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2015 - Mariveles Mental Hospital Website
FAR No.4 MONTHLY REPORT OF DISBURSEMENT For the month of January 2015 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 ` CURRENT YEAR BUDGET PS 2 MOOE 3 CO 5 PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE TOTAL 6=(2+3+4+5) Notice of Cash Allocation PS 7 MOOE 8 5,282,000.00 CO 10 Sub- Total 11=(7+8+9+10) - - - PS 12 274,929.00 TOTAL SUBTOTAL 18=(6+17) 13 CO Sub- Total 15 16=(12+13+14+15) 17=(11+16) - - MOOE 274,929.00 TRUST LIABILITIES GRAND TOTAL PS 19 MOOE 20 CO 21 22=(19+20+21) TOTAL PS 23 MOOE 24 5,556,929.00 - - - - 274,929.00 3,902,730.95 - - - - 2,600,187.23 - - - - - - - - CO 26 - TOTAL 27=(23+24+25+26) - 5,556,929.00 - 3,902,730.95 Unutilized NCA MDS Checks Issued Advice to Debit Account 2,600,187.23 1,302,543.72 - - - 3,902,730.95 - - - - - - - - - - - - - - - - - - - - - - - - - 1,302,543.72 - - - Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued 302,855.15 2,525.55 - 305,380.70 305,380.70 302,855.15 2,525.55 - 305,380.70 Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report Total Disbursement Authorities Received NCA Unutilized NCA - Nov. 2013 Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) Less: Notice of Transfer Allocation(NTA)* Issued Total Disbursement Authorities Available Less: Lapsed NCA Disbursement * This Month - 5,556,929.00 - 5,556,929.00 - 305,380.70 305,380.70 - 5,862,309.70 5,862,309.70 - (4,208,111.65) 1,654,198.05 (4,208,111.65) - Balance of Disbursement Authorities as of to date As of Date Previous Report Total Disbursement Program Less:*Actual Disbursements (Over)Under spending 1,654,198.05 Note: The use of NTA is discouraged *Amounts should tally Certified Correct: Approved By: MARIANO T. VERSOZA III Head, Accounting Unit Date: LEONITA P. GORGOLON,MD.,MHA,MCHM, CEO VI Head of Agency or Authorized Representative Date: This month As of Date - 5,282,000.00 5,282,000.00 - (4,208,111.65) (4,208,111.65) - 1,073,888.35 1,073,888.35 Remarks 28 FAR No.4 MONTHLY REPORT OF DISBURSEMENT For the month of February 2015 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 ` CURRENT YEAR BUDGET PS 2 MOOE 3 CO 5 PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE TOTAL 6=(2+3+4+5) Notice of Cash Allocation PS 7 MOOE 8 6,511,000.00 Unutilized NCA -January 2015 CO 10 - - Sub- Total 11=(7+8+9+10) - 1,379,269.05 MDS Checks Issued 1,831,699.56 3,191,341.55 - 5,023,041.11 Advice to Debit Account 1,835,615.21 257,119.75 - 2,092,734.96 303,586.18 95,821.14 - 399,407.32 PS 12 13 CO Sub- Total 15 16=(12+13+14+15) - - MOOE - - - - - - - - - - 17=(11+16) 18=(6+17) TRUST LIABILITIES GRAND TOTAL PS 19 MOOE 20 CO 21 22=(19+20+21) TOTAL PS 23 - - - - 6,511,000.00 274,929.00 - - - - - - - - 274,928.87 SUBTOTAL - 274,929.00 - TOTAL 274,928.87 - 274,928.87 - MOOE 24 CO 26 - - TOTAL 27=(23+24+25+26) 6,511,000.00 1,654,198.05 1,654,198.05 - - - - 2,106,628.43 3,191,341.55 - 5,297,969.98 - - - - 1,835,615.21 257,119.75 - 2,092,734.96 - - - - 303,586.18 95,821.14 - 399,407.32 Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued 399,407.32 Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report