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    PBC Forms

    Uploaded by

    jmgarabel88

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    PBC Forms

    Uploaded by

    jmgarabel88
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    Pbc forms

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    10 views4 pages

    PBC Forms

    Uploaded by

    jmgarabel88

    Copyright:

    © All Rights Reserved
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    BARANGAY WASHINGTON

    Catarman, Northern Samar

    PUNONG BARANAGY’S CERTIFICATION (PBC)

    PBC No.: 2024-02-012


    Date: February 21, 2024

    To: The Bank Manager


    LANDBANK – Catarman
    Catarman, Northern Samar

    Sir/Madam,
    This is to certify that the following checks were duly issued by Barangay WASHINGTON,
    complete with respective Disbursement Vouchers and supporting documents.

    Account No. Check No. Date Payee Amount Purpose


    1192104455 2198968 02/21/24 JAMES MARCO 3,000.00 Payment for
    G. GARABEL KALAHI-CIDSS
    NCDDP Fedility
    Bond premium

    TOTAL ₱ 3,000.00

    This certification is issued, pursuant to COA Circular 2019-001, dated January 30, 2020 as a
    condition for the encashment of said check.
    The undersigned attest to the truthfulness of the forgoing facts, under pain of liability for
    falsification.
    Pursuant to Article 171(4) of the Revised Penal Code.

    Very truly yours,

    HON. ANDRES D. BALAJADIA, JR.


    Punong Barangay

    Delivered by: Received by:

    JAMES MARCO G. GARABEL


    Barangay Treasurer Bank Representative

    Date: Date:
    BARANGAY WASHINGTON
    Catarman, Northern Samar

    PUNONG BARANAGY’S CERTIFICATION (PBC)

    PBC No.: 2024-01-005


    Date: January 3, 2024

    To: The Bank Manager


    LANDBANK – Catarman
    Catarman, Northern Samar

    Sir/Madam,
    This is to certify that the following checks were duly issued by Barangay WASHINGTON,
    complete with respective Disbursement Vouchers and supporting documents.

    Account No. Check No. Date Payee Amount Purpose


    1192104455 2198959 01/30/24 NORSAMELCO 1,675.83 Payment for
    Washington
    KALAHI water
    system

    TOTAL Php 1,675.83

    This certification is issued, pursuant to COA Circular 2019-001, dated January 30, 2020 as a
    condition for the encashment of said check.
    The undersigned attest to the truthfulness of the forgoing facts, under pain of liability for
    falsification.
    Pursuant to Article 171(4) of the Revised Penal Code.

    Very truly yours,

    HON. ANDRES D. BALAJADIA, JR.


    Punong Barangay

    Delivered by: Received by:

    JAMES MARCO G. GARABEL


    Barangay Treasurer Bank Representative

    Date: Date:
    BARANGAY WASHINGTON
    Catarman, Northern Samar

    PUNONG BARANAGY’S CERTIFICATION (PBC)

    PBC No.: 2024-01-010


    Date: January 31, 2024

    To: The Bank Manager


    LANDBANK – Catarman
    Catarman, Northern Samar

    Sir/Madam,
    This is to certify that the following checks were duly issued by Barangay WASHINGTON,
    complete with respective Disbursement Vouchers and supporting documents.

    Account No. Check No. Date Payee Amount Purpose


    1192104455 2198962 1/31/24 NORSAMELCO 1,675.83 Payment for
    Washington
    KALAHI water
    system

    TOTAL Php 1,675.83

    This certification is issued, pursuant to COA Circular 2019-001, dated January 30, 2020 as a
    condition for the encashment of said check.
    The undersigned attest to the truthfulness of the forgoing facts, under pain of liability for
    falsification.
    Pursuant to Article 171(4) of the Revised Penal Code.

    Very truly yours,

    HON. ANDRES D. BALAJADIA, JR.


    Punong Barangay

    Delivered by: Received by:

    JAMES MARCO G. GARABEL


    Barangay Treasurer Bank Representative

    Date: Date:
    D.V. No. 2024-01-013
    DISBURSEMENT VOUCHER Date: January 31, 2024

    Municipality of Catarman
    Barangay WASHINGTON Province of Northern Samar
    Tel. No.

    Employee No. Fund:


    Payee/Office: NORSAMELCO Tin No.: MOOE
    Address: Catarman, Northern Samar

    Amount

    Payment for Kalahi Water System electric bill as per documents


    hereto attached or in the amount of One Thousand Six Hundred Seventy Five ₱ 1,675.83
    Pesos and Eighty Three Centavos Only. . .

    A. Certified: B. Certified: C. Certified:


    Existence of available appropriations As to validity property and legality of
    for the charges/expenses indicate Fund (Cash) Available claim
    above APPROVED: For Payment

    Signature: _____________________ Signature: __________________ Signature: _____________________


    Printed Name: MYLA B. GARRIDO Printed Name: Printed Name:
    Position: Chairman: Committee on JAMES MARCOG. GARABEL ANDRES D. BALAJADIA
    Appropriations Position: Brgy. Treasurer Position: Punong Barangay

    Date: _________________________ Date: ______________________ Date: ____________________________

    Received Payments: Check No.: 0002198962 Date: January 31, 2024

    Bank name: LANDBANK – Catarman


    ____________________________
    Signature Over Printed name O.R. Number: ______________________
    ____________________
    Date

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