Republic of the Philippines

CENTRAL MINDANAO UNIVERSITY

University Town, Musuan, Bukidnon

DISBURSEMENT VOUCHER No.

Mode of Payment MDS Check Commercial Check ADA Others

TIN/Employee No. OR/BUS No.

Payee CEASARLICA S. MINGUITA

Responsibility Center
Address Central Mindanao University Office/Unit/Project: College of Nursing Code

EXPLANATION AMOUNT

To pay the domestic airfare of Mr. Emelio Navaja, Ms. Jernafernagen 37,449.00
Jupakkal and Ms. Maria Jamellah Celeste Magalona to Manila in attending the DBM
Orientaion on the 2016 Budget Preparation and the Updated GMIS Web-Based
Application System on March 10-13, 2015.

Attached: Statement of Account

E-tickets
Travel Order
PASUC Advisory Letters

37,449.00
A Certified B Approved for Payment
Supporting documents complete and proper
Cash Available
Subject to ADA, when applicable

Signature Signature
Printed Name VIOLETO D. AYUBAN Printed Name MARIA LUISA R. SOLIVEN, PhD
Position OIC, Accounting Office Position President
Date Date
C
C Received Payment JEV No.
Check/ADA Bank Name
No.
Printed Name Date
Signature
 ITINERARY OF TRAVEL

Entity Name : Central Mindanao University

Fund Cluster :GF-MOOE-Research
Name : Ceassarlica S. Minguita Date of Travel : May 23, 2019 unti
Position : Purpose of Travel : Attended the 2019 annual Philip
Official Station : College of Nursing Academy of Science & Engineering (PAASE) M
Symposium (APAMS)held at Century Park Hotel, M
Places to be visited TIME Means of Transport- Per
Date
(Destination) Departure Arrival Transportation ation Diem

5-23-2019 CMU Musuan - Cagayan 8:00 a.m 12:00 NN. Bus 200.00

5-23-2019 Agora – Laguindingan Airport Taxi 500.00

5-23-2019 Laguindingan Airport - NAIA Airplane

05/23/19 NAIA - Century Park Hotel, Taxi 300.00

Manila

05/25/19 Century Park Hotel - NAIA Taxi 300.00

5-25-2019 NAIA - Laguindingan Airport Airlpane

5-25-2019 Laguindingan Airport - Agora Taxi 600.00

05/25/19 Agora – CMU Musuan Bus 220.00

TOTAL 2,120.00
 Prepared by :

I certify that : (1) I have reviewed the foregoing

itinerary, (2) the travel is necessary to the DECHY LYN B. PALMA
service, (3) the period covered is reasonable and Signature over Printed Name
(4) the expenses claimed are proper.
Approved by:

LUZVIMINDA T. SIMBORIO, Ph.D. JESUS ANTONIO G. DERIJE

Signature over Printed Name Signature over Printed Name
VP for Research and Extension Agency Head/Authorized Representative
 No.: ______________
y 23, 2019 until May 24, 2019
19 annual Philippines – American
ering (PAASE) Meeting and
y Park Hotel, Manila, Philippines
Total
Others
Amount

200.00

300.00

300.00

600.00

600.00

220.00

2,120.00
A
ame

RIJE
ame
esentative
 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY Acct. 1 416-196
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee CEASARLICA S. MINGUITA

Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING

Responsibilit
Particulars MFO/PAP Amount
y Center

Payment for the IERC Fees of the research project under

DOST_PCHRD Fund entotled " Psychosocial Problems of Inter-
Agency Disaster Respondents: The Case of Marawi Siege" Acct 1 416-196Acct 1 416-196 15,000.00
The Nec has application fee of Php 5,000.00 and the review fee of Marawi Marawi
Php 10,000.00. Siege Siege

Amount Due 15,000.00

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

ALAN P. DARGANTES
VP for Research and Extension

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed

proper

Signature Signature
Printed
Name MARIA JAMELLA CELESTE M. MAGALONA Printed Name JESUS ANTONIO G. DERIJE

Chief, Accounting Unit President

Position Position
 Position Position
Head, Accounting Unit/Authorized Representative Agency Head/
Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

.
 BUDGET UTILIZATION REQUEST AND STATUS Serial No.02-308601-2019
Central Mindanao University Date :
Fund O7

Payee CEASARLICA S. MINGUITA

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility
Particulars MFO/PAP Code/ Amount
Center
Expenditures

Acct 1 416-196 To Cash Advance for the 2 days training expenses Acct 1 416-196 40,000.00
Marawi with materials for 3 persons in purchasing the NVivo Marawi
Siege software of the research project under DOST - PCHR Siege
Fund entitled " Psychosocial Problems of Inter - Agen
Disaster Respondents: The Case of Marawi Siege"
in the amount of….

Total 40,000.00
A. CertifieCharges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : JUPITER V. CASAS Printed Name : CHARLIE A. MUNDAL
Position : Director of Research Position : Chief, Budget Unit
Head, Budget
Head, Requesting Office/Authorized Representative Division/Unit/Authorized
Representative
Date : Date :

C. STATUS OF UTILIZATION

Reference Amount

Balance
 BURS/JEV/RCI/R Due and
Date Particulars Utilization Payable PaymentNot Yet Due
ADAI/RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

Cash Advance for

the training in 40,000.00

purchasing Nvivo
Software
 BUDGET UTILIZATION REQUEST AND STATUS Serial No.: 02-308601-2019
Central Mindanao University Date :
Fund : 07

Payee IERC
Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING

UACS Object
Responsibility
Particulars MFO/PAP Code/ Amount
Center
Expenditures

ACCOUNT I To obligate the payment for the IERC fees ACCOUNT I 02-02-01-050 15,000.00
(416 -196) of the research project under DOST (416 -196)
MARAWI SIEGE) PCHRD Fund entitled : Psychosocial MARAWI SIEGE)
Problems of Inter - Agency Disaster
Respondents: The Case of Marawi Siege"
The NEC has application fee of
Php 5,000.00 and the review fee of
Php 10,000.00

Break down:
Representation Expenses - Php 5,000.00
IERC Fees - Php 10,000.00

Total 15,000.00
A. Certified:Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : CEASARLICA S. MINGUITA Printed Name : CHARLIE A. MUNDAL
Position : Project Leader Position : Chief, Budget Unit
Head, Requesting Office/ Head, Budget Division/Unit/
Authorized Representative Authorized Representative
Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
Due and
BURS/JEV/RCI/R
Date Particulars Utilization Payable Payment Not Yet Due
ADAI/RTRAI No.
Demandable
(a) (b) ( c) (a-b) (b-c)

The NEC
application fee Php 15,000.00
of Php 5,000.00
and review fee
of Php 10,000.00
 BUDGET UTILIZATION REQUEST AND STATUS
Central Mindanao University

Payee DOMAGSANG, PILAR et.al.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NUR
Responsibility
Particulars
Center

To obligate the full compensation for the services

rendered by the Faculty in the College of Nursing for
the period covered from Midyear S.Y. 2019 - 2020
during their Related Learning Experience (RLE)
Learning Experience (RLE) Duty in the amount of…………
A. Certified: Charges to budget necessary, lawful
and under my direct supervision; and supporting
documents valid, proper and legal

Signature :
Printed Name : PILAR V. DOMAGSANG, RN MAN
Position : Dean, College of Nursing

Head, Requesting Office/Authorized Representative

Date :

C. STATUS OF UTIL
Reference

BURS/JEV/R
Date Particulars CI/RADAI/RT
RAI No.

Mid Year 2019

RLE Extension Duty
CMU-F-4-BUD-006
TILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date
Fund

G, PILAR et.al.
F NURSING
NDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object Code/
Particulars MFO/PAP
Expenditures

the full compensation for the services

he Faculty in the College of Nursing for
ered from Midyear S.Y. 2019 - 2020
elated Learning Experience (RLE)
erience (RLE) Duty in the amount of…………
 dget necessary, lawful B. Certified:
sion; and supporting for the purpose/adjustment neces
indicated above

Signature :
MAGSANG, RN MAN Printed Name :
Position :

questing Office/Authorized Representative

Date :

STATUS OF UTILIZATION
Amount

Utilization Payable Payment

(a) (b) ( c)

142,260.00
01 October 2016
 :
: RLE - Honorarium

Object Code/
Amount
penditures

142,260.00
 142,260.00
Budget available and utilized

/adjustment necessary as

CHARLIE A. MUNDAL
Chief, Budget Unit
Head, Budget
Division/Unit/Authorized
Representative

Balance
Due and
Payment Not Yet Due
Demandable
( c) (a-b) (b-c)
Rev. 0
 CENTRAL MINDANAO UNIVERSITY

DISBURSEMENT VOUCHER

Mode of Payment MDS Check ADA Others (Please specify)

TIN/Employee No.:
Payee CEASARLICA S. MINGUITA, et.al

Address Central Mindanao University, College of Nursing

Particulars Responsibility Center

To Cash Advance for the transportation

fee and Per Diem Expenses of Ms. Ceasalica College of Nursing
S. Minguita and Mr. Al Duane B. Ungab for the
Clinical training in special areas of Southern
Philippine Medical Center on July 29 to August
9, 2019 in the amount of….