Total Disbursement Authorities Received NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) Less: Notice of Transfer Allocation(NTA)* Issued Total Disbursement Authorities Available Less: Lapsed NCA Disbursement * This Month 5,556,929.00 6,511,000.00 12,067,929.00 305,380.70 399,407.32 704,788.02 5,862,309.70 6,910,407.32 12,772,717.02 (4,208,111.65) (7,790,112.26) (879,704.94) (11,998,223.91) 1,654,198.05 Balance of Disbursement Authorities as of to date As of Date Previous Report Total Disbursement Program Less:*Actual Disbursements (Over)Under spending Certified Correct: 11,793,000.00 (4,208,111.65) (7,790,112.26) (11,998,223.91) 1,073,888.35 (1,279,112.26) (205,223.91) 774,493.11 Approved By: MARIANO T. VERSOZA III Head, Accounting Unit Date: As of Date 6,511,000.00 Note: The use of NTA is discouraged *Amounts should tally This month 5,282,000.00 LEONITA P. GORGOLON,MD.,MHA,MCHM, CEO VI Head of Agency or Authorized Representative Date: Remarks 28 FAR No.4 MONTHLY REPORT OF DISBURSEMENT For the month of March 2015 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 ` CURRENT YEAR BUDGET PS 2 MOOE 3 CO 5 TOTAL 6=(2+3+4+5) Notice of Cash Allocation Advice to Debit Account PS 7 MOOE 8 7,685,000.00 Unutilized NCA -February 2015 MDS Checks Issued PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE CO 10 - - Sub- Total 11=(7+8+9+10) - 774,492.98 986,047.31 1,811,673.40 - 2,797,720.71 1,838,216.56 3,822,482.94 - 5,660,699.50 312,683.64 266,854.66 - 579,538.30 PS 12 13 CO Sub- Total 15 16=(12+13+14+15) - - MOOE - - - - - - - - - - SUBTOTAL 17=(11+16) 18=(6+17) - 0.13 - TOTAL TRUST LIABILITIES PS 19 - MOOE 20 CO 21 - - GRAND TOTAL TOTAL 22=(19+20+21) PS 23 - 0.13 MOOE 24 CO 26 7,685,000.00 - 7,685,000.00 774,493.11 TOTAL 27=(23+24+25+26) 774,493.11 - - - - - - - - 986,047.31 1,811,673.40 - 2,797,720.71 - - - - - - - - - 1,838,216.56 3,822,482.94 - 5,660,699.50 - - - - - - - - 312,683.64 266,854.66 - 579,538.30 Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report Total Disbursement Authorities Received NCA Unutilized NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) This Month As of Date 6,511,000.00 1,654,198.05 7,685,000.00 774,493.11 14,196,000.00 2,428,691.16 399,407.32 579,538.30 978,945.62 Total Disbursement Authorities Available 8,564,605.37 9,039,031.41 17,603,636.78 Less: Lapsed NCA Disbursement * (7,790,112.26) (9,037,958.51) 1,072.90 (16,828,070.77) Less: Notice of Transfer Allocation(NTA)* Issued 774,493.11 Balance of Disbursement Authorities as of to date Previous Report Total Disbursement Program Less:*Actual Disbursements (Over)Under spending Certified Correct: 14,196,000.00 (7,790,112.26) (9,037,958.51) (16,828,070.77) (1,279,112.26) (1,352,958.51) (2,632,070.77) 775,566.01 Approved By: MARIANO T. VERSOZA III Head, Accounting Unit Date: As of Date 7,685,000.00 Note: The use of NTA is discouraged *Amounts should tally This month 6,511,000.00 LEONITA P. GORGOLON,MD.,MHA,MCHM, CEO VI Head of Agency or Authorized Representative Date: Remarks 28 FAR No.4 MONTHLY REPORT OF DISBURSEMENT For the month of APRIL 2015 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 ` CURRENT YEAR BUDGET PS 2 MOOE 3 CO 5 PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE TOTAL 6=(2+3+4+5) Notice of Cash Allocation PS 7 MOOE 8 CO 10 Sub- Total 11=(7+8+9+10) PS 12 13 CO Sub- Total 15 16=(12+13+14+15) MOOE TOTAL SUBTOTAL 17=(11+16) 18=(6+17) CO 21 - - - - - - - - 1,325,183.80 - - - - - - - - - - - - - 250,572.00 - - 250,572.00 250,572.00 - - - 250,571.32 - - 250,571.32 250,571.32 PS 19 GRAND TOTAL MOOE 20 7,950,000.00 Unutilized NCA TRUST LIABILITIES TOTAL 22=(19+20+21) PS 23 MOOE 24 CO 26 8,200,572.00 - 8,200,572.00 2,109,458.20 - 3,434,642.00 2,255,340.54 2,168,864.71 - 4,424,205.25 341,156.81 147,510.13 - 488,666.94 - MDS Checks Issued 1,074,612.48 2,109,458.20 - 3,184,070.68 Advice to Debit Account 2,255,340.54 2,168,864.71 - 4,424,205.25 - - - - - - - 341,156.81 147,510.13 - 488,666.94 - - - - - - - - TOTAL 27=(23+24+25+26) - - Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report This Month Total Disbursement Authorities Received NCA Unutilized NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) Less: Notice of Transfer Allocation(NTA)* Issued Total Disbursement Authorities Available Less: Lapsed NCA Disbursement * Balance of Disbursement Authorities as of to date As of Date 8,200,572.00 8,200,572.00 - 488,666.94 488,666.94 - 8,689,238.94 8,689,238.94 - (8,347,514.19) 341,724.75 (8,347,514.19) Previous Report Total Disbursement Program Less:*Actual Disbursements (Over)Under spending Certified Correct: MARIANO T. VERSOZA III Head, Accounting Unit Date: As of Date 7,950,000.00 15,635,000.00 (9,037,958.51) (8,347,514.19) (17,385,472.70) (1,352,958.51) (397,514.19) (1,750,472.70) 341,724.75 Note: The use of NTA is discouraged *Amounts should tally This month 7,685,000.00 Approved By: LEONITA P. GORGOLON,MD.,MHA,MCHM, CEO VI Head of Agency or Authorized Representative Date: Remarks 28 FAR No.4 MONTHLY REPORT OF DISBURSEMENT For the month of MAY 2015 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 Notice of Cash Allocation ` CURRENT YEAR BUDGET PS 2 MOOE 3 4,759,000.00 CO 5 PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE TOTAL 6=(2+3+4+5) 3,862,000.00 6,769,000.00 PS 7 MOOE 8 15,390,000.00 CO 10 - - Sub- Total 11=(7+8+9+10) PS 12 - 13 CO Sub- Total 15 16=(12+13+14+15) - - MOOE - Unutilized NCA TOTAL SUBTOTAL 17=(11+16) 18=(6+17) - TRUST LIABILITIES PS 19 - GRAND TOTAL MOOE 20 CO 21 22=(19+20+21) TOTAL - - - PS 23 1,051,910.10 2,334,428.81 - 3,386,338.91 Advice to Debit Account 3,401,153.98 1,575,279.64 - 4,976,433.62 341,156.81 122,243.39 - 463,400.20 - - - - - - - - - - - CO 26 15,390,000.00 - MDS Checks Issued MOOE 24 TOTAL 27=(23+24+25+26) 6,769,000.00 15,390,000.00 - - - - - - - - - - 1,051,910.10 2,334,428.81 - 3,386,338.91 - - - - - - - - - 3,401,153.98 1,575,279.64 - 4,976,433.62 - - - - - - - - 341,156.81 122,243.39 - 463,400.20 Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report Total Disbursement Authorities Received NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) This Month As of Date 8,200,572.00 15,390,000.00 23,590,572.00 488,666.94 463,400.20 952,067.14 Total Disbursement Authorities Available 8,689,238.94 15,853,400.20 