SUMMARY OF APPROVED BUDGET, UTILIZATIONS, DISBURSEMENTS AND BALANCES BY OBJECT OF EXPENDITURES As of the Quarter Ending September 30, 2015
Department
: State Universities and Colleges (SUCs)
Agency
: Central Luzon State University
Operating Unit
: N/A
Organization Code (UACS) : 080300000000 Fund Cluster
: 01 - Regular Agency Fund Approved Budget
Budget Utilization
Disbursements
Balances Unpaid Utilizations
Particulars
UACS CODE
Approved Budgeted Revenue
Adjustments (Additions, Reductions, Realignment)
Adjusted
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Budgeted
Ending
Ending
Ending
Ending
Revenue
March 31
June 30
Sept. 30
Dec. 31
1st Quarter Total
2nd Quarter
3rd Quarter
Due and
4th Quarter
Ending
Ending
Ending
Ending
March 31
June 30
Sept. 30
Dec. 31
Total
Unutilized
Demandable
Budget
/
and
Accounts
Demandable
Not Yet Due
Payable 1
2
3
4
5=[3+(-)4]
6
7
8
9
10=(6+7+8+9)
11
12
13
14
15=(11+12+13+14)
16=(5-10)
17
18
I. Agency Specific Budget Personnel Services Other Compensation Representation Allowance (RA) Representation Allowance (RA) Transportation Allowance (TA) Transportation Allowance (TA) Laundry Allowance ( LA ) Laundry Allowance - Civilian Honoraria Honoraria - Civilian
2,045,000.00
2,045,000.00
331,080.00
236,327.73
1,463,161.03
2,030,568.76
116,600.00
22,500.00
524,450.00
663,550.00
14,431.24
1,367,018.76
5010200000
2,045,000.00
2,045,000.00
331,080.00
236,327.73
1,463,161.03
2,030,568.76
116,600.00
22,500.00
524,450.00
663,550.00
14,431.24
1,367,018.76
5010202000
22,500.00
22,500.00
22,500.00
22,500.00
22,500.00
67,500.00
22,500.00
22,500.00
22,500.00
67,500.00
(45,000.00)
5010202000
22,500.00
22,500.00
22,500.00
22,500.00
22,500.00
67,500.00
22,500.00
22,500.00
22,500.00
67,500.00
(45,000.00)
5010203000
22,500.00
22,500.00
22,500.00
22,500.00
45,000.00
22,500.00
45,000.00
67,500.00
(22,500.00)
(22,500.00)
5010203001
22,500.00
22,500.00
22,500.00
22,500.00
45,000.00
22,500.00
45,000.00
67,500.00
(22,500.00)
(22,500.00)
5010206000
652.27
647,325.00
647,977.27
(647,977.27)
647,977.27
5010206001
652.27
647,325.00
647,977.27
(647,977.27)
647,977.27
71,600.00
456,950.00
528,550.00
71,600.00
456,950.00
528,550.00
471,450.00
71,600.00
456,950.00
528,550.00
471,450.00
5010210000
1,000,000.00
1,000,000.00
5010210001
1,000,000.00
1,000,000.00
71,600.00
456,950.00
528,550.00
Hazard Pay ( HP )
5010211000
1,000,000.00
1,000,000.00
213,827.73
213,827.73
313,886.03
741,541.49
258,458.51
Hazard Pay
5010211001
1,000,000.00
1,000,000.00
213,827.73
213,827.73
313,886.03
741,541.49
258,458.51
741,541.49
124,265,000.00
124,265,000.00
44,569,517.42
28,307,116.46
32,496,858.19
105,373,492.07
50,913,055.72
19,372,435.69
41,666,786.62
111,952,278.03
18,891,507.93
(6,578,785.96)
5020100000
3,500,000.00
3,500,000.00
1,026,790.71
250,434.00
744,883.92
2,022,108.63
1,026,790.71
172,477.42
1,093,936.97
2,293,205.10
1,477,891.37
(271,096.47)
5020101000
3,500,000.00
3,500,000.00
1,026,790.71
250,434.00
744,883.92
2,022,108.63
1,026,790.71
172,477.42
1,093,936.97
2,293,205.10
1,477,891.37
(271,096.47)
5020101000
3,500,000.00
3,500,000.00
1,026,790.71
250,434.00
744,883.92
