.00
Cash in Bank-Local Currency, Savings
50205020Account-LBP 1907.00
To record payment of internet subscription expenses.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Water Expenses 50204010 P 600.56
Cash-MDS, Regular 10104040 600.56
To recordpayment for water expenses.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Furniture and Fixtures 10607010 P 19500.00
Cash-MDS, Regular 10104040 19500.00
To recognize purchase of furniture and fixtures.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Mobile 50205020 P 8999.00
Cash-MDS, Regular 10104040 8999.00
To record purchase of communication equipment.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Drugs and Medicine Expenses 50203070 P 2219.50
Cash-MDS, Regular 10104040 2219.50
To record cash payment for purchase of medicine.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Advances to Offi cers and Employees
19901040 P 6000.00
Cash - MDS, Regular 10104040 6000.00
To recognize granting of travel allowance to employees

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Drugs and Medicine Expenses 50203070 P 806.00
Cash-MDS, Regular 10104040 806.00
To record cash payment for purchase of medicine.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Other Professional Services 50211990 P 650.00
Cash-MDS, Regular 10104040 650.00
To record cash payment for veterinary services.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Fuel, Oil and Lubricant Expenses50203090 P 1650.00
Cash-MDS, Regular 10104040 1650.00
To record cash payment for fuel.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Food Supplies Expenses 50203050 P 657.75
Cash-MDS, Regular 10104040 657.75
To record payment for puchase of food supplies.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Drugs and Medicine Expenses 50203070 P 995.25
Cash-MDS, Regular 10104040 995.25
To record cash payment for purchase of medicine.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Other Professional Services 50211990 P 450.00
Cash-MDS, Regular 10104040 450.00
To record cash payment for veterinary services.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Offi ce Supplies Expenses 50203010 P 364.36
Cash-MDS, Regular 10104040 364.36
To record payment for purchased offi ce supplies.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Fuel, Oil and Lubricant Expenses50203090 P 500.00
Cash-MDS, Regular 10104040 500.00
To record cash payment for fuel.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Medical, Dental and Laboratory Supplies P
50203080Expenses 590.00
Cash-MDS, Regular 10104040 590.00
To record payment for medical and laboratory expenses.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Repairs and Maintenance - Motor Vehicle P
50213060 10780.00
Cash-MDS, Regular 10104040 10780.00
To record payment for repairs.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Offi ce Equipment 50203210 P 2900.00
Cash-MDS, Regular 10104040 2900.00
To record purchase of offi ce equipment.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Mobile 50205020 P 20990.00
Cash-MDS, Regular 10104040 20990.00
To record purchase of communication equipment.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit

JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Offi ce Supplies Expenses 50203010 P 291.50
Cash-MDS, Regular 10104040 291.50
To record payment for purchased offi ce supplies.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRY VOUCHER JEV No.: 2021-03-0001

Entity HSL AGENCY Date : 03-29-21

Name :
Fund Regular Agency Fund
Cluster :

Respons ACCOUNTING ENTRIES

ibility UACS Amount
Accounts and Explanation
Center Object Debit Credit
Food Supplies Expenses 50203050 P 1071.65
Cash-MDS, Regular 10104040 1071.65
To record payment for puchase of food supplies.

TOTAL
Prepared by: Certified Correct:

_______________________________ __________________________________
Accounting Personnel Head, Accounting Division/Unit
 JOURNAL ENTRIES
Account Title Account Code Debit Credit

Cash - Modified Disbursement System (MDS),

Regular 10104040 100,000  
Subsidy from the National Government 40301010 100,000
To record receipt of NCA for Regular Agency Fund.      
X Electricity Expenses 50204020 5,004  
1 Internet Subscription Expenses 50205020 1,907  
Cash in Bank-Local Currency, Savings Account-LBP 10102030 6911
To record payment of bills from utility companies.

X
Water Expenses 50204010 600.56  
2 Cash-MDS, Regular 10104040 600.56
To record payment for water expenses.      

X
Furniture and Fixtures 10607010 19,500  
3 Cash-MDS, Regular 10104040 19,500
To recognize purchase of furniture and fixtures.      

X
Mobile 50205020 8,999  
4 Cash-MDS, Regular 10104040 8,999
To record purchase of communication equipment.      

X
Drugs and Medicine Expenses 50203070 2,219.50  
5 Cash-MDS, Regular 10104040 2,219.50
To record cash payment for purchase of medicine.      

X
Advances to Officers and Employees 19901040 6,000  
6 Cash - MDS, Regular 10104040 6,000
To recognize granting of travel allowance to employees    

X
Drugs and Medicine Expenses 50203070 806  
7 Cash-MDS, Regular 10104040 806
To record payment for purchase of medicine.      

X
Other Professional Services 50211990 650  
8 Cash-MDS, Regular 10104040 650
To record cash payment for veterinary services.      

X
Fuel, Oil and Lubricant Expenses 50203090 1,650  
9 Cash-MDS, Regular 10104040 1,650
To record cash payment for fuel.      

X
Food Supplies Expenses 50203050 657.75  
10 Cash-MDS, Regular 10104040 657.75
To record payment for puchase of food supplies.      

X Drugs and Medicine Expenses 50203070 995.25  

 11 Cash-MDS, Regular 10104040 995.25
To record payment for purchase of medicine.      

X
Other Professional Services 50211990 450  
12 Cash-MDS, Regular 10104040 450
To record cash payment for veterinary services.      

X
Office Supplies Expenses 50203010 364.36  
13 Cash-MDS, Regular 10104040 364.36
To record payment for purchased office supplies.      

X
Fuel, Oil and Lubricant Expenses 50203090 500  
14 Cash-MDS, Regular 10104040 500
To record cash payment for fuel.      

X
Medical, Dental and Laboratory Supplies Expenses 50203080 590  
15 Cash-MDS, Regular 10104040 590
To record payment for medical and laboratory expenses.    

X
Repairs and Maintenance - Motor Vehicle 50213060 10,780  
16 Cash-MDS, Regular 10104040 10,780
To record payment for repairs.      

X
Office Equipment 50203210 2,900  
17 Cash-MDS, Regular 10104040 2,900
To record purchase of office equipment.      

X
Mobile 50205020 20,990  
18 Cash-MDS, Regular 10104040 20,990
To record purchase of communication equipment.      

X
Office Supplies Expenses 50203010 291.5  
19 Cash-MDS, Regular 10104040 291.5
To record payment for purchased office supplies.      

X
Food Supplies Expenses 50203050 1,071.65  
20 Cash-MDS, Regular 10104040 1,071.65
To record payment for purchase of food supplies.