24,542,639.14 Less: Lapsed NCA Disbursement * (8,347,514.19) (8,826,172.73) 7,027,227.47 (17,173,686.92) Less: Notice of Transfer Allocation(NTA)* Issued 341,724.75 Balance of Disbursement Authorities as of to date Previous Report Total Disbursement Program Less:*Actual Disbursements (Over)Under spending Certified Correct: RAZHEL GREEN B. CACHIN,CPA, RCA Head, Accounting Unit Date: As of Date 15,390,000.00 23,340,000.00 (8,347,514.19) (8,826,172.73) (17,173,686.92) (397,514.19) 6,563,827.27 6,166,313.08 7,368,952.22 Note: The use of NTA is discouraged *Amounts should tally This month 7,950,000.00 Approved By: LEONITA P. GORGOLON,MD.,MHA,MCHM, CEO VI Head of Agency or Authorized Representative Date: Remarks 28 FAR No.4 MONTHLY REPORT OF DISBURSEMENT For the month of JUNE 2015 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 Notice of Cash Allocation ` CURRENT YEAR BUDGET PS 2 MOOE 3 CO 5 PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE TOTAL 6=(2+3+4+5) PS 7 MOOE 8 CO 10 Sub- Total 11=(7+8+9+10) PS 12 13 CO 15 MOOE TOTAL SUBTOTAL 17=(11+16) 18=(6+17) Sub- Total 16=(12+13+14+15) GRAND TOTAL PS 19 MOOE 20 CO 21 TOTAL - - - - 22=(19+20+21) PS 23 2,369,000.00 9,619,000.00 17,453,587.00 - - - - - - MDS Checks Issued 3,125,839.51 1,662,000.99 2,663,032.38 - - - - - - - - - - - 3,125,839.51 Advice to Debit Account 2,035,564.56 - - - - - - 2,035,564.56 - - - - - 344,379.27 158,831.14 - 7,450,872.88 2,194,395.70 - - - - - - - 556,564.78 - - - - - - - MOOE 24 CO 26 TOTAL 27=(23+24+25+26) 7,834,587.00 9,619,000.00 5,465,587.00 Unutilized NCA - TRUST LIABILITIES 17,453,587.00 - - 1,662,000.99 2,663,032.38 158,831.14 - 7,450,872.88 2,194,395.70 Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued 344,379.27 13,451.75 198,733.76 13,451.75 198,733.76 556,564.78 Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Total Disbursement Authorities Received NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) Less: Notice of Transfer Allocation(NTA)* Issued Total Disbursement Authorities Available Less: Lapsed NCA Disbursement * Balance of Disbursement Authorities as of to date Previous Report This Month As of Date 15,390,000.00 17,453,587.00 32,843,587.00 463,400.20 556,564.78 1,019,964.98 15,853,400.20 18,010,151.78 33,863,551.98 (10,201,833.36) 7,808,318.42 (19,028,006.09) (8,826,172.73) 7,027,227.47 Previous Report Certified Correct: RAZHEL GREEN B. CACHIN,CPA, RCA Head, Accounting Unit Date: As of Date 15,390,000.00 15,323,000.00 30,713,000.00 Less:*Actual Disbursements (8,826,172.73) (10,201,833.36) (19,028,006.09) (Over)Under spending 6,563,827.27 5,121,166.64 11,684,993.91 14,835,545.89 Note: The use of NTA is discouraged *Amounts should tally This month Total Disbursement Program Approved By: LEONITA P. GORGOLON,MD.,MHA,MCHM, CEO VI Head of Agency or Authorized Representative Date: Remarks 28 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 Notice of Cash Allocation ` CURRENT YEAR BUDGET PS 2 MOOE 3 CO 5 PRIOR PRIOR YEARS'S ACCOUNTS TOTAL 6=(2+3+4+5) PS 7 MOOE 8 2,835,000.00 324,000.00 5,675,000.00 - 760,606.02 1,813,130.49 2,573,736.51 - 1,698,247.16 1,385,720.76 3,083,967.92 - - 342,203.37 