2,022,108.63
1,026,790.71
172,477.42
1,093,936.97
2,293,205.10
1,477,891.37
(271,096.47)
5020200000
7,000,000.00
7,000,000.00
1,034,350.00
142,620.00
206,250.00
1,383,220.00
1,034,320.00
142,620.00
409,300.00
1,586,240.00
5,616,780.00
(203,020.00)
5020201000
2,000,000.00
2,000,000.00
254,350.00
142,620.00
206,250.00
603,220.00
254,320.00
142,620.00
409,300.00
806,240.00
1,396,780.00
(203,020.00)
5020201002
2,000,000.00
2,000,000.00
254,350.00
142,620.00
206,250.00
603,220.00
254,320.00
142,620.00
409,300.00
806,240.00
1,396,780.00
(203,020.00)
5020202000
5,000,000.00
5,000,000.00
780,000.00
780,000.00
780,000.00
780,000.00
4,220,000.00
780,000.00
4,220,000.00
Maintenance and Other Operating Expenses Traveling Expenses Traveling Expenses - Local Traveling Expenses - Local Training and Scholarship Expenses Training Expenses Training Expenses Scholarship Grants/Expenses Scholarship Grants/Expenses
780,000.00
780,000.00
6,635,799.67
30,151,362.86
19,033,935.53
378,713.52
597,341.63
976,055.15
5,000,000.00
378,713.52
597,341.63
976,055.15
500,000.00
500,000.00
78,000.00
5020302000
500,000.00
500,000.00
78,000.00
5020304000
2,700,000.00
2,700,000.00
1,660,811.00
5020304000
2,700,000.00
2,700,000.00
5020305000
2,700,000.00
2,700,000.00
Food Supplies Expenses
5020305000
2,700,000.00
Drugs and Medicines Expenses
5020307000
Supplies and Materials Expenses Office Supplies Expenses Office Supplies Expenses Accountable Forms Expenses Accountable Forms Expenses Animal/Zoological Supplies Expenses Animal/Zoological Supplies Expenses Food Supplies Expenses
Drugs and Medicines Expenses Medical, Dental and Laboratory Supplies Expenses
5020202000
5,000,000.00
5,000,000.00
780,000.00
5020300000
29,930,000.00
29,930,000.00
11,682,513.47
5020301000
5,000,000.00
5,000,000.00
5020301002
5,000,000.00
5020302000
11,833,049.72
4,408,221.22
741,541.49
10,697,302.91
34,139,459.66
(221,362.86)
(3,988,096.80)
396,512.58
1,698,186.20
2,094,698.78
4,023,944.85
(1,118,643.63)
396,512.58
1,698,186.20
2,094,698.78
4,023,944.85
(1,118,643.63)
78,000.00
422,000.00
78,000.00
78,000.00
422,000.00
78,000.00
976,961.00
1,814,709.00
4,452,481.00
1,145,348.00
1,492,424.00
3,326,272.12
5,964,044.12
(1,752,481.00)
(1,511,563.12)
1,660,811.00
976,961.00
1,814,709.00
4,452,481.00
1,145,348.00
1,492,424.00
3,326,272.12
5,964,044.12
(1,752,481.00)
(1,511,563.12)
1,499,535.85
1,153,368.26
2,428,969.86
5,081,873.97
946,402.98
1,706,501.13
3,848,725.69
6,501,629.80
(2,381,873.97)
(1,419,755.83)
2,700,000.00
1,499,535.85
1,153,368.26
2,428,969.86
5,081,873.97
946,402.98
1,706,501.13
3,848,725.69
6,501,629.80
(2,381,873.97)
(1,419,755.83)
500,000.00
500,000.00
9,300.00
198,233.08
360,073.28
567,606.36
207,533.08
180,021.71
387,554.79
(67,606.36)
180,051.57
5020307000
500,000.00
500,000.00
9,300.00
198,233.08
360,073.28
567,606.36
207,533.08
180,021.71
387,554.79
(67,606.36)
180,051.57
5020308000
500,000.00
500,000.00
39,610.00
50,000.00
93,915.00
183,525.00
76,404.50
43,335.00
119,739.50
316,475.00
63,785.50
5020308000
500,000.00
500,000.00
39,610.00
50,000.00
93,915.00
183,525.00
76,404.50
43,335.00
119,739.50
316,475.00
