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Budget Utilization Request and Status
HLURB request form for budget utilization and status
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: FD.0002.01
Office of the President
HOUSING AND LAND USE REGULATORY BOARD
Kalayaan Ave., Cor. Mayaman St., Diliman, Quezon City
BUDGET UTILIZATION REQUEST AND STATUS
Payee
No.
Date:
Fund:
Office
Address
Responsibility
Center
Particulars
MFO/PAP
Amount
UACS Code
A.
Certified:
B.
Charges to budget necessary, lawful and under my direct
supervision and supporting documents valid, proper and
legal.
Certified:
Budget available and utlized for the purpose/ adjustment
necessary as indicated above
Signature
Signature
Printed Name
Printed Name
Position
Position
Date
Date
C.
STATUS OF OBLIGATION
Reference
Date
Particulars
Amount
BURS/JEV/RCI, etc.
Utliization
Payment
Totals
- To be printed back to back -
-
Not Yet Due
Due and
Demandable
-
-
