Budget Utilization Request and Status

HLURB request form for budget utilization and status

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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


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