63,785.50
5020309000
1,000,000.00
1,000,000.00
604,667.40
438,953.18
412,078.50
1,455,699.08
872,262.39
960,926.28
2,004,546.86
(455,699.08)
(548,847.78)
Medical, Dental and Laboratory Supplies Expenses Fuel, Oil and Lubricants Expenses
171,358.19
Approved Budget
Budget Utilization
Disbursements
Balances Unpaid Utilizations
Particulars
UACS CODE
Approved Budgeted Revenue
Adjustments (Additions, Reductions, Realignment)
Adjusted
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Budgeted
Ending
Ending
Ending
Ending
Revenue
March 31
June 30
Sept. 30
Dec. 31
1st Quarter Total
2nd Quarter
3rd Quarter
Due and
4th Quarter
Ending
Ending
Ending
Ending
March 31
June 30
Sept. 30
Dec. 31
Total
Unutilized
Demandable
Budget
/
and
Accounts
Demandable
Not Yet Due
Payable 1 Fuel, Oil and Lubricants Expenses Agricultural and Marine Supplies Expenses Agricultural and Marine Supplies Expenses Textbooks and Instructional Materials Expenses Textbooks and Instructional Materials Expenses Other Supplies and Materials
2
3
4
5=[3+(-)4]
6
7
8
9
10=(6+7+8+9)
11
12
13
14
15=(11+12+13+14)
16=(5-10)
17
18
5020309000
1,000,000.00
1,000,000.00
604,667.40
438,953.18
412,078.50
1,455,699.08
872,262.39
171,358.19
960,926.28
2,004,546.86
(455,699.08)
(548,847.78)
5020310000
3,000,000.00
3,000,000.00
1,287,674.00
1,126,678.50
928,712.40
3,343,064.90
2,027,643.00
386,709.50
639,835.91
3,054,188.41
(343,064.90)
288,876.49
5020310000
3,000,000.00
3,000,000.00
1,287,674.00
1,126,678.50
928,712.40
3,343,064.90
2,027,643.00
386,709.50
639,835.91
3,054,188.41
(343,064.90)
288,876.49
5020311000
6,631.30
169,748.00
176,379.30
120,000.00
56,379.30
176,379.30
(176,379.30)
5020311001
6,631.30
169,748.00
176,379.30
120,000.00
56,379.30
176,379.30
(176,379.30)
13,836,678.10
13,241,829.00
594,849.10
13,836,678.10
193,321.90
5020399000
14,030,000.00
14,030,000.00
6,117,570.40
7,719,107.70
5020399000
7,015,000.00
7,015,000.00
3,058,785.20
3,859,553.85
6,918,339.05
6,620,914.50
297,424.55
6,918,339.05
96,660.95
5020400000
3,100,000.00
3,100,000.00
1,045,712.70
250,000.00
196,030.77
1,491,743.47
1,112,780.43
118,071.28
386,416.32
1,617,268.03
1,608,256.53
(125,524.56)
5020402000
3,100,000.00
3,100,000.00
1,045,712.70
250,000.00
196,030.77
1,491,743.47
1,112,780.43
118,071.28
386,416.32
1,617,268.03
1,608,256.53
(125,524.56)
5020402000
3,100,000.00
3,100,000.00
1,045,712.70
250,000.00
196,030.77
1,491,743.47
1,112,780.43
118,071.28
386,416.32
1,617,268.03
1,608,256.53
(125,524.56)
5020500000
735,000.00
735,000.00
280,392.61
270,071.78
266,832.22
817,296.61
433,735.65
125,039.04
529,033.12
1,087,807.81
(82,296.61)
(270,511.20)
Telephone Expenses
5020502000
735,000.00
735,000.00
280,392.61
270,071.78
266,832.22
817,296.61
433,735.65
125,039.04
529,033.12
1,087,807.81
(82,296.61)
(270,511.20)
Landline
5020502002
735,000.00
735,000.00
280,392.61
270,071.78
266,832.22
817,296.61
433,735.65
125,039.04
529,033.12
1,087,807.81
(82,296.61)
(270,511.20)
5021000000
9,000,000.00
9,000,000.00
7,434,252.84
2,085,263.00
9,519,515.84
6,395,807.63
2,970,186.00
9,365,993.63
(519,515.84)
153,522.21
5021003000
9,000,000.00
9,000,000.00
