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Disbursement Voucher Form

This document is a disbursement voucher for a payment made to an individual. It lists the barangay, payee's name, address, employee number, and tax identification number. Sections are included to certify the availability of funds, approve the payment, and confirm receipt of payment by check. The date and identification number of the disbursement voucher are recorded at the top.

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Jun Casono
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4K views2 pages

Disbursement Voucher Form

This document is a disbursement voucher for a payment made to an individual. It lists the barangay, payee's name, address, employee number, and tax identification number. Sections are included to certify the availability of funds, approve the payment, and confirm receipt of payment by check. The date and identification number of the disbursement voucher are recorded at the top.

Uploaded by

Jun Casono
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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DISBURSEMENT VOUCHER

Barangay: Tel. No. Payee/Office: Address: City/Municipality: Province: Employee No. ________________ TIN No.: PARTICULARS

B Certified:
Existence of available appropriations for the charges/expenses indicated above. Signature: Printed Name: Position: Date:

B Certified:

B Certified:

Signature: Printed Name: Position: Date:

Signature: Printed Name: Position: Date:

B Received Payment: Check No.: _________________ Bank Name: _________________ OR Number: _________________ Date:

Signature Over Printed Name/Date

Date:

DV No.: Date:

Fund: General Fund

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