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Request For Payment

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RAD GREEN SOLUTIONS CORPORATION

RAD HQ, Rosa Sanz Stret, Cor. Vinzons Street, Barrio Obrero, Davao City, Philippines. 8000
Tel. (082) 224-2504; 224-2505

REQUEST FOR PAYMENT


Date:
MODE OF PAYMENT (please check the box)

COMMERCIAL CHECK OTHERS (please specify):

ACTIVITY /PROJECT NAME:

Cost Center :

Business Unit: [___] Pyc Systems [___] Haz Waste Treatment [____] MG Project

[___] Other/s (Please Specificy:

Corporate Support: [__] Finance [__]Supply Chain [X] R and D Engineering [__] MIS & ICT [__]HROD
Payee/Office: Davao Waste Management Services Department TIN/Govt ID No.:

Address:
DAVAO CITY

PAYMENT DETAILS BELOW:


No. Particulars Amount
1 ADDITIONAL FENCE FOR CARMEN FACILITY(Details attached at the back) PhP.23,380.00
2 BACKHOE RENTAL (Detail attached at the back) PhP.80,000.00
3
4
5
6

Amount Due For Payment ► PhP.103,380.00


Amount in Words :

REQUIRED SUPPORTING DOCUMENTS:

Purchase Requisition Charge Invoice Other/s (Please Specify):


Work Order Cash Invoice
Progress Report
Billing/Statement of Account

A B
REQUESTED BY: APPROVED:
Certified: Charges to budget necessary, lawful and under my Certified: Supporting documents are complete
direct supervision. for the purpose as indicated above.

Signature: __________________________________ Signature: __________________________________

Printed Name: MEL JAMES B. BANADOS Printed Name: LIGAYA BATOLBATOL

Designation: TSD Incharge Designation: __________________________________


( In-Charge / Team Lead Representative) (Supervisor/Managing Head/ General Manager)
Date: __________________________________ Date:

C D
FUNDS AVAILABILITY: APPROVED FOR PAYMENT:
Certified: Budget available and funds earmarked/ obligated
for the purpose as indicated above.

Signature: __________________________________ Signature: __________________________________

Printed Name: __________________________________ Printed Name: __________________________________

Designation: __________________________________ Designation: __________________________________


(Head, Accounting Unit/Authorized Representative) CEO/Vice President/President

Date: __________________________________ Date: __________________________________

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