7,434,252.84
2,085,263.00
9,519,515.84
6,395,807.63
2,970,186.00
9,365,993.63
(519,515.84)
153,522.21
5021003000
9,000,000.00
9,000,000.00
7,434,252.84
2,085,263.00
9,519,515.84
6,395,807.63
2,970,186.00
9,365,993.63
(519,515.84)
153,522.21
Professional Services
5021100000
26,100,000.00
26,100,000.00
6,855,108.19
3,370,735.39
24,118,769.61
6,635,802.21
2,841,881.07
9,477,683.28
1,981,230.39
14,641,086.33
Legal Services
5021101000
1,100,000.00
1,100,000.00
784,160.00
784,160.00
36,000.00
36,000.00
315,840.00
748,160.00
Legal Services
5021101000
1,100,000.00
1,100,000.00
784,160.00
784,160.00
36,000.00
36,000.00
315,840.00
748,160.00
Other Professional Services
5021199000
25,000,000.00
25,000,000.00
6,070,948.19
3,370,735.39
13,892,926.03
23,334,609.61
6,599,802.21
2,841,881.07
9,441,683.28
1,665,390.39
13,892,926.33
5021199000
25,000,000.00
25,000,000.00
6,070,948.19
3,370,735.39
13,892,926.03
23,334,609.61
6,599,802.21
2,841,881.07
5021200000
17,000,000.00
17,000,000.00
4,156,026.28
3,863,479.57
4,840,080.69
12,859,586.54
5,660,434.13
2,042,777.66
5021202000
2,000,000.00
2,000,000.00
140,600.00
698,941.74
526,200.00
1,365,741.74
5021202000
2,000,000.00
2,000,000.00
140,600.00
698,941.74
526,200.00
1,365,741.74
5021299000
15,000,000.00
15,000,000.00
4,015,426.28
3,164,537.83
4,313,880.69
11,493,844.80
5,137,186.45
5021299099
15,000,000.00
15,000,000.00
4,015,426.28
3,164,537.83
4,313,880.69
11,493,844.80
5021300000
10,000,000.00
10,000,000.00
3,229,544.78
3,992,504.00
1,394,059.34
8,616,108.12
5021399000
10,000,000.00
10,000,000.00
3,229,544.78
3,992,504.00
1,394,059.34
5021399099
10,000,000.00
10,000,000.00
3,229,544.78
3,992,504.00
5021500000
2,100,000.00
2,100,000.00
52,432.75
5021502000
100,000.00
100,000.00
38,400.00
5021502000
100,000.00
100,000.00
5021503000
2,000,000.00
5021503000
Expenses Other Supplies and Materials Expenses Utility Expenses Electricity Expenses Electricity Expenses Communication Expenses
Confidential, Intelligence and Extraordinary Expenses Extraordinary and Miscellaneous Expenses Extraordinary and Miscellaneous Expenses
Other Professional Services
13,892,926.03
9,441,683.28
1,665,390.39
13,892,926.33
11,476,024.99
19,179,236.78
4,140,413.46
(6,319,650.24)
523,247.68
979,400.26
1,502,647.94
634,258.26
(136,906.20)
523,247.68
979,400.26
1,502,647.94
634,258.26
(136,906.20)
2,042,777.66
10,496,624.73
17,676,588.84
3,506,155.20
(6,182,744.04)
5,137,186.45
2,042,777.66
10,496,624.73
17,676,588.84
3,506,155.20
(6,182,744.04)
2,518,082.80
3,580,976.00
2,826,823.55
8,925,882.35
1,383,891.88
(309,774.23)
8,616,108.12
2,518,082.80
3,580,976.00
2,826,823.55
8,925,882.35
1,383,891.88
(309,774.23)
1,394,059.34
8,616,108.12
2,518,082.80
3,580,976.00
2,826,823.55
8,925,882.35
1,383,891.88
(309,774.23)
139,600.00
1,391,206.75
1,583,239.50
65,706.35
2,092,809.30
2,158,515.65
516,760.50
(575,276.15)
39,600.00
21,112.50
99,112.50
38,400.00
34,575.00
72,975.00
887.50
26,137.50
38,400.00
39,600.00
21,112.50
99,112.50
38,400.00
34,575.00
72,975.00
887.50
26,137.50
2,000,000.00
14,032.75
100,000.00
1,370,094.25
1,484,127.00
27,306.35
2,058,234.30
2,085,540.65