36,627.97 378,831.34 - - 2,516,000.00 Unutilized NCA MDS Checks Issued Advice to Debit Account Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report This Month Total Disbursement Authorities Received NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) Less: Notice of Transfer Allocation(NTA)* Issued Total Disbursement Authorities Available Less: Lapsed NCA Disbursement * Balance of Disbursement Authorities as of to date Note: The use of NTA is discouraged *Amounts should tally As of Date 5,675,000.00 5,675,000.00 378,831.34 378,831.34 - 6,053,831.34 6,053,831.34 - (6,036,535.77) 17,295.57 (6,036,535.77) - 17,295.57 Certified Correct: RAZHEL GREEN B. CACHIN,CPA, RCA Head, Accounting Unit Date: MONTHLY REPORT OF DISBURSEMENT For the month of JULY 2015 PRIOR YEAR'S BUDGET ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE CO 10 11=(7+8+9+10) - - Sub- Total PS 12 13 CO 15 - - MOOE TOTAL Sub- Total 16=(12+13+14+15) - SUBTOTAL 17=(11+16) 18=(6+17) - TRUST LIABILITIES GRAND TOTAL PS 19 MOOE 20 CO 21 TOTAL - - - - 22=(19+20+21) PS 23 5,351,000.00 - - - - - - MOOE 24 - - - - - - - - - 760,606.02 1,813,130.49 - - - - - - - - - 1,698,247.16 1,385,720.76 - - - - - - - - 342,203.37 36,627.97 Previous Report This month Total Disbursement Program 15,323,000.00 5,675,000.00 Less:*Actual Disbursements (10,201,833.36) (6,036,535.77) (Over)Under spending 5,121,166.64 (361,535.77) Approved By: ALBERTO C. DE LEON,MD,MHA,FPCHA,CEO VI Head of Agency or Authorized Representative Date: FAR No.4 GRAND TOTAL CO 26 TOTAL 27=(23+24+25+26) 324,000.00 5,675,000.00 - - 2,573,736.51 - 3,083,967.92 - 378,831.34 Remarks 28 As of Date 5,675,000.00 20,998,000.00 (6,036,535.77) (16,238,369.13) (361,535.77) 4,759,630.87 FAR No.4 MONTHLY REPORT OF DISBURSEMENT For the month of AUGUST 2015 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 PARTICULARS 1 ` CURRENT YEAR BUDGET PS 2 MOOE 3 CO 5 PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE TOTAL 6=(2+3+4+5) Notice of Cash Allocation PS 7 MOOE 8 CO 10 Sub- Total 11=(7+8+9+10) CURRENT YEAR'S ACCOUNTS PAYABLE PS 12 13 CO 15 MOOE TRUST LIABILITIES Sub- Total 16=(12+13+14+15) GRAND TOTAL TOTAL SUB-TOTAL 17=(11+16) 18=(6+17) MOOE 20 CO 21 TOTAL - - - - 22=(19+20+21) PS 23 1,502,949.23 Advice to Debit Account 2,929,042.58 784,843.57 352,265.43 69,513.88 2,658,943.36 580,783.51 CO 26 - - - - - - - 4,742,676.10 - - - - - - - 4,742,676.10 - - - - 1,502,949.23 - - 3,713,886.15 - - - - 2,929,042.58 784,843.57 - 465,121.36 - - - - 352,265.43 69,513.88 - MDS Checks Issued MOOE 24 8,759,000.00 Unutilized NCA - PS 19 3,713,886.15 - - - - - - - 465,121.36 - - - - - - - TOTAL 27=(23+24+25+26) - - 8,759,000.00 - 2,658,943.36 580,783.51 - 4,742,676.10 3,713,886.15 Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued 43,342.05 43,342.05 465,121.36 Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report Total Disbursement Authorities Received NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) This Month As of Date 5,675,000.00 8,759,000.00 14,434,000.00 378,831.34 465,121.36 843,952.70 Total Disbursement Authorities Available 6,053,831.34 9,224,121.36 15,277,952.70 Less: Lapsed NCA