Attached:

Approved travel Order

Approved Communication
Itinerary of travel
Breakdown of Expenses

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

PILAR V. DOMAGSANG, RN, MAN

Dean, College of Nursing
B. Accounting Entry:
Account Title UACS Code

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable) TWENTY ONE THOUSAND AND

Supporting documents complete and amount claimed PESOS ONLY

proper 21, 200.00

Signature Signature
Printed Name DYNNITH F. SUABERON, CPA Printed Name
Chief, Accounting Unit
Position Position
Head, Accounting Unit/Authorized Representative
Date Date
E. Receipt of Payment
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name:
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016

 Fund Cluster:
STF-MOOE-RLE
Date:
DV No. :

Others (Please specify)

ORS/BURS No.:

MFO/PAP Amount

21, 200.00

21, 200.00
 UACS Code Debit Credit

Approved for Payment

TWENTY ONE THOUSAND AND TWO HUNDRED

PESOS ONLY
21, 200.00

JESUS ANTONIO G. DERIJE

President
Agency Head/Authorized Representative

JEV No.
e & Account Number:

Date

Rev. 0
 BUDGET UTILIZATION REQUEST AND STATUS
Central Mindanao University

Payee International Energy Research Centre (IERC)

Office
Address PCHRD, Executive Lounge, DOST Complex, Gen. Santos Ave., Bicutan
Responsibility Center Particulars

Acct 1 416-196 To obligate the payment for the IERC Fees of the research project
Marawi under DOST-PCHRD Fund entitled " Psychosocial Problems of Inter-
Siege Agency Disaster Respndents: The Case of Marawi Siege"
The Nec has aspplication fee of Php 5,000.00 and the review fee of
Php 10,000.00

Total
A. Certified: Charges to budget necessary, lawful
 and under my direct supervision; and supporting
documents valid, proper and legal

Signature :
Printed Name : CEASARLICA S. MINGUITA
Position : Project Leader

Head, Requesting Office/Authorized Representative

Date :

C. STATUS OF UTILIZATI
Reference

BURS/JEV/RCI
Date Particulars /RADAI/RTRAI
No.

IERC Fees
LIZATION REQUEST AND STATUS Serial No. :
ntral Mindanao University Date :
Fund :

Research Centre (IERC)

ounge, DOST Complex, Gen. Santos Ave., Bicutan, Taguig City

UACS Object Code/
Particulars MFO/PAP
Expenditures

yment for the IERC Fees of the research project Acct 1 416-196
Fund entitled " Psychosocial Problems of Inter- Marawi
pndents: The Case of Marawi Siege" Siege
ation fee of Php 5,000.00 and the review fee of

ecessary, lawful B. Certified: Budget available a

supporting for the purpose/adjustment necessary a
indicated above

Signature :
CEASARLICA S. MINGUITA Printed Name : CHARLIE A.
Project Leader Position : Chief, Bud
Head, B
uesting Office/Authorized Representative Division/Unit/
Represe
Date :

STATUS OF UTILIZATION
Amount

Utilization Payable Payment

(a) (b) ( c)

15,000.00
 02-308601-2019

O7

Amount

15,000.00

15,000.00
dget available and utilized
ecessary as

HARLIE A. MUNDAL
Chief, Budget Unit
Head, Budget
vision/Unit/Authorized
Representative

Balance
Due and
Not Yet Due
Demandable
(a-b) (b-c)
 PAYROLL
For the period June 10 to July 19, 2019 MID

Entity Name : Central Mindanao University, College of Nursing

Fund Cluster : RLE
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

COMPENSATIONS

Serial No. Name Position Employee No. No. of

Rate per
Hours
Hour
Rendered
1 Canada, Mila C. Part Time A-0719-CMC 160 145
2 Espina, Neda Joy L. Part Time H-1318-ENL 224 160
3 Itable, Emvie Loyd P. Part Time K-1215-IEP 160 160
4 Sagpang, Fanny Ludz Q. Part Time H-0717-SFQ 104 160
5 Sanchez, Lal Joy L. Part Time H-0118-SSL 164 160
6 Taal, Geobelle I. Part Time B-0819-TGI 164 160

A CERTIFIED: Services duly rendered as stated. C

PILAR V. DOMAGSANG, RN, MAN.

Signature over Printed Name of Authorized Date
Official

B CERTIFIED: Supporting documents complete and proper; and cash available D

in the amount of P _______________.

MARIA JAMELLAH CELESTE M. MAGALONA

(Signature over Printed Name) Date
Head of Accounting Division/Unit
 PAYROLL
e 10 to July 19, 2019 MIDYEAR 2019

Payroll No. : 1
Sheet 1 of 1 Sheets
riod covered.

COMPENSATIONS DEDUCTIONS
Creditable Net Amount Due Signature of Recipient
Gross Amount Total
Witholding
Earned Deductions
Tax
23,200.00 20% 4,640.00 18,560.00
35,840.00 20% 7,168.00 28,672.00
25,600.00 20% 5,120.00 20,480.00
16,640.00 20% 3,328.00 13,312.00
26,240.00 20% 5,248.00 20,992.00
26,240.00 20% 5,248.00 20,992.00
153,760.00 30,752.00 123,008.00

APPROVED FOR PAYMENT: _________________________________________________

JESUS ANTONIO G. DERIJE

(Signature over Printed Name) Date
Head of Agency/Authorized
Representative

CERTIFIED: Each employee whose name appears on the E

payroll has been paid the amount as indicated opposite his/
her name ORS/BURS No. : _________
Date : _________________
JOSEPHINE BONGHANOY JEV No. : ______________
(Signature over Printed Name) Date : _________________
Disbursing Officer
 BUDGET UTILIZATION REQUEST AND STATUS
Central Mindanao University

Payee PALMA, DECHY LYN B.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
Responsibility Center Particulars MFO/PAP

ACCOUNT I To obligate salary for the period of ACCOUNT I

(416 - 196 August 1-15, 2019 in amount of . . . (416 - 196
MARAWI SIEGE) MARAWI SIEGE)

Total
A. Certified: Charges to budget necessary, lawful B. Certified:
and under my direct supervision; and supporting for the purpose/adjustment nece
documents valid, proper and legal indicated above

Signature : Signature
Printed Name : CEASARLICA S. MINGUITA Printed Name
Position : Project Leader Position

Head, Requesting Office/Authorized Representative

Date : Date

C. STATUS OF UTILIZATION
Reference Amount

BURS/JEV/RCI/RAD
Date Particulars Utilization Payable
AI/RTRAI No.

(a) (b)

CMU-F-4-BUD-006 01 October 2016

 Serial No. : : 02-308601-2019-8
Date :
Fund :07

UACS Object Code/

Amount
Expenditures

02-02-01-050 7,604.40

7,604.40
Budget available and utilized
for the purpose/adjustment necessary as
indicated above

:
: CHARLIE A. MUNDAL
 : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Representative

ATION
Amount
Balance
Due and
Payment Not Yet Due
Demandable
( c) (a-b) (b-c)

Rev. 0
 PAYROLL
For the period of August 1-15, 2019

Entity Name : PALMA, DECHY LYN B.

Fund Cluster : ACCOUNT I. 416 - 196 MARAWI SIEGE
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

COMPENSATIONS

Employee Salaries
Serial No. Name Position
No. and wages- Rate per quencena
regular

1 Palma, Dechy Lyn B. Science aide 15,208.80 7,604.40

A CERTIFIED: Services duly rendered as stated. C

CEASARLICA S. MINGUITA
Signature over Printed Name of Authorized Date
Project Leader

B CERTIFIED: Supporting documents complete and proper; and cash available D

in the amount of P _______________.

MARIA JAMELLAH CELESTE M. MAGALONA

(Signature over Printed Name) Date
Head of Accounting Division/Unit

ACCOUNT I. 416 - 196 MARAWI SIEGE

AYROLL
of August 1-15, 2019

Payroll No. : 1
Sheet 1 of 1 Sheets

ENSATIONS DEDUCTIONS
Net
Gross Creditable Amount Signature of Recipient
Total
Amount Witholding Due
Deductions
Earned Tax

7,604.40 7,604.40

7,604.40 7,604.40

APPROVED FOR PAYMENT: _________________________________________________

___________________________________________

JESUS ANTONIO G. DERIJE

(Signature over Printed Name) Date
President

CERTIFIED: Each employee whose name appears on the E

payroll has been paid the amount as indicated opposite his/
her name ORS/BURS No. : _________
Date : _________________
JOSEPHINE BONGHANOY JEV No. : ______________
(Signature over Printed Name) Date : _________________
Disbursing Officer

6 - 196 MARAWI SIEGE

 PAYROLL
For the period of June 10 to July 19, 2019, Midye

Entity Name : Central Mindanao University, College of Nursing

Fund Cluster : RLE
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

COMPENSATIONS

Serial No. Name Position Employee No. No. of

Rate per
Hours
Hour
Rendered
1 Domagsang, Pilar V. Instructor III F-127-DPV 108 160
2 Intong, Ellen Gay S. Assist. Prof I H-2495-IES 224 160
3 Painagan, Theresa Linda N. Instructor ! H-0816-NTC 168 160
4 Minguita, Ceasarlica S. Assist. Prof. II K-0606-MCS 116 145
5 Soliven, Mae Dayanne M. Instructor I B-2313-SMM 168 160
6 Ungab, Al Duane B. Instructor I H-0816-UAB 116 160

A CERTIFIED: Services duly rendered as stated. C

PILAR V. DOMAGSANG, RN MAN

Signature over Printed Name of Authorized Date
Official

B CERTIFIED: Supporting documents complete and proper; and cash available D

in the amount of P _______________.

