Republic of the Philippines

CIVIL AVIATION AUTHORITY OF THE PHILIPPINES

Pagadian Airport, Muricay, Pagadian City

ROUTING / ACTION SLIP

Reference Number:
Originating Office FINANCE AAC IX
Subject: Remittance of VALUE-ADDED TAX (VAT) Date of Document
withheld on Purchase of Goods and Services for the
month of NOVEMBER 2022 in the total amount of
ONE HUNDRED FOUR THOUSAND TWENTY
PESOS AND 71/100.
Date / Time Received

AMOUNT: ₱ 104,020.71
FROM TO
DATE/TIME Name and Position of Official Name and Position of Official REMARKS / INSTRUCTION / ACTION REQUESTED

HRMU
INTERNAL CONTROL
Approval / Signature   Information / Notation
UNIT
  Comments / Recommendation   Endorsement
C. HERMOSILLA JULIUS B. BALA   Request Appropriate Action   See Me / Call Me
Acting Personnel Acting. Admin/ ICU   Reply Directly to Writer   File
  Rewrite / Redraft   Remarks
Accounting Unit Disbursing Officer
Processing of documents and Issuance of Cheque / ADA.
J. REYES E. DOLINO
 Republic of the Philippines Serial No. 22-12-612
CIVIL AVIATION AUTHORITY OF THE PHILIPPINES Date 12/9/2022
Pagadian Airport, Muricay, Pagadian City Fund COB

BUDGET UTILIZATION REQUEST AND STATUS

Payee LAND BANK OF THE PHILIPPINES FOR THE ACCOUNT OF BIR

Office

Address PAGADIAN CITY

Object Code
Responsibility Center Particulars Project Amount
Expenditures

2 02 01 010 ₱ 104,020.71
OBLIGATION Remittance of WITHHOLDING TAX MONTHLY
& OVERTIME deductions of CAAP Pagadian and Area employees
for the month of APRIL 2022 in the total amount of ONE
HUNDRED TWENTY-NINE THOUSAND FIVE HUNDRED
TWENTY-NINE PESOS AND 78/100.

Total ₱ 104,020.71
A. Certified : Charges to appropriation budget necessary, lawful and under my direct B. Certified Budget available and utilized for the purpose
supervision, and supporting documents valid, proper and legal. adjustment necessary as indicated above.

Signature Signature
Printed Name ANTONIO B. ALFONSO Printed Name JENELYN M. REYES
Position OIC, Pagadian Airport/CAAM, AACI IX Position Acting Budget Officer, Pagadian Airport
Head, Requesting Unit/Authorized Representative Head, Budget Division/Unit/Authorized Representative

Date Date

C. STATUS OF UTILIZATION
Reference Amount
Utilization Payable Payment Balance
Date Particulars BURS/JEV/RCI No. Utilization Payable
(a) (b) (c) (a-b) (b-c)
OBLIGATION Remittance
of WITHHOLDING TAX
MONTHLY & OVERTIME
deductions of CAAP 13,945.16 Due to BIR 13,945.16 13,945.16 13,945.16
Pagadian and Area
employees for the month of
APRIL 2022.
 Fund
Republic of the Philippines COB

CIVIL AVIATION AUTHORITY OF THE PHILIPPINES Date 12/9/2022

Pagadian Airport, Muricay, Pagadian City DV No. 22-12-612

DISBURSEMENT VOUCHER Series No.

Mode of
Payment MDS Check Commercial Check ADA Other (Please specify)

TIN/Employee No. ORS/BURS No.

Payee
LAND BANK OF THE PHILIPPINES FOR THE ACCOUNT OF
BIR

Address
PAGADIAN CITY
Particulars Responsibility Center Project Amount

₱ 104,020.71
Remittance of VALUE-ADDED TAX (VAT) withheld on Purchase of Goods
and Services for the month of NOVEMBER 2022 in the total amount of ONE
HUNDRED FOUR THOUSAND TWENTY PESOS AND 71/100.

Amount Due ₱ 104,020.71

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

JULIUS D. BALA / Acting Admin Officer

Printed Name, Designation and Signature of Supervisor
B. Certified: C. Approved for Payment:
Cash available
Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed proper

Signature Signature
Printed Name JENELYN M. REYES Printed Name ANTONIO B. ALFONSO
Acting Accountant, Pagadian Airport OIC, Pagadian Airport/CAAM, AACI IX
Position Position
Head, Requesting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Date Bank Name & Account Number
Check/ADA No.

Date Printed Name Date

Signature

Official Receipt No. & Date/Other Documents

 JOURNAL ENTRY VOUCHER JEV No. : 22-04-178

ENTITY NAME : CIVIL AVIATION AUTHORITY OF THE PHILIPPINES

FUND : Date :

ACCOUNTING ENTRIES
Responibility
Center Amount
Accounts and Explanation Account Code P
Debit Credit
Due to BIR 2 02 01 010 ₱ 104,020.71
Cash in Bank-Local Currency, Current Account 1-01-02-020 ₱ 104,020.71

TOTAL ₱ 104,020.71 ₱ 104,020.71

Prepared by: Certified Correct:

NORAIZA K. KIBLAT JENELYN M. REYES

Firefighter I/Accounting Personnel Head, Finance/Acting Accountant, Pagadian Airport