Republic of the Philippines
PROVINCIAL GOVERNMENT OF CAGAYAN
Capitol Hills, Tuguegarao City, Cagayan
Fund Source:
OBLIGATION REQUEST
Payee
Office No.:
Address Date:
Responsibility
PARTICULARS MFO/PAP Account Code Amount
Center
TOTAL 0.00
A CERTIFIED B CERTIFIED
Charges to appropriation allotment necessary Existence of available appropriation.
and under my direct supervision.
Supporting documents valid proper and legal.
Signature Signature
Printed Name Printed Name RAYNALD RAUL B. RAMIREZ
Provincial Budget Officer
Position Position
Position Position
Head, Requesting Office/Authorized Representative Head, Budget Unit/Authorized Representative
Date Date