MARIA JAMELLAH CELESTE M. MAGALONA

(Signature over Printed Name) Date
Head of Accounting Division/Unit
 PAYROLL
to July 19, 2019, Midyear of S.Y. 2019- 2020

Payroll No. : 1
Sheet 1 of 1 Sheets

COMPENSATIONS DEDUCTIONS
Creditable Net Amount
Gross Amount Total Signature of Recipient
Witholding Due
Earned Deductions
Tax
17,280.00 25% 4,320.00 12,960.00
35,840.00 25% 8,960.00 26,880.00
26,880.00 20% 5,376.00 21,504.00
16,820.00 25% 4,205.00 12,615.00
26,880.00 20% 5,376.00 21,504.00
18,560.00 20% 3,712.00 14,848.00

142,260.00 31,949.00 110,311.00

APPROVED FOR PAYMENT: _________________________________________________

JESUS ANTONIO G. DERIJE

(Signature over Printed Name) Date
Head of Agency/Authorized
Representative

CERTIFIED: Each employee whose name appears on the E

payroll has been paid the amount as indicated opposite his/
her name ORS/BURS No. : _________
Date : _________________
JOSEPHINE BONGHANOY JEV No. : ______________
(Signature over Printed Name) Date : _________________
Disbursing Officer
 CENTRAL MINDANAO UNIVERSITY

DISBURSEMENT VOUCHER

Mode of Payment MDS Check ADA Others (Please specify)

TIN/Employee No.:
Payee JOSHUA E. WAMINAL

Address Central Mindanao University, College of Nursing

Particulars Responsibility Center MFO/PAP

To Reimburse the amount alloted for 1 day

official business travel of Mr. Joshua E. Waminal College of Nursing
for data gathering in different municipalities of
Bukidnon, specially in manolo Fortich last
June 15, 2019 in the aount of……

Attached:

Approved travel Order

Approved Communication
Itinerary of travel
Bus Tickets
Certificate of Apperance
Travel Report

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

PILAR V. DOMAGSANG, RN, MAN

Dean, College of Nursing
B. Accounting Entry:
Account Title UACS Code

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable) ONE THOUSAND AND TWO HUNDR

Supporting documents complete and amount claimed PESOS ONLY

proper 1,210.00

Signature Signature
Printed Name 8888 Printed Name JESUS ANTONI
Chief, Accounting Unit Presid
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authoriz
Date Date
E. Receipt of Payment
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name:
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016

 Fund Cluster:
STF-MOOE-RLE
Date:
DV No. :

Others (Please specify)

ORS/BURS No.:

MFO/PAP Amount

1,210.00

1,210.00
 Debit Credit

for Payment

USAND AND TWO HUNDRED TEN

1,210.00

JESUS ANTONIO G. DERIJE

President
Agency Head/Authorized Representative

JEV No.

Date

Rev. 0
 CENTRAL MINDANAO UNIVERSITY

DISBURSEMENT VOUCHER

Mode of Payment MDS Check ADA Others (Please specify)

TIN/Employee No.:
Payee CEASARLICA S. MINGUITA

Address Central Mindanao University, College of Nursing

Particulars Responsibility Center MFO/PAP

To Cash Advance for the transportation

fee and Per Diem Expenses of Ms. Ceasalica College of Nursing
S. Minguita and Mr. Al Duane B. Ungab for the
Clinical training in special areas of Southern
Philippine Medical Center on July 29 to August
6, 2019 in the amount of….

Attached:

Approved travel Order

Approved Communication
Itinerary of travel
Breakdown of Expenses

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

PILAR V. DOMAGSANG, RN, MAN

Dean, College of Nursing
B. Accounting Entry:
Account Title UACS Code

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable) FIVE THOUSAND AND NINE HUNDRED TW

Supporting documents complete and amount claimed PESOS ONLY

proper 5,920.00

Signature Signature
Printed Name MARIA JAMELLAH CELESTE M. MAGALONA Printed Name JESUS ANTONIO G. D
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Rep
Date Date
E. Receipt of Payment
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name:
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016

 Fund Cluster:
STF-MOOE-RLE
Date:
DV No. :

Others (Please specify)

ORS/BURS No.:

MFO/PAP Amount

5,920.00

5,920.00
 Debit Credit

for Payment

USAND AND NINE HUNDRED TWENTY

5,920.00

JESUS ANTONIO G. DERIJE

President
Agency Head/Authorized Representative

JEV No.

Date

Rev. 0
 BUDGET UTILIZATION REQUEST AND STATUS
Central Mindanao University

Payee AL DUANE B. UNGAB

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
Responsibility
Particulars
Center

To Cash Advance for the transportation

fee and Per Diem Expenses of Ms. Ceasalica
S. Minguita and Mr. Al Duane B. Ungab for the
Clinical training in special areas of Southern
Philippine Medical Center on July 31 to August
6, 2019 in the amount of….
 Total
A. Certified: Charges to budget necessary, lawful
and under my direct supervision; and supporting
documents valid, proper and legal

Signature :
Printed Name : PILAR V. DOMAGSANG
Position : Dean, College of Nursing

Head, Requesting Office/Authorized Representative

Date :

C. STATUS OF UTILIZATI
Reference

BURS/JEV/RCI/R
Date Particulars
ADAI/RTRAI No.

Cash Advance for

Clinical Training is
SPMC, July 31 to
August 6, 2019

.
.
.
 .
.
.
CMU-F-4-BUD-006
ILIZATION REQUEST AND STATUS Serial No. :
entral Mindanao University Date :
Fund :

NAO UNIVERSITY, COLLEGE OF NURSING

UACS Object Code/
Particulars MFO/PAP
Expenditures

ce for the transportation

Expenses of Ms. Ceasalica
. Al Duane B. Ungab for the
special areas of Southern
Center on July 31 to August
unt of….
 necessary, lawful B. Certified: Budget available and utilized

n; and supporting for the purpose/adjustment necessary as

indicated above

Signature :
Printed Name : CHARLIE A. MUNDA
Position : Chief, Budget Unit
Head, Budget
Division/Unit/Authorize
esting Office/Authorized Representative Representative

Date :

STATUS OF UTILIZATION
Amount

Utilization Payable Payment

(a) (b) ( c)

5,920.00
01 October 2016
STF-MOOE-RLE

Amount

5,920.00
 5,920.00
Budget available and utilized

ment necessary as

CHARLIE A. MUNDAL
Chief, Budget Unit
Head, Budget
Division/Unit/Authorized
Representative

Balance
Due and
Not Yet Due
Demandable
(a-b) (b-c)
Rev. 0
 ITINERARY OF TRAVEL

Entity Name : Central Mindanao University

Fund Cluster : STF-MOOE-RLE
Name : Al Duane B. Ungab Date of Travel : July 31 to August 6, 20
Position : Purpose of Travel : Clinical training in spec
Official Station : College of Nursing of Southern Philippie Medical Center.

Places to be visited TIME Means of Transport- Per

Date
(Destination) Departure Arrival Transportation ation Diem

July 28, 2019 CMU to Davao City 8:00 AM Personal Vehicle 400.00 800.00

July 29 to
August 2, 2019 SPMC, TRAINING 4,000.00

August 3, 2019 Davao City to CMU 1:00 PM 3:00 PM Personal Vehicle 400.00 320.00

TOTAL 800.00 5,120.00

Prepared by :
 I certify that : (1) I have reviewed the foregoing
itinerary, (2) the travel is necessary to the JECHELLE G. PUERTO
service, (3) the period covered is reasonable and Signature over Printed Name
(4) the expenses claimed are proper.
Approved by:

PILAR V. DOMAGSANG JESUS ANTONIO G. DERIJE

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 No.: ______________
31 to August 6, 2019
cal training in special areas

Total
Others
Amount

1,200.00

4,000.00

500.00

5,920.00
TO
ame

RIJE
ame
esentative
 ITINERARY OF TRAVEL

Entity Name : Central Mindanao University

Fund Cluster : STF-MOOE-RLE
Name : Ceasarlica S. Minguita Date of Travel : July 31 to August 6, 20
Position : Purpose of Travel : Clinical training in spec
Official Station : College of Nursing of Southern Philippie Medical Center.

