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:
CALOOCAN CITY GOVERNMENT
Date:
LGU
CLASSIFICATION OF DISBURSEMENT
ID No. / TIN:
Name of Claimant: SILENT WORKER MARKETING
Responsibility Center:
Address: 611 7th Avenue Caloocan City
P
A Certified: B Completeness and propriety of supporting C
Expenses / Cash Advances nescessary documents/ previous cash advance
lawful and incurred under my direct liquidated/ existence of funds held in trust
supervision
Payment:
Check No.: ____________
Bank Name: ___________
Hon. OSCAR G. MALAPITAN
City Mayor Date: ___________________
Signature Over Printed Name/Position Signature Over Printed
Amount
Php3,416.50
Cash available:
ANALIZA E. MENDIOLA
OIC- City Treasurer's Office
Signature Over Printed Name/Position
Received Payment:
ID No. / TIN:
Name of Claimant: Atty. EMMANUEL EMILIO P. VERGARA
Responsibility Center:
Address: Business Permits & Licensing Office
Particular of Payments Amoun
P
A Certified: B Completeness and propriety of supporting C
Expenses / Cash Advances nescessary documents/ previous cash advance
lawful and incurred under my direct liquidated/ existence of funds held in trust
supervision
Payment:
Check No.: ____________
Bank Name: ___________
Hon. OSCAR G. MALAPITAN
City Mayor Date: ___________________
Signature Over Printed Name/Position Signature Over Printed
Amount
Php36,224.25
Cash available:
ANALIZA E. MENDIOLA
City Treasurer
Signature Over Printed Name/Position
Received Payment: