SBFP 2021 Voucher

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Appendix 32

Republic of the Philippines Fund Cluster :


DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA DEL SUR
Regular
Pagadian City

Date:
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment

TIN/Employee No.: ORS/BURS No.:


Payee JANETTE E. JAMISOLA
Address Lacupayan Elementary School, Lacupayan, Tigbao, Zamboanga del Sur

Particulars Responsibility Center MFO/PAP Amount

TO REIMBURSE OF

Travel Expenses

in the amount of . . . . . . . . . . 1000 - 10000 3,600.00

Amount Due 3,600.00


A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

FELIX H. RODA
School Head
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 50299040-00 3,600.00

Advances for Operating Expenses 19901010-00 3,600.00

C. Certified: D. Approved for Payment


Cash available
3,600.00
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name LALAH D. ANGAR FELIX H. RODA
Senior Bookkeeper School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
JANETTE E. JAMISOLA

Official Receipt No. & Date/Other Documents


5020502001

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