Places to be visited TIME Means of Transport- Per

Date
(Destination) Departure Arrival Transportation ation Diem

July 28, 2019 CMU to Davao City 8:00 AM Personal Vehicle 400.00 800.00

July 29 to
August 2, 2019 SPMC, TRAINING 4,000.00

August 3 , 2019 Davao City to CMU 1:00 PM 3:00 PM Personal Vehicle 400.00 320.00

TOTAL 800.00 5,120.00

Prepared by :
 I certify that : (1) I have reviewed the foregoing
itinerary, (2) the travel is necessary to the JECHELLE G. PUERTO
service, (3) the period covered is reasonable and Signature over Printed Name
(4) the expenses claimed are proper.
Approved by:

PILAR V. DOMAGSANG JESUS ANTONIO G. DERIJE

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 No.: ______________
31 to August 6, 2019
cal training in special areas

Total
Others
Amount

1,200.00

4,000.00

500.00

5,920.00
TO
ame

RIJE
ame
esentative
 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee JOSHUA E. WAMINAL

Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING

Responsibility
Particulars MFO/PAP Amount
Center

To Reimburse the amoutn alloted for a 1 day College of Nursing

official business travel of Mr. Joshua E. Waminal
for data gathering in different municipalities of 1,210.00
Bukidnon, specifically in Manolo Fortich last
June 15, 2019 in the amount of ……
.
Attached:
Approved Communication
Approved Travel Order
Approved Itinerary of travel
Bus Tickets
Certification of Appearance
Travel Report

Amount Due 1,210.00

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

PILAR V. DOMAGSANG
Dean, College of Nursing

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) ONE THOUSAND AND TWO HUNDRED TEN

Supporting documents complete and amount claimed 1,210.00

proper

Signature Signature
Printed
Name
MARIA JAMELLAH CELESTE M. MAGALONA Printed Name JESUS ANTONIO G. DERIJE
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund : GF-MOOE

Payee JOSHUA E. WAMINAL

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To Reimbursed the amount alloted for the 1 day

Official Business Travel of Mr. Joshua E. Waminal
for data gathering in different municipalities of 1,210.00
Bukidnon, specifically in Manolo Fortich last
July 15, 2019 in the amount of…….

Total 1,210.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative
Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

1 Day Official Business

of Mr. Joshua E. Waminal 1,210.00
at Manolo Fortich

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 ITINERARY OF TRAVEL

Entity Name : Central Mindanao University

Fund Cluster : GF-MOOE No.: ____________
Name : Joshua E. Waminal Date of Travel : July 15, 2019
Position : RA Assistant Purpose of Travel : Data Gathering in different
Official Station : College of Nursing Municipalities in Bukidnon specifically in Manolo Fortich,
Bukidnon.
Places to be visited TIME Means of Transport- Per
Date Others
(Destination) Departure Arrival Transportation ation Diem

7-15-2019 Valencia City to Manolo Fortich 5:00 AM 8:00 AM Bus 185.00 20.00

7-15-2019 Data Gathering 8:30 AM 5:00 AM 800.00

7-15-2019 Manolo Fortich to Valencia City 5:30 PM 8:00 PM Bus 185.00 20.00

TOTAL 370.00 800.00 40.00

Prepared by :
 I certify that : (1) I have reviewed the foregoing
itinerary, (2) the travel is necessary to the JOSHUA E. WAMINAL
service, (3) the period covered is reasonable and Signature over Printed Name
(4) the expenses claimed are proper.
Approved by:

DONALD G. CAMATURA JESUS ANTONIO G. DERIJE

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 ______________

in different
Manolo Fortich,

Total
Amount

205.00

800.00

205.00

1,210.00
 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee MACYS TRAVEL & TOURS

Address Marcys Enterprises, R. Palma Street, Poblacion, Valencia City

Responsibility
Particulars MFO/PAP Amount
Center

To obligate payment for the Plane Tickets of Ms.

Pilar V. Domagsang and Mr. Donald G. Camatura
during their travel as Official Time last August 29 - College of Nursing 34,241.00
September 5, 2018 at Jakarta, Indonesia to present
research paper during the 460th International
Conferences on Medical and Health Science,
Conduct Public Lecture and Coordination meeting
with Universitas Indonesia on the MOU for the
student exchange program in the amount of . . . .
Less: 2% - 684.82 -1,712.05
3% - 1,027.23
Attached:
Statement of Account of Macys BIR 2306
Approved Communication BIR 2307
Approved Travel Order
Plane Tickets
Travel Report
Acceptance Letter
Amount Due 32,528.95
A. Certified: Expenses/Cash Advance necessary, lawful, and incurred under my direct supervision.

JUDITH D. INTONG, Ph.D.

VP - Academic Affairs

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) THIRTY TWO THOUSAND FIVE HUNDRED

Supporting documents complete and amount claimed TWENTY EIGHT & NINETY FIVE CENTAVOS ONLY
proper 32, 528.95

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name MARIA LUISA R. SOLIVEN, Ph.D.
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY STF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee MAGTULIS, RODERIC JOHN R. et.al.

Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING

Responsibility
Particulars MFO/PAP Amount
Center

To Reimbursed the said amount for the travel fare

of 6 Nursing Student for Student Exchange Program College of Nursing 15,000.00
Activities on Nov. 12 - 28, 2018 at Universitas Indonesia
Jakarta, Indonesia in the amount of . . . .

Attached:
Approved Commu. Letter
Approved Travel Order
E - Ticket
Boarding Pass
Official Receipt

Amount Due 15,000.00

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

PILAR V. DOMAGSANG
Dean, College of Nursing

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) FIFTEEN THOUSAND PESOS ONLY

Supporting documents complete and amount claimed 15,000.00

proper

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name JESUS ANTONIO G. DERIJE
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee BIR

Address Marcys Enterprises, R. Palma Street, Poblacion, Valencia City

Responsibility
Particulars MFO/PAP Amount
Center

To Remit BIR Taxes for the Plane Ticket Ms. Domagsang

& Mr. Camatura during their travel as Official Time last College of Nursing
August 29 - September 5, 2018 at Jakarta, Indonesia
to present research paper during the 460th International
conference and to conduct Public Lecture and
coordinaton meeting with UI on the MOU for the student
exchange program.

Less: 2% IT - 684. 82 1,712.05

3% VAT - 1,027.23

Amount Due 1,712.05

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

JUDITH D. INTONG, Ph.D.

VP - Academic Affairs

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) ONE THOUSAND SEVEN HUNDRED TWELVE

Supporting documents complete and amount claimed & FIVE CENTAVOS ONLY
proper 1,712.05

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name MARIA LUISA R. SOLIVEN, Ph.D.
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee THERESA LINDA C. NARRETO - PAINAGAN

Address Central Mindanao University, College of Nursing

Responsibility
Particulars MFO/PAP Amount
Center

To Cash Advance for the Registration Fee & Per

Diem Expenses for 2 Days Seminar Workshop College of Nursing
at Xavier University Cagayan de Oro City on January 5,600.00
30 - 31, 2019 in the amount of. . . . .

Attached:
Itinerary of Travel
Approved Communication
Breakdown of Expenses
Invitation Letter from NorMinCorhd

Amount Due 5,600.00

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

PILAR V. DOMAGSANG, RN, MAN

Dean, College of Nursing

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) FIVE THOUSAND SIX HUNDRED

Supporting documents complete and amount claimed PESOS ONLY

proper 5,600.00

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name JESUS ANTONIO G. DERIJE
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee THERESA LINDA C. NARRETO - PAINAGAN

Address Marcys Enterprises, R. Palma Street, Poblacion, Valencia City

Responsibility
Particulars MFO/PAP Amount
Center

To Reimbursed the amount alloted for the 2 days

Official Business travel of Ms. Theresa Linda N. College of Nursing 5,640.00
Painagan to attend the Northern Mindanao Consortium
for health Research Development (NorMinCoHRD)
Seminar-Workshop at Xavier University Cagayan de
Oro City on January 30 - 31, 2019 in the amount of. .

Attached:
Approved Communication
Approved Travel Order
Approved Itinerary of travel
Bus Tickets & Registration Receipt
Certification of Appearance
Travel Report

Amount Due 5,640.00

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

PILAR V. DOMAGSANG
Dean, College of Nursing

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) FIVE THOUSAND SIX HUNDRED FORTY

Supporting documents complete and amount claimed PESOS ONLY

proper 5,640.00

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name JESUS ANTONIO G. DERIJE
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee THERESA LINDA C. NARRETO - PAINAGAN

Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING

Responsibility
Particulars MFO/PAP Amount
Center

To Reimbursed the amount alloted for the 3 days

Official Business travel of Ms. Theresa Linda N. College of Nursing
Painagan to attend the 11th National Nursing Conference
and Seminar of the Philippine Nursing Research Society 15,000.00
on February 27 to March 1, 2019 at Supreme Hotel,
Baguio City in the amount of . . . . . .
.
Attached:
Approved Communication
Approved Travel Order
Approved Itinerary of travel
Bus Tickets & Registration Receipt
Certification of Appearance
Travel Report

Amount Due 15,000.00

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

PILAR V. DOMAGSANG
Dean, College of Nursing

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) FIFTEEN THOUSAND PESOS ONLY

Supporting documents complete and amount claimed 15,000.00

proper

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name JESUS ANTONIO G. DERIJE
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee ELLEN GAY S. INTONG et.al.

Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING

Responsibility
Particulars MFO/PAP Amount
Center

To Reimbursed the amount alloted for the 3 days

Official Business travel of Ms. Ellen Gay S. Intong, Ms.
Ceasarlica S. Minguita and Mr. Al Duane B. Ungab
to attend the 11th National Nursing Conference College of Nursing 30,000.00
and Seminar of the Philippine Nursing Research Society
on February 27 to March 1, 2019 at Supreme Hotel,
Baguio City in the amount of . . . . . .

