Republic of Philippines

DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
North Luzon Glass Supplies

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of repairs $7,1
and maintenance 40
of motor vehicle

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Cudal Motor Works

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of repairs $3,5
and maintenance 00
of motor vehicle

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Canon Mktg.

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of office $10,
supplies and 935
materials

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
City Government Cauayan City

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $5,0
representation 00
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
DZYG Bombo Radio

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $28,
advertising 900
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
RBC Cable Master

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $5,0
advertising 00
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
R. Obrero

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $2,9
60
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
D. Iringan

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $6,2
40
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Atty. D. Pagulo

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of
extraordinary/ $14,
166
miscellaneous
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Consumers Appliance Traders

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of rent $40,
000
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
E. Geronimo

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $1,0
40
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
N. Pimentel

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $1,4
70
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
R. Cayabyab

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $500
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
T. Alonzo

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
payment of $2,7
20
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Atty. D. Paguio

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
$6,0
payment of 81.2
traveling expense 8

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
L. Castro

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
$22,97
replenishment of
4.32
Petty Cash Fund

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
$384,77
payment of 6.75

salaries

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
T. Perez

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate
$5,9
payment of
40
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
T. Perez

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate $73,46
payment of printer 1.05

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
R. Barrera

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,502
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
W. Rodriguez

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of rent

$8,800
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
L. Cordova

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of office

$720
supplies

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
A. Argonza

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,000
telephone expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
F. Daquioag

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of rent

$17,000
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Metro Tuguegarao Water District

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of water

$438.15
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Region Security and Investigation Agency

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$93,998.47
security services

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
R. Diaz

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,120
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
V. Babaran

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of rent

$102,575
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
M. Mayor

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$2,155
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
DWRV

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$4,000
advertising expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
V. Camay

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$5,656.09
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
N. Cruz

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$3,890
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
A. Argonza

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$300
gasoline expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
RDIJ Caltex Station

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of $22,157.84

gasoline expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Four Child Enterprises

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of office

$4,725
supplies

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
I. Que

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of $384,776.75

salaries

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
O. Ong

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,630
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
A. Monzon

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,200
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
B. De Jesus

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,615
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
RL Juliano Advertising

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$2,500
advertising expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Tug. LB Mart

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of office $39,256.50

supplies

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Adilynne’s Gen. Merchandise

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of office

$963
supplies

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Alejandra Enterprises

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of office

$1,000
supplies

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
S. Santos

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$860
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Agdamag Newsstand

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,965
subscription expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
Republic of Philippines
DEPARTMENT LMO
Tuguegarao City
 OBLIGATION REQUEST No.

Payee
R. Guzman

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$349
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
GMA Network

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$4,500
advertising expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
E. Manuel

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$ 1,760
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
A. Monzon

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,104
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
L. Macapagal

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$263
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Cagelco II - Aparri

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$5,711.21
electricity expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Aparri Water District

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of water

$457.55
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Digitel – ADSL Solano

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$6,720
telephone expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
J. Foronda

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,380
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
F. Luyun

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of rent

$24,689
expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
L. Que

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of $384,776.75

salaries

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
A. Argonza

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate replenishment of
$17,089.15
Petty Cash Fund

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Phil Post

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$85,083
postage and delivery

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
A. Burgos

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$2,695
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
E. Solomon

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$2,148
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Atty. D. Paguio

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,030
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Smart Communication

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$4,090.15
telephone expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Cagelco I

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$83,754.20
electricity expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
L. Que

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate replenishment of $10,645.25

Petty Cash Fund

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Region Security

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$93,023.36
security services

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
M. Ablaza

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$2,566
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
R. Gerrarado

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$2,352
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
M. Lumalay

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$1,344
traveling expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Digitel

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$16,206.08
telephone expense

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
Gakken Phils

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
repairs and maintenance of $10,000

office equipment

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee
L. Que

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of
$384,776.75
salaries

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date
 Republic of Philippines
DEPARTMENT LMO
Tuguegarao City

OBLIGATION REQUEST No.

Payee

Office

Address
Responsibility Account
Particulars P.P.A. Amount
Center Code

To obligate payment of $

Total
A Certified B Certified
Charges to appropriation necessary, lawful Allotment available and obligated for the purpose as
and under my direct supervision indicated above
Supporting documents valid, proper and legal

Signature Signature

Printed Name Printed Name

Position Head, Requesting, Office/Authorized Representative Position Head, Budget Unit/Authorized Representative
Date Date