515,873.00
(601,413.65)
2,000,000.00
2,000,000.00
14,032.75
100,000.00
1,370,094.25
1,484,127.00
27,306.35
2,058,234.30
2,085,540.65
515,873.00
(601,413.65)
5029900000
15,800,000.00
15,800,000.00
7,772,393.09
2,109,359.00
2,928,788.80
12,810,540.89
6,995,660.28
12,155,139.46
22,120,985.74
2,989,459.11
(9,310,444.85)
5029901000
50,000.00
50,000.00
29,233.00
29,233.00
21,168.00
111,860.00
133,028.00
20,767.00
(103,795.00)
Advertising Expenses
5029901000
50,000.00
50,000.00
29,233.00
29,233.00
21,168.00
111,860.00
133,028.00
20,767.00
(103,795.00)
Printing and Publication Expenses
5029902000
300,000.00
300,000.00
114,794.00
107,096.00
42,050.00
263,940.00
526,884.00
559,808.89
1,086,692.89
36,060.00
(822,752.89)
5029902000
300,000.00
300,000.00
114,794.00
107,096.00
42,050.00
263,940.00
526,884.00
559,808.89
1,086,692.89
36,060.00
(822,752.89)
5029903000
50,000.00
50,000.00
10,300.00
10,300.00
50,000.00
(10,300.00)
5029903000
50,000.00
50,000.00
10,300.00
10,300.00
50,000.00
(10,300.00)
5029905000
300,000.00
300,000.00
165,879.00
165,879.00
89,975.00
89,975.00
134,121.00
75,904.00
5029905001
300,000.00
300,000.00
165,879.00
165,879.00
89,975.00
89,975.00
134,121.00
75,904.00
5029906000
100,000.00
100,000.00
71,500.00
96,500.00
(165,017.60)
168,517.60
General Services Janitorial Services Janitorial Services Other General Services Other General Services Repairs and Maintenance Repairs and Maintenance - Other Property, Plant and Equipment Other Property, Plant and Equipment Taxes, Insurance Premiums and Other Fees Fidelity Bond Premiums Fidelity Bond Premiums Insurance Expenses Insurance Expenses Other Maintenance and Operating Expenses Advertising Expenses
Printing and Publication Expenses Representation Expenses Representation Expenses Rent/Lease Expenses Rents - Building and Structures Membership Dues and Contributions to Organizations
17,000.00
176,517.60
265,017.60
2,970,186.00
96,500.00
Approved Budget
Budget Utilization
Disbursements
Balances Unpaid Utilizations
Particulars
UACS CODE
Adjustments
Approved
(Additions,
Budgeted
Reductions,
Revenue
Realignment)
Adjusted
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Budgeted
Ending
Ending
Ending
Ending
Revenue
March 31
June 30
Sept. 30
Dec. 31
1st Quarter Total
2nd Quarter
3rd Quarter
Due and
4th Quarter
Ending
Ending
Ending
Ending
March 31
June 30
Sept. 30
Dec. 31
Total
Unutilized
Demandable
Budget
/
and
Accounts
Demandable
Not Yet Due
Payable 1
2
3
4
5=[3+(-)4]
6
7
8
9
10=(6+7+8+9)
11
12
13
14
15=(11+12+13+14)
16=(5-10)
17
18
Membership Dues and Contributions to
5029906000
100,000.00
100,000.00
71,500.00
17,000.00
176,517.60
265,017.60
96,500.00
96,500.00
(165,017.60)
168,517.60
5029999000
15,000,000.00
15,000,000.00
7,420,220.09
1,985,263.00
2,680,988.20
12,086,471.29
6,347,333.28
2,970,186.00
11,386,970.57
20,704,489.85
2,913,528.71
(8,618,018.56)
5029999000
15,000,000.00
15,000,000.00
7,420,220.09
1,985,263.00
2,680,988.20
12,086,471.29
6,347,333.28
18,150,000.00
18,150,000.00
7,210,808.42
6,784,299.76
3,723,266.52
17,718,374.70
2,970,186.00
11,386,970.57
20,704,489.85
2,913,528.71
(8,618,018.56)
1,943,574.62