Attached:
Approved Communication
Approved Travel Order
Approved Itinerary of travel
Bus Tickets & Registration Receipt
Certification of Appearance
Travel Report

Amount Due 30,000.00

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

PILAR V. DOMAGSANG
Dean, College of Nursing

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) THIRTY THOUSAND PESOS ONLY

Supporting documents complete and amount claimed 30,000.00

proper

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name JESUS ANTONIO G. DERIJE
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 Fund Cluster:
CENTRAL MINDANAO UNIVERSITY GF - MOOE
Date:
DISBURSEMENT VOUCHER DV No. :
STF - MOOE
Mode of
MDS Check Commercial Check ADA Others (Please
Payment
specify)
TIN/Employee No.: ORS/BURS No.:
Payee BUKIDNON PROVINCIAL MEDICAL CENTER

Address Malaybalay City, Bukidnon

Responsibility
Particulars MFO/PAP Amount
Center

To obligate the full payment to the Bukidnon Provincial

Medical Center for the College of Nursing Student's
Affliation Fees as per agreement of the Contract and
Regional Administrative Order College of Nursing 30,000.00

Attached:
Approved Communication
Approved Travel Order
Approved Itinerary of travel
Bus Tickets & Registration Receipt
Certification of Appearance
Travel Report

Amount Due 30,000.00

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

PILAR V. DOMAGSANG
Dean, College of Nursing

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

 Cash available

Subject to Authority to Debit Account (when applicable) THIRTY THOUSAND PESOS ONLY

Supporting documents complete and amount claimed 30,000.00

proper

Signature Signature
Printed
Name DYNNITH F. SUABERON, CPA Printed Name JESUS ANTONIO G. DERIJE
Chief, Accounting Unit President
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

CMU-F-4-ACC-003 01 October 2016 Rev. 0

 PAYROLL
For the period May 28, 2018 to June 8, 2018 Summerof S.Y. 2017

Entity Name : Central Mindanao University, College of Nursing

Fund Cluster : RLE
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

COMPENSATIONS
Serial
Name Position Employee No. No. of Hours Rate per
No.
Rendered Hour

1 Intong, Ellen Gay S. H-2495-IES 24 160

2 Narreto, Theresa Linda C. H-0816-NTC 28 160

A CERTIFIED: Services duly rendered as stated. C APPROVED FOR PAYMEN

PILAR V. DOMAGSANG, RN, MAN.

Signature over Printed Name of Authorized Date
Official

B CERTIFIED: Supporting documents complete and proper; and cash available D CERTIFIED: Each employe
in the amount of P _______________. payroll has been paid the am
her name

DYNNITH F. SUABERON, CPA

(Signature over Printed Name) Date
Head of Accounting Division/Unit
AYROLL
June 8, 2018 Summerof S.Y. 2017 - 2018

Payroll No. : 1
Sheet 1 of 1 Sheets
period covered.

SATIONS DEDUCTIONS
Creditable Net Amount
Gross Amount Total Signature of Recipient
Witholding Due
Earned Deductions
Tax
3,840.00 25% 960.00 2,880.00
4,480.00 20% 896.00 3,584.00
8,320.00 1,856.00 6,464.00

APPROVED FOR PAYMENT: _________________________________________________

MARIA LUISA R. SOLIVEN, Ph.D.

(Signature over Printed Name) Date
Head of Agency/Authorized
Representative

CERTIFIED: Each employee whose name appears on the E

payroll has been paid the amount as indicated opposite his/
her name ORS/BURS No. : _________
Date : _________________
JOSEPHINE BONGHANOY JEV No. : ______________
(Signature over Printed Name) Date : _________________
Disbursing Officer
H-2495-IES -M' Ellen
 PAYROLL
For the period of June 11 to July 20 2018, Midyear of S.Y. 2017 -

Entity Name : Central Mindanao University, College of Nursing

Fund Cluster : RLE
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

COMPENSATIONS
Serial
Name Position Employee No. No. of Hours Rate per
No.
Rendered Hour

1 Camatura, Donald G. Instructor I I-707-CDG 27 130

2 Domagsang, Pilar V. Instructor III F-127-DPV 42 160
4 Minguita, Ceasarlica S. Assist. Prof. II K-0606-MCS 164 145
6 Soliven, Mae Dayanne M. Instructor I B-2313-SMM 39 160
7 Ungab, Al Duane B. Instructor I H-0816-UAB 164 160

A CERTIFIED: Services duly rendered as stated. C APPROVED FOR PAYMEN

PILAR V. DOMAGSANG, RN MAN

Signature over Printed Name of Authorized Date
Official

B CERTIFIED: Supporting documents complete and proper; and cash available D CERTIFIED: Each employe
in the amount of P _______________. payroll has been paid the am
her name

DYNNITH F. SUABERON, CPA

(Signature over Printed Name) Date
Head of Accounting Division/Unit
AYROLL
ly 20 2018, Midyear of S.Y. 2017 - 2018

Payroll No. : 1
Sheet 1 of 1 Sheets
period covered.

SATIONS DEDUCTIONS
Creditable Net Amount
Gross Amount Total Signature of Recipient
Witholding Due
Earned Deductions
Tax
3,510.00 20% 702.00 2,808.00
6,720.00 25% 1,680.00 5,040.00
23,780.00 20% 4,756.00 19,024.00
6,240.00 20% 1,248.00 4,992.00
26,240.00 20% 5,248.00 20,992.00
66,490.00 13,634.00 52,856.00

APPROVED FOR PAYMENT: _________________________________________________

MARIA LUISA R. SOLIVEN, Ph.D.

(Signature over Printed Name) Date
Head of Agency/Authorized
Representative

CERTIFIED: Each employee whose name appears on the E

payroll has been paid the amount as indicated opposite his/
her name ORS/BURS No. : _________
Date : _________________
JOSEPHINE BONGHANOY JEV No. : ______________
(Signature over Printed Name) Date : _________________
Disbursing Officer
 PAYROLL
For the period January 4, 5, 2019 2nd Semester of S.Y. 2018 - 2

Entity Name : Central Mindanao University, College of Nursing

Fund Cluster : RLE
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

COMPENSATIONS
Serial
Name Position Employee No. No. of Hours Rate per
No.
Rendered Hour

1 Minguita, Ceasarlica S. Assist. Prof. II K-0606-MCS 24 145

A CERTIFIED: Services duly rendered as stated. C APPROVED FOR PAYMEN

PILAR V. DOMAGSANG, RN, MAN.

Signature over Printed Name of Authorized Date
Official

B CERTIFIED: Supporting documents complete and proper; and cash available D CERTIFIED: Each employe
in the amount of P _______________. payroll has been paid the am
her name

DYNNITH F. SUABERON, CPA

(Signature over Printed Name) Date
Head of Accounting Division/Unit
AYROLL
019 2nd Semester of S.Y. 2018 - 2019

Payroll No. : 1
Sheet 1 of 1 Sheets
period covered.

SATIONS DEDUCTIONS
Creditable Net Amount
Gross Amount Total Signature of Recipient
Witholding Due
Earned Deductions
Tax
3,480.00 20% 696.00 2,784.00

3,480.00 696.00 2,784.00

APPROVED FOR PAYMENT: _________________________________________________

JESUS ANTONIO G. DERIJE

(Signature over Printed Name) Date
Head of Agency/Authorized
Representative

CERTIFIED: Each employee whose name appears on the E

payroll has been paid the amount as indicated opposite his/
her name ORS/BURS No. : _________
Date : _________________
JOSEPHINE BONGHANOY JEV No. : ______________
(Signature over Printed Name) Date : _________________
Disbursing Officer
 PURCHASE REQUEST

Entity Name: Central Mindanao University Fund Cluster: GF - MOOE

Office/Section : Nursing PR No.: ___________________________ Date: 11/28/2017
Responsibility Center Code : __________________

Stock/Property
Unit Item Description Quantity Unit Cost Total Cost
No.
 TOTAL
Purpose:

Requested by: Approved by:

Signature : ________________________________
Printed Name : PILAR V. DOMAGSANG, RN MAN ________________________________
Designation : DEAN, COLLEGE OF NURSING ________________________________
 REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: CMU Fund Cluster : ______ Entity Name: CMU Fund Cluster : ______
Date: _November 16, 2016 RER No. : ___________ Date: _November 16, 2016 RER No. : ___________

RECEIVED from Theresa Linda C. Narreto RECEIVED from Theresa Linda C. Narreto
(Name) (Name)
Instructor I the amount of Instructor I the amount of
(Offical Designation) (Offical Designation)
of One Thousand Five Hundred Pesos Only (P 1,500.00) of One Thousand Five Hundred Pesos Only (P 1,500.00)
(In Words) (In Figures) (In Words) (In Figures)
in payment for registration fee during the 59th in payment for registration fee during the 59th
(Payments for subsistence, services, (Payments for subsistence, services,
Annual Regional Convention last November 10-11, 2016 Annual Regional Convention last November 10-11, 2016
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,
at Kaamulan Folk Arts Theatre, Malaybalay City, Bukidnon at Kaamulan Folk Arts Theatre, Malaybalay City, Bukidnon
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE
Name/Signature THERESA LINDA C. NARRETO Name/Signature THERESA LINDA C. NARRETO
Address _Musuan, Maramag, Bukidnon Address _Musuan, Maramag, Bukidnon