Disbursement * (6,036,535.77) (8,921,683.61) 302,437.75 (14,958,219.38) Less: Notice of Transfer Allocation(NTA)* Issued 17,295.57 Balance of Disbursement Authorities as of to date Previous Report Certified Correct: RAZHEL GREEN B. CACHIN,CPA, RCA Head, Accounting Unit Date: As of Date 5,675,000.00 5,283,000.00 10,958,000.00 Less:*Actual Disbursements (6,036,535.77) (8,921,683.61) (14,958,219.38) (361,535.77) (3,638,683.61) (4,000,219.38) (Over)Under spending 319,733.32 Note: The use of NTA is discouraged *Amounts should tally This month Total Disbursement Program Approved By: ALBERTO C. DE LEON,MD,MHA,FPCHA,CEO VI Head of Agency or Authorized Representative Date: Remarks 28 Department: HEALTH Agency : MARIVELES MENTAL HOSPITAL Operating Unit: 14 Organization Code: 130011400031 Funding Source Code (as clustered):01101101 ` CURRENT YEAR BUDGET PS 2 MOOE 3 MDS Checks Issued 1,166,171.98 2,560,001.28 Advice to Debit Account 2,318,126.14 311,749.23 366,199.77 37,797.43 PARTICULARS 1 CO 5 Notice of Cash Allocation Unutilized NCA Working Fund (NCA Issued to BTr) Tax Remittance Advices Issued Cash Disbursement Ceiling Non-Cash Availment Authority Others(CDT, BTr, Docs Stamp, etc.) SUMMARY: Previous Report Total Disbursement Authorities Received NCA Working Fund TRA CDC NCAA Others (CDT, BTr, Docs Stamp, etc) This Month 8,759,000.00 13,435,000.00 465,121.36 403,997.20 Total Disbursement Authorities Available 9,224,121.36 13,838,997.20 Less: Lapsed NCA Disbursement * (8,921,683.61) (6,760,045.83) 7,078,951.37 Less: Notice of Transfer Allocation(NTA)* Issued 302,437.75 Balance of Disbursement Authorities as of to date Note: The use of NTA is discouraged *Amounts should tally Certified Correct: RAZHEL GREEN B. CACHIN,CPA, RCA Head, Accounting Unit Date: MONTHLY REPORT OF DISBURSEMENT For the month of SEPTEMBER 2015 ENT YEAR BUDGET PRIOR YEAR'S BUDGET PRIOR YEARS'S ACCOUNTS PAYABLE TOTAL 6=(2+3+4+5) PS 7 MOOE 8 13,435,000.00 - CO 10 Sub- Total - - 11=(7+8+9+10) CURRENT YEAR'S ACCOUNTS PAYABLE PS 12 13 CO 15 - - MOOE TRUST LIABILITIES TOTAL SUB-TOTAL Sub- Total 16=(12+13+14+15) - 17=(11+16) 18=(6+17) - PS 19 - 3,726,173.26 - - - - - - - 3,726,173.26 - - - 2,629,875.37 - - 403,997.20 - 2,629,875.37 - - - - - - - 403,997.20 - - - - - - - This Month As of Date Total Disbursement Program Less:*Actual Disbursements 13,435,000.00 22,194,000.00 403,997.20 869,118.56 13,838,997.20 23,063,118.56 (6,760,045.83) 7,078,951.37 (15,681,729.44) (Over)Under spending 7,381,389.12 Approved By: EEN B. CACHIN,CPA, RCA d, Accounting Unit Date: ALBERTO C. DE LEON,MD,MHA,FPCHA,CEO VI Head of Agency or Authorized R Date: FAR No.4 T TRUST LIABILITIES MOOE 20 CO 21 - - GRAND TOTAL TOTAL 22=(19+20+21) PS 23 MOOE 24 CO 26 - - TOTAL 27=(23+24+25+26) - - 13,435,000.00 - - - - 1,166,171.98 2,560,001.28 - 3,726,173.26 - - - 2,318,126.14 311,749.23 - 2,629,875.37 - - - 366,199.77 37,797.43 - 403,997.20 Previous Report This month As of Date 5,283,000.00 11,015,000.00 16,298,000.00 (8,921,683.61) (6,760,045.83) (15,681,729.44) (3,638,683.61) 4,254,954.17 616,270.56 Remarks 28 C. DE LEON,MD,MHA,FPCHA,CEO VI Head of Agency or Authorized Representative Date: