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This document is a disbursement voucher from Tobor National High School authorizing payment of 8,860 pesos to Brenda P. Abrera for reimbursements of local travels and cellphone load expenses. It is certified by Principal Janus B. Salinas and approved for payment by Alicia Q. Geslani, the bookkeeper. Upon receipt of payment, Brenda P. Abrera will sign section E of the document.

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Janus Salinas
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44 views1 page

DV Sample

This document is a disbursement voucher from Tobor National High School authorizing payment of 8,860 pesos to Brenda P. Abrera for reimbursements of local travels and cellphone load expenses. It is certified by Principal Janus B. Salinas and approved for payment by Alicia Q. Geslani, the bookkeeper. Upon receipt of payment, Brenda P. Abrera will sign section E of the document.

Uploaded by

Janus Salinas
Copyright
© © All Rights Reserved
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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Appendix 32

TOBOR NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 01
Date : 6/17/2022
DISBURSEMENT VOUCHER DV No. :
2022-06-0025

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


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BRENDA P. ABRERA
441-926-511-986 2022-06-0025
Malasiqui, Pangasinan
Address

Responsibility
Particulars MFO/PAP
Center

FOR PAYMENT OF REIMBURSEMENTS (LOCAL


07-001-08-01004 8,860.00
TRAVELS AND CP LOAD)

Amount Due 8,860.00


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

JANUS B. SALINAS
PRINCIPAL I
B. Accounting Entry:
Account Title UACS Code Debit Credit
#N/A
TRAVEL EXPENSE 5020101000 7,860.00 7,860.00
TELEPHONE EXPENSE 5020502000 1,000.00 1,000.00
ADVANCES FOR OPERATING EXPENSES 1990101000

8,860.00 8,860.00
C. Certified: D. Approved for Payment
/ Cash available
/ Subject to Authority to Debit Account (when applicable)
No Pesos
/ Supp
proper

Signature Signature
Printed
ALICIA Q. GESLANI Printed Name JANUS B. SALINAS
Name
BOOKEEPER PRINCIPAL I
Position Position
Authorized Representative Agency Head/Authorized Representative

Date 6/17/2022 Date 6/17/2022

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
0000825284
ADA No. : LBP-SAN CARLOS CITY DATE:
Signature
Over Printed BRENDA P. ABRERA
Name: Signature / Date
Official Receipt No. & Date/Other Documents

92

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