WITNESS WITNESS
Name/Signature ________________________________ Name/Signature ________________________________
Address ______________________________________ Address ______________________________________

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity NameCMU Fund Cluster : ______ Entity NameCMU Fund Cluster : ______
Date: November 16, 2016 RER No. : ___________ Date: November 16, 2016 RER No. : ___________

RECEIVED from Pilar V. Domagsang RECEIVED from Pilar V. Domagsang

(Name) (Name)
Dean, College of Nursing the amount Dean, College of Nursing the amount
(Offical Designation) (Offical Designation)
of One Thousand Five Hundred Pesos Only (P 1,500.00) of One Thousand Five Hundred Pesos Only (P 1,500.00)
(In Words) (In Figures) (In Words) (In Figures)
in payment for registration fee during the 59th in payment for registration fee during the 59th
(Payments for subsistence, services, (Payments for subsistence, services,
Annual Regional Convention last November 10-11, 2016 Annual Regional Convention last November 10-11, 2016
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,
at Kaamulan Folk Arts Theatre, Malaybalay City, Bukidnon at Kaamulan Folk Arts Theatre, Malaybalay City, Bukidnon
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE
Name/Signature PILAR V. DOMAGSANG Name/Signature PILAR V. DOMAGSANG
Address _Musuan, Maramag, Bukidnon Address _Musuan, Maramag, Bukidnon

WITNESS WITNESS
Name/Signature ________________________________ Name/Signature ________________________________
Address ______________________________________ Address ______________________________________
 PETTY CASH VOUCHER No. : ________________

Entity Name: Central Mindanao University Date : Feb. 1, 2019

Fund Cluster: 01
Payee/Office : College of Nursing Responsibility Center Code:
Address : CMU, Musuan Bukidnon _____________________
I. To be filled out upon request II. To be filled out upon liquidation
Particulars Amount
1 pc Tarpaulin Printing Total Amount Granted _____________
Total Amount Paid per
OR/Invoice No. _____ ___________

Amount Refunded/
(Reimbursed) _____________

A Requested by: C
Received Refund

PILAR V. DOMAGSANG Reimbursement Paid

Requestor

Approved by:

JUDITH D. INTONG JUDITH D. INTONG

Immediate Supervisor Petty Cash Custodian

B Paid by: D
Liquidation submitted

JUDITH D. INTONG Reimbursement Received by:

Petty Cash Custodian

Cash Received by:

PILAR V. DOMAGSANG PILAR V. DOMAGSANG

Payee Payee
Date: ______________ Date: ______________

PETTY CASH VOUCHER No. : ________________

Entity Name: _____________________________ Date : _________________

Fund Cluster: ____________________________
Payee/Office : ___________________________ Responsibility Center Code:
Address : _________________________ _____________________
I. To be filled out upon request II. To be filled out upon liquidation
 Particulars Amount
Total Amount Granted _____________
Total Amount Paid per
OR/Invoice No. _____ ___________

Amount Refunded/
(Reimbursed) _____________

Requested by:
A C
Received Refund

(signature over printed name) Reimbursement Paid

Requestor

Approved by:

(signature over printed name) (signature over printed name)

Immediate Supervisor Petty Cash Custodian

Paid by:
B D
Liquidation submitted

(signature over printed name) Reimbursement Received by:

Petty Cash Custodian

Cash Received by:

(signature over printed name) (signature over printed name)

Payee Payee
Date: ______________ Date: ______________
 LIQUIDATION REPORT Serial No.: ________________
Period Covered ___________________ Date: November 5, 2018

Entity Name : Central Mindanao University Responsibility Center Code:

Fund Cluster : STF - MOOE ___________________________

PARTICULARS AMOUNT

To liquidate of Cash Advance for the registration fee, Travel

Fare and Accommodation on the Official Time to attend the 2 days
Training & Workshop on Leading and Managing Change in TVET
at Family Country Hotel and Convention Centre, Lagao, General
Santos City Last October 18 - 19, 2018 in the amount of . . . . . 5,100.00

Attached: Approved Communication

Itinerary of travel
Approved Travel Order
Certification of Travel Completed
Certification of Participation
Registration Receipts
Hotel Accommodation Receipt
Invitation Letter
Training & Workshop Program
TOTAL AMOUNT SPENT 5,100.00
AMOUNT OF CASH ADVANCE PER DV NO. _________DTD.__________ 5,100.00
AMOUNT REFUNDED PER OR NO.______________DTD.___________
AMOUNT TO BE REIMBURSED
A Certified: Correctness of the B Certified: Purpose of travel/cash C Certified: Supporting
above date advance duly accomplished documents complete and proper

PILAR V. DOMAGSANG, MAN, RN JUDITH D. INTONG Ph.D. DYNNITH F. SUABERON, CPA

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor Head, Accounting Division Unit

JEV No.: ___________________

Date: ________________________ Date: ______________________ Date: ____________________
 LIQUIDATION REPORT Serial No.: ________________
Period Covered ___________________ Date: November 5, 2018

Entity Name : Central Mindanao University Responsibility Center Code:

Fund Cluster : STF - MOOE ________________________

PARTICULARS AMOUNT

To liquidate of Cash Advance for the registration fee, Travel

Fare and Accommodation on the Official Time to attend the 2 days
Training & Workshop on Leading and Managing Change in TVET
at Family Country Hotel and Convention Centre, Lagao, General
Santos City Last October 18 - 19, 2018 in the amount of . . . . . 5,100.00

Attached: Approved Communication

Itinerary of travel
Approved Travel Order
Certification of Travel Completed
Certification of Participation
Registration Receipts
Hotel Accommodation Receipt
Invitation Letter
Training & Workshop Program
TOTAL AMOUNT SPENT 5,100.00
AMOUNT OF CASH ADVANCE PER DV NO. _________DTD.__________ 5,100.00
AMOUNT REFUNDED PER OR NO.______________DTD.___________
AMOUNT TO BE REIMBURSED
A Certified: Correctness of the B Certified: Purpose of travel/cash C Certified: Supporting
above date advance duly accomplished documents complete and proper

DONALD G. CAMATURA, RN PILAR V. DOMAGSANG, MAN, RN DYNNITH F. SUABERON, CPA

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor Head, Accounting Division Unit

JEV No.: ___________________

Date: ________________________ Date: ______________________ Date: ____________________
825
 ITINERARY OF TRAVEL

Entity Name : Central Mindanao University

Fund Cluster : GF-MOOE No.: ______________
Name : Joshua E. Waminal Date of Travel : July 15, 2019
Position : RA Assistant Purpose of Travel : Data Gathering in different
Official Station : College of Nursing Municipalities in Bukidnon specifically in Manolo Fortich,
Bukidnon.
Places to be visited TIME Means of Transport- Per
Date Others
(Destination) Departure Arrival Transportation ation Diem

7-15-2019 Valencia City to Manolo Fortich 5:00 AM 8:00 AM Bus 185.00 20.00

7-15-2019 Data Gathering 8:30 AM 5:00 AM 390.00

7-15-2019 Manolo Fortich to Valencia City 5:30 PM 8:00 PM Bus 185.00 20.00

TOTAL 370.00 390.00 40.00

Prepared by :

I certify that : (1) I have reviewed the foregoing

itinerary, (2) the travel is necessary to the JOSHUA E. WAMINAL
service, (3) the period covered is reasonable and Signature over Printed Name
(4) the expenses claimed are proper.
Approved by:

DONALD G. CAMATURA JESUS ANTONIO G. DERIJE

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
: ______________

in different
Manolo Fortich,

Total
Amount

205.00

390.00

205.00

800.00
 ITINERARY OF TRAVEL

Entity Name : Central Mindanao University

Fund Cluster : GF - MOOE No.: ______________
Name : DONALD G. CAMATURA Date of Travel : November 11 - 28, 2018
Position : Instructor I Purpose of Travel : For Student Exchange Program
Official Station : College of Nursing at Universitas Indonesia of Bachelor of Science in Nursing

Places to be visited TIME Means of Transport- Per Total

Date Others
(Destination) Departure Arrival Transportation ation Diem Amount

11-11-2018 CDO(Airport) - Manila 1:00 PM 3:00 PM Airplane

11-11-2018 Manila Terminal - Jakarta, 8:00 PM Airplane

Indonesia Airport

11/28/2018 Jakarta, Indonesia Airport - 4:00 AM Airplane

Manila Terminal

11/28/2018 Manila - CDO(Airport) 11:00 AM 1:00 PM Airplane

TOTAL 15,000.00
Prepared by :

I certify that : (1) I have reviewed the foregoing

itinerary, (2) the travel is necessary to the DONALD G. CAMATURA, RN
service, (3) the period covered is reasonable and Signature over Printed Name
(4) the expenses claimed are proper.
Approved by:

PILAR V. DOMAGSANG, RN, MAN MARIA LUISA R. SOLIVEN, Ph.D.