431,625.30
1060400000
4,500,000.00
4,500,000.00
537,001.23
2,486,481.88
950,432.00
15,774,800.08
3,973,915.11
526,084.89
1060401000
4,500,000.00
4,500,000.00
537,001.23
2,486,481.88
3,973,915.11
950,432.00
3,973,915.11
526,084.89
1060401000
4,500,000.00
4,500,000.00
537,001.23
3,973,915.11
2,486,481.88
950,432.00
3,973,915.11
526,084.89
1060500000
4,500,000.00
4,500,000.00
3,973,915.11
809,716.00
359,310.00
1,978,961.00
3,147,987.00
390,601.00
390,601.00
1,352,013.00
1060502000
4,000,000.00
2,757,386.00
4,000,000.00
707,665.00
359,310.00
1,695,899.00
2,762,874.00
295,130.00
295,130.00
1,237,126.00
1060502000
2,467,744.00
4,000,000.00
4,000,000.00
707,665.00
359,310.00
1,695,899.00
2,762,874.00
295,130.00
295,130.00
1,237,126.00
2,467,744.00
1060503000
500,000.00
500,000.00
102,051.00
283,062.00
385,113.00
95,471.00
95,471.00
114,887.00
289,642.00
1060503000
500,000.00
500,000.00
102,051.00
283,062.00
385,113.00
95,471.00
95,471.00
114,887.00
289,642.00
1060600000
2,000,000.00
2,000,000.00
1,808,000.00
1,808,000.00
192,000.00
1,808,000.00
1060601000
2,000,000.00
2,000,000.00
1,808,000.00
1,808,000.00
192,000.00
1,808,000.00
1060601000
2,000,000.00
2,000,000.00
1,808,000.00
1,808,000.00
192,000.00
1,808,000.00
1060700000
1,000,000.00
1,000,000.00
205,996.98
196,358.00
245,853.52
648,208.50
231,186.31
231,186.31
351,791.50
417,022.19
1060701000
1,000,000.00
1,000,000.00
205,996.98
196,358.00
245,853.52
648,208.50
231,186.31
231,186.31
351,791.50
417,022.19
1060701000
1,000,000.00
1,000,000.00
205,996.98
196,358.00
245,853.52
648,208.50
231,186.31
231,186.31
351,791.50
417,022.19
Property, Plant and Equipment Outlay
5060400000
6,150,000.00
6,150,000.00
3,850,094.21
3,742,149.88
548,020.00
8,140,264.09
1,321,787.31
1,321,787.31
(1,990,264.09)
6,818,476.78
Buildings and Other Structures
5060404000
4,150,000.00
4,150,000.00
3,605,404.21
3,392,149.88
6,997,554.09
971,787.31
971,787.31
(2,847,554.09)
6,025,766.78
5060404001
4,150,000.00
4,150,000.00
3,605,404.21
3,392,149.88
6,997,554.09
971,787.31
971,787.31
(2,847,554.09)
6,025,766.78
5060405000
2,000,000.00
2,000,000.00
244,690.00
350,000.00
548,020.00
1,142,710.00
350,000.00
350,000.00
857,290.00
792,710.00
5060405001
2,000,000.00
2,000,000.00
244,690.00
350,000.00
548,020.00
1,142,710.00
350,000.00
350,000.00
857,290.00
792,710.00
Organizations Other Maintenance and Operating Expenses Other Maintenance and Operating Expenses Capital Outlays Buildings and Other Structures Buildings Buildings Machinery and Equipment Office Equipment Office Equipment Information and Communication Technology Equipment
1,943,574.62
Information and Communication Technology Equipment Transportation Equipment Motor Vehicles Motor Vehicles Furniture, Fixtures and Books Furniture and Fixtures Furniture and Fixtures
Buildings Machinery and Equipment Outlay Machinery
Certified Correct: Valeriano, Paulina Agency Budget Officer Date: 05/Nov/2015
Certified Correct:
Agency Chief Accountant Date:
Recommended By:
Approved By:
Hilario, Evelyn
DIVINA, RAUL
Director, FMS
Head of Agency or Authorized Representative
Date: 05/Nov/2015
Date: 05/Nov/2015
