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Obligation Request and Status
HLURB request form for obligation and status
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: FD.0003.01
Office of the President
HOUSING AND LAND USE REGULATORY BOARD
Kalayaan Ave., Cor. Mayaman St., Diliman, Quezon City
No.
Date:
Fund:
OBLIGATION REQUEST AND STATUS
Payee
Office
Address
Responsibility
Center
Particulars
MFO/PAP
UACS Code /
Expenditure
Amount
A.
Certified:
B.
Charges to appropriation/allotment necessary, lawful and
under my direct supervision and supporting documents valid,
proper and legal.
Certified:
Allotment available and obligated for the purpose as
indicated above.
Signature
Signature
Printed Name
Printed Name
Position
Position
Date
Date
C.
STATUS OF OBLIGATION
Reference
Date
Particulars
Amount
ORS/JEV/RCI/RADAI No.
Obligation
Payment
Totals
- To be printed back to back -
-
Not Yet Due
Due and
Demandable
-
-