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 ITINERARY OF TRAVEL

Entity Name : Central Mindanao University

Fund Cluster : GF - MOOE No.: ______________
Name : THERESA LINDA C. NARRETO - PAINAGAN Date of Travel : January 30 - 31, 2019
Position :Instructor II Purpose of Travel : To attend Seminar workshop on
Official Station : College of Nursing January 30 - 31, 2019 at the Xavier University Cagayan de
Oro City.
Places to be visited TIME Means of Transport- Per Total
Date Others
(Destination) Departure Arrival Transportation ation Diem Amount

01/30/19 Musuan to CDO 5:00 AM 8:00 AM BUS 200.00 200.00

1/30/19 Seminar Workshop Proper 8:00 PM 5:00 PM 800.00 800.00

1/31/2019 Seminar Workshop Proper 8:00 AM 5:00 PM 800.00 800.00

1/31/2019 CDO to Musuan 5:00 PM 8:00 PM BUS 200.00 200.00

REGISTRATION FEE 3,600.00 3,600.00

TOTAL 400.00 1,600.00 3,600.00 5,600.00

Prepared by :

I certify that : (1) I have reviewed the foregoing

itinerary, (2) the travel is necessary to the THERESA LINDA C. NARRETO - PAINAGAN
service, (3) the period covered is reasonable and Signature over Printed Name
(4) the expenses claimed are proper.
Approved by:

PILAR V. DOMAGSANG, RN, MAN JESUS ANTONIO G. DERIJE, DVM, Ph.D.

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 CERTIFICATION OF TRAVEL COMPLETED

Entity Name: Central Mindanao University Fund Cluster: GF - MOOE

Maria Luisa R. Soliven, Ph.D. Central Mindanao University

Director in-Charge Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. ___dated November 11 - 28 under conditions
indicated below:

/ / / Strictly in accordance with the approved itinerary.

/ / / Cut short as explained below. Excess payment in the amount of
______ was refunded under O.R. No. _________dated ___________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:

Evidence of travel:
Itinerary of Travel, Approved Communication, Approved Travel Order.

Respectfully submitted:

PILAR V. DOMAGSANG, RN, MAN

Name of Employee

On evidence and information of which I have the knowledge, the travel was actually
undertaken.
Approved:

JUDITH D. INTONG Ph.D.

VP - Academic Affairs
 CERTIFICATION OF TRAVEL COMPLETED

Entity Name: Central Mindanao University Fund Cluster: GF – MOOE – Research

JESUS ANTONIO G. DERIJE Central Mindanao University

Director in-Charge Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. ___dated May 23 – 24, 2019 under conditions
indicated below:

/ / / Strictly in accordance with the approved itinerary.

/ / / Cut short as explained below. Excess payment in the amount of
______ was refunded under O.R. No. _________dated ___________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:

Evidence of travel:
Itinerary of Travel, Approved Communication, Approved Travel Order.

Respectfully submitted:

CEASARLICA S. MINGUITA
Name of Employee
 On evidence and information of which I have the knowledge, the travel was actually
undertaken.

Approved:

LUZVIMINDA T. SIMBORIO, Ph.D.

VP for Research and Extension
 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund : STF - MOOE

Payee CAMATURA, DONALD G. et.al

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To obligate the full Honorarium for the services

rendered of the Faculty in the College of Nursing 179,454.33
for the covered this First Semester 2018 -2019
in the amount of. . . .

Total 179,454.33
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative
Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

1 Day Official Business

Mr. Donald G. Camatura 320.00
at Mapawa, Sungco,
Lantapan, Bukidnon

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund : RLE - Honorarium

Payee ESPINA, NEDA JOY L. et.al.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To obligate the full compensation for the services

rendered by the Faculty in the College of Nursing for
the period covered from Aug. 13 - Dec, 19 2018, 135,360.00
1st Semester of S.Y. 2018 - 2019 during her Related
Learning Experience (RLE) for the Student's Extension
Duty in the amount of . . . . .

Total 135,360.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative
Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

Aug, 13 - Dec. 19, 2018 135,360.00

1st Semester
S.Y. 2018 - 2019
RLE Extension Duty
Part Time

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund : STF

Payee DONALD G. CAMATURA

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To Reimbursed the amount alloted for the 1 day

Official Business Travel of Mr. Donald G. Camatura
to conduct Ocular Survey for Extension Projects to be 320.00
implemented by the college of nursing on July 3, 2018
at the Mapawa, Sungco, Lantapan, Bukidnon in the
amount of . . . .

Total 320.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative
Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

1 Day Official Business

Mr. Donald G. Camatura 320.00
at Mapawa, Sungco,
Lantapan, Bukidnon

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund RLE

Payee CEASARLICA S. MINGUITA

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To obligate the full compensation for the services

rendered by Ms. Ceasarlica S, Minguita, faculty in the
College of Nursing for the period covered from Jan. 3,480.00
4, 5, 2019 2nd Semester of S.Y. 2018 - 2019 during
her Related Learning Experience Student Extension
Duty in the amount of . . . . . . .

Total 3,480.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN, MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
 Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

Second Semester 3,480.00

RLE Extension Duty

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund RLE Honorarium

Payee CAMATURA, DONALD G. et.al.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To obligate the full compensation for the services

rendered by the all faculty in the College of Nursing
for the period covered from October 18 to December 59,280.00
21, 2018 1st Semester of S.Y. 2018 - 2019 during
their Related Learning Experience (RLE) in the
amount of . . . .

Total 59,280.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN, MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
 Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

First Semester 59,280.00

Honorarium

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund: STF-MOOE- Student Dev't Fund

Payee MAGTULIS, RODERIC JOHN R. et.al.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To Reimbursed the said amount for the travel fare

of 8 Nursing Student for Student Exchange Program
Activities on Nov. 12- 28, 2018 at Universitas Indonesia 20,000.00
Jakarta, Indonesia in the amount of. . . . . .

Total 20,000.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN, MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
 Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

Travel Expenses for the

Nov 12-28, 2018 20,000.00
Student Exchange Program
at Universitas Indonesia

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund RLE Honorarium

Payee ESPINA, NEDA JOY L. et. Al.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To obligate the full compensation for the services

rendered by the all Partime faculty in the College of
Nursing for the Month of December 2018, 1st 30,080.00
Semester of S.Y. 2018 - 2019 during their Related
Learnig Experience (RLE) in the amount of . . . .

Total 30,080.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN, MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
 Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

For the Month of

December of 1st 30,080.00
Semester SY 2018-2019

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund : STF - MOOE

Payee CAMATURA, DONALD G. et.al.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To obligate the full Honorarium for the services

rendered of the Faculty in the College of Nursing
for the covered this First Semester 2018 -2019 179,454.33
in the amount of. . . .

Total 179,454.33
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG, RN, MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
 Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

First Semester 179,454.33

Honorarium

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund : RLE

Payee ITABLE, EMVIE LOYD P. et.al.

Office COLLEGE OF NURSING
Address CMU, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To obligate the full compensation for the services

rendered by the two (2) faculty in the College of Nursing
for the period covered from July 24 to August 6, 2018,
Midyear of S.Y. 2017 - 2018 during their Related 3,840.00
Learning Experience (RLE) for the Student's Extension
Duty in the amount of . . . . . . . . .

Total 3,840.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : PILAR V. DOMAGSANG Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
 Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

July 24 to August 6, 2018,

Midyear S.Y. 2017 - 2018 3,840.00
RLE

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 BUDGET UTILIZATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date :
Fund : STF - MOOE - RLE

Payee PILAR V. DOMAGSANG

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Code/ Amount
Expenditures

To cash Advance for the Registration Fee,

accomodation and Travel Fare Expenses payment for
the 2 days training - workshop through Mindanao
Technical - Vocational Association, Inc (MinTVET) on
October 18 - 19 , 2018 at Family Country Hotel and
Convetion Centre, Lagao, General Santos City in the
amount of. . . . . . 5,100.00

Total 5,100.00
A. Certified: Charges to budget necessary, lawful B. Certified: Budget available and utilized
and under my direct supervision; and supporting for the purpose/adjustment necessary as
documents valid, proper and legal indicated above

Signature : Signature :
Printed Name : JUDITH D. INTONG, Ph.D. Printed Name : CHARLIE A. MUNDAL
Position : VP - Academic Affairs Position : Chief, Budget Unit
 Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF UTILIZATION
Reference Amount
Balance
BURS/JEV/RCI/RADAI/ Due and
Date Particulars Utilization Payable Payment Not Yet Due
RTRAI No. Demandable
(a) (b) ( c) (a-b) (b-c)

Registration Fee &

Travel Expenses for the 5,100.00
2 Days Training
& Workshop at
General, Santos City

CMU-F-4-BUD-006 01 October 2016 Rev. 0

 OBLIGATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date:
Fund: DOST - PCHRD

Payee The Case of Marawi Siege

Office COLLEGE OF NURSING / EF - 0083
Address CENTRAL MINDANAO UNIVERSITY. COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

To obligate payment for the IERC Fees

of the research project under DOST – PCHRD Fund
entitled “Psychosocial Problems of Inter-Agency
Disaster Respondents: The Case of Marawi Siege”
The NEC has application fee of PhP 5,000.00 15,000.00
and review fee of PhP 10,000.00.

