JOB REQUEST
Municipality of Culasi
Province of Antique
Department: Commission on Audit - San Jose, Antique JR No.
Section: LGS-B, R6-Team 6 JR Date: 3/1/2023
Qty. Unit JOB Unit Price Total Amount
1 job Supplying labor for the hauling and transfer
of documents of the Municipality of Culasi
for disposal on March 2, 2023
computed as follows:
( 5 pax x 1,000.00 x 1 day ) 1,000.00 5,000.00
TOTAL ₱ 5,000.00
I certify that the above job request for services rendered requisitioned are necessary and
immediate and will be used solely for the purposes stated.
Requested by: Cash availability: Approved by:
Signature:
Printed Name: Adelle Paz P. Padpad Filma Y. Hilario Hon. Jose Jeffrey Y. Lomugdang
Designation: Municipal Accountant Municipal Treasurer Municipal Mayor
Office of the Municipal Mayor
Municipality of Culasi
Province of Antique
JOB ORDER
March 1, 2023
(Date)
Program/Project/Activity: Hauling and transfer of documents of the Municipality under Charges: Auditing Services
the custody of COA Audit Team for disposal
The following persons are hired under job order basis to accomplish the specified work within the stated period and at the corresponding rate
per day, as follows:
NAME DESIGNATION RATE/DAY PERIOD NATURE OF WORK ACKNOWLEDGEMENT
1. Kevin D. Juanillo Laborer 1,000.00 March 2, 2023 Hauling/transfer of documents
2. Christian E. Concepcion Laborer 1,000.00 March 2, 2023 Hauling/transfer of documents
3. Airon D. Ordenacion Laborer 1,000.00 March 2, 2023 Hauling/transfer of documents
4. Benhore F. Sermeno Laborer 1,000.00 March 2, 2023 Hauling/transfer of documents
5. Ryan Glenn P. Gomez Laborer 1,000.00 March 2, 2023 Hauling/transfer of documents
It is understood that the services of above-named persons shall automatically cease at the end of the period as specified above or at any time
their services are on longer needed. They shall not perform work or regular function that is necessary and essential to this agency or work also
performed by the regular personnel of this agency. They shall not be required to report and render service during the prescribed office hourse from
8:00 am to 5:00pm or forty (40) hours a week. There is no employer-employee relationship between the above-listed persons and this agency and
their conduct and performance shall not be under the direct control and supervision of this agency. They are likewise not entitled to the benefits
enjoyed by regular government employees such as ACA, PERA, RATA, mid-year bonus, productivity incentive bonus, Christmas bonus and the like.
Moreover, above-named persons have not been previously dismissed from the service due to the commission of an administrative offense. They
are not covered by the rules or nepotism. They are not being hired to perform functions pertaining to vacant regular plantilla positions and that they
have not reached the compulsory retirement age.
Ok as to supporting documents. Certified as to Existence of Appropriation. Recommending Approval:
Prepared by:
ESTHER SELAH J. VALENTE GINA A. SORIANO ADELLE PAZ P. PADPAD
HRMO I/OIC Budget Officer II/OIC Municipal Accountant
APPROVED BY:
JOSE JEFFREY Y. LOMUGDANG
Municipal Mayor
Sheet 1 of 1 Sheets
DAILY WAGE PAYROLL
Hauling and transfer of documents of the Municipality under the custody of COA Audit Team for disposal
Project
LGU Municipality of Culasi, Antique Period: March 2, 2023
Number Rate DEDUCTIONS
NAME Designation of Days Per GROSS NET Signature/
Thumbmark
Worked Day SALARY PAY
1. Kevin D. Juanillo Laborer 1 1,000.00 1,000.00 - - - 1,000.00
2. Christian E. Concepcion Laborer 1 1,000.00 1,000.00 - - - 1,000.00
3. Airon D. Ordenacion Laborer 1 1,000.00 1,000.00 - - - 1,000.00
4. Benhore F. Sermeno Laborer 1 1,000.00 1,000.00 - - - 1,000.00
5. Ryan Glenn P. Gomez Laborer 1 1,000.00 1,000.00 - - - 1,000.00
TOTAL 5 5,000.00 - - - 5,000.00
CERTIFIED: Approved for Payment: CERTIFIED:
Each person whose name appears on this roll had Each person whose name appears on
rendered services for the time stated. the above roll has been paid the amount stated
opposite his name ater identifying him.
Jose C. Marfil III Hon. Jose Jeffrey Y. Lomugdang
State Auditor III, ATL Municipal Mayor