Total 15,000.00
A. Certified: Charges to appropriation/allotment are B. 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 : CEASARLICA S. MINGUITA Printed Name : CHARLIE A. MUNDAL
Position : Project Leader Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ADA/T Due and
Date Particulars Utilization Payable Payment Not Yet Due
RA No. Demandable
(a) (b) (c) (a-b) (b-c)
 OBLIGATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date:
Fund: DOST - PCHRD

Payee The Case of Marawi Siege

Office College of Nursing / EF - 0083
Address Central Mindanao University
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

To obligate payment for the Training Expenses

2 days training with materials for 3 persons 40,000.00
Training in purschasing the NVivo Software
of the research project under DOST – PCHRD Fund
entitled “Psychosocial Problems of Inter-Agency
Disaster Respondents: The Case of Marawi Siege”
in the amount of ……

Total 40,000.00
A. Certified: Charges to appropriation/allotment are B. 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 : CEASARLICA S. MINGUITA Printed Name : CHARLIE A. MUNDAL
Position : Project Leader Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ADA/T Due and
Date Particulars Utilization Payable Payment Not Yet Due
RA No. Demandable
(a) (b) ( c) (a-b) (b-c)
 OBLIGATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date:
Fund: GF - MOOE

Payee CAMATURA, DONALD G. et.al.

Office COLLEGE OF NURSING
Address CENTRAL MINDANAO UNIVERSITY. COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

To obligate the full Honorarium for the services

rendered of the Faculty in the College of Nursing
for the covered this First Semester 2018 -2019 184,747.65
in the amount of. . . .

Total 184,747.65
A. Certified: Charges to appropriation/allotment are B. 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 : PILAR V. DOMAGSANG, RN, MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ADA/T Due and
Date Particulars Utilization Payable Payment Not Yet Due
RA No. Demandable
(a) (b) ( c) (a-b) (b-c)

First Semester 184,747.65

Honorarium

CMU-F-4-BUD-005 01 October 2016 Rev. 0

 OBLIGATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date: January 29, 2019
Fund: GF - MOOE

Payee THERESA LINDA C. NARRETO - PAINAGAN

Office COLLEGE OF NURSING
Address CMU, COLLEGE OF NURSING
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

To Cash Advance for the Registration Fee & Per

Diem Expenses for 2 Days Seminar Workshop
at Xavier University Cagayan de Oro City on January
30 - 31, 2019 in the amount of. . . . . 5,600.00

Total 5,600.00
A. Certified: Charges to appropriation/allotment are B. 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 : PILAR V. DOMAGSANG, RN, MAN Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ADA/T Due and
Date Particulars Utilization Payable Payment Not Yet Due
RA No. Demandable
(a) (b) ( c) (a-b) (b-c)

Cash Advance for 5,600.00

Registration Fee &
Per Diem.

CMU-F-4-BUD-005 01 October 2016 Rev. 0

 OBLIGATION REQUEST AND STATUS Serial No. :
Central Mindanao University Date: February 19, 2019
Fund: GF - MOOE

Payee HARYANTO, S.KEP, NS, MSN, PhD

Office STIK MUHAMMADIYAH PONTIANAK
Address BADAN PEMBINA HARIAN, PONTIANAK 78124
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

To Obligate Payment the amount request for the

Honorarium for the Speaker during the "Public
Lecture about Wound Care" on February 20, 2019
at the College of Nursing Audio Visual Room as per
approved communication and budgetary allocation
request in the amount of . . . . 5,000.00

Total 5,000.00
A. Certified: Charges to appropriation/allotment are B. 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 : PILAR V. DOMAGSANG Printed Name : CHARLIE A. MUNDAL
Position : Dean, College of Nursing Position : Chief, Budget Unit
Head, Budget Division/Unit/Authorized
Head, Requesting Office/Authorized Representative
Representative

Date : Date :
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ADA/T Due and
Date Particulars Utilization Payable Payment Not Yet Due
RA No. Demandable
(a) (b) ( c) (a-b) (b-c)

Honorarium 5,000.00

CMU-F-4-BUD-005 01 October 2016 Rev. 0

 PAYROLL

Entity Name : Central Mindanao University, College of Nursing

Fund Cluster : RLE
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.

Student's Name DEDUCTIONS

Serial
Name Position Employee No. Total Gross
No.

Members

Members
Earned

Adviser

Adviser
1 Camatura, Donald G. Instructor I I-707-CDG 20%
2 Domagsang, Pilar V. Professor I F-127-DPV 25%
3 Intong, Ellen Gay S. Assoc. Prof. II H-2495-IES 25%
4 Minguita, Ceasarlica S. Assoc. Prof. I K-0606-MCS 20%
5 Narreto, Theresa Linda C. Instructor I H-0816-NTC 20%
6 Soliven, Mae Dayanne M. Instructor I B-2313-SMM 20%
7 Ungab, Al Duane B. Instructor I H-0816-UAB 20%

A CERTIFIED: Services duly rendered as stated. C APPROVED FOR PAYMENT: ______

MARIA LUISA R. SOLIVEN, Ph

Signature over Printed Name of Authorized Date (Signature over Printed Name
Official Head of Agency/Authorized
Representative

B CERTIFIED: Supporting documents complete and proper; and cash available

D CERTIFIED: Each employee whose n
in the amount of P _______________. payroll has been paid the amount as i
her name

DYNNITH F. SUABERON, CPA JOSEPHINE BONGHANOY

(Signature over Printed Name) Date (Signature over Printed Name
Head of Accounting Division/Unit Disbursing Officer
 Payroll No. : 1
Sheet 1 of 1 Sheets
period covered.

DEDUCTIONS

Net Amount
Creditable Total Signature of Recipient
Due
Tax Deductions

H-2495-IES -M' Ellen

ED FOR PAYMENT: _________________________________________________

RIA LUISA R. SOLIVEN, Ph.D.

Signature over Printed Name) Date
Head of Agency/Authorized
Representative

ED: Each employee whose name appears on the E

s been paid the amount as indicated opposite his/
ORS/BURS No. : _________
Date : _________________
JOSEPHINE BONGHANOY JEV No. : ______________
Signature over Printed Name) Date : _________________
Disbursing Officer
STF-2 (White BURS)

COLLEGE TF/OFFICE TF
AGRICULTURE TF Dr. Carolina D. Amper
FORESTRY TF Dr. Rico Marin
EDUCATION TF Dr. Raul C. Orongan
LET SEMINAR TF Dr. Raul C. Orongan
EXTENSION TF Dr. Emmanuel Baltazar
DXMU-FM TF Dr. Emmanuel Baltazar
GRADUATE SCHOOL TF Dr. Judith D. Intong
GS Admission Test Fee
GS Compre
GS Guidance & Counseling
GS Handbook
GS Publication
GS Qualifying
ENGINEERING TF Dr. Constancio Verula
HOME ECONOMICS TF Dr. Queenie Curayag
BIO DEPARTMENT TF Dr. Reggie Dela Cruz
SECURITY TF Director George Caesar B. Gewan

NURSING FEES
NURSING REVIEW FEES Dean, Pilar Domagsang
NURSING RLE FEES Dean, Pilar Domagsang
NURSING EXTENSION Dean, Pilar Domagsang
NURSING HOSPITAL Dean, Pilar Domagsang
NURSING COMMUNITY Dean, Pilar Domagsang
NURSING ROOM RENTAL Dean, Pilar Domagsang

BUSINESS INCOME
BID DOCS Dr. Ricardo Villar
UNIVERSITY PRESS (IMDC) Dr. Teresita Taganahan
ID Ms. April Rose O. Torion
PUBLICATION TF Dr. Emmanuel Baltazar
ULHS Director, Dennis A. Tan
CLBDP Landscaping Unit Head
MUSHROOM TF Dr. G. Saludares
MMZBG Mr. H. Simborio

STUDENT FEES TF
TESTING CENTER Dr. Emily Damag
PRACTICUM FEE Dr. Raul C. Orongan
 UNDERGRAD THESIS All Colleges
HE OJT Dr. Queenie Curayag

LABORATORY
AES Prof. Nenita Baldo
CVM-ADDL Dr. Alan Dargantes
SPAL Dr. Carolina D. Amper
PLANT DISEASE Dr. Carolina D. Amper
GERMPLASM Dr. Carolina D. Amper
TISSUE CULTURE Dr. Carolina D. Amper

OTHERS
SALE-GOAT MINSSAD Project Head/Mr. Demogen Akut
ETPS FUND UPDO
CENTRAL MINDANAO UNIVERSITY
ORIENTATION ON THE NEW GOVERNMENT ACCOUNTING MANUAL
OP CONFERENCE ROOM
Septemeber 9, 2016
1:00 PM

ATTENDANCE SHEET

NAME Designation
OUNTING MANUAL

Office E-mail Address

 PALARO FACULTY ATTENDANCE
October 22 - 26, 2018
Oct. 22, 2018 Oct. 23, 2018 Oct. 24, 2018
NAME
AM PM AM PM AM
1. Camatura, Donald G.
2. Domagsang Pilar V.
3. Espina, Neda Joy L.
4. Intong, Ellen Gay S.
5. Itable, Emvie Loyd P.
6. Minguita, Ceasarlica S.
7. Narreto, Theresa Linda C.
8. Sagpang, Fanny Ludz Q.
9. Sanchez, Lal Joy L.
10. Soliven, Mae Dayanne M.
11. Ungab, Al Duane B.

Prepared By: Noted By:

Joanna May T. Banayo Pilar V. Domagsang

CON Clerk Dean, College of Nursing
ATTENDANCE
2018
Oct. 24, 2018 Oct. 25, 2018 Oct. 26, 2018
PM AM PM AM PM