0% found this document useful (0 votes)
87 views1 page

Sample DV

Download as xls, pdf, or txt
Download as xls, pdf, or txt
Download as xls, pdf, or txt
You are on page 1/ 1

Appendix 32

DON MATIAS ELEMENTARY SCHOOL Fund Cluster :


Entity Name 01
Date : 1/24/2022
DISBURSEMENT VOUCHER DV No. :2022-01-0001

Mode of
MDS Check / Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MARIGOLD STORE
157-686-860-000
A.B. Fernandez Ave., Dagupan City, Pangasinan
Address
Responsibility
Particulars MFO/PAP Amount
Center

TO PAYMENT OF OFFICE EQUIPEMNT AND OFFICE


SUPPLIES FOR SCHOOL USE 0700108010004 310400100002000 8,835.85

gross amountGROSS AMOUNT- 9,336.00


Less 1% 83.36
Less 5% 416.79
8,835.85
Amount Due 8,835.85
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

EVANGELINE P. NAZARENO
Principal I

B. Accounting Entry:
Account Title UACS Code Debit Credit
Semi-Expendable Office Equipment 5020321002 2,996.00
Office Supplies 5020301000 6,340.00
Due to BIR 2020101000 - 500.15
Advances to Operating Expense 1990101000 - 8,835.85

C. Certified: D. Approved for Payment


/ Cash available
/ Subject to Authority to Debit Account (when applicable)
EIGHT THOUSAND EIGHT HUNDRED THIRTY-FIVE PESOS
/ Sup AND 85/100 ONLY
proper

Signature Signature
Printed
RODELITO B. CUARESMA Printed Name EVANGELINE P. NAZARENO
Name
BOOKKEEPER Principal I
Position Position
Authorized Representative Agency Head/Authorized Representative
Date 1/24/2022 Date 1/24/2022
E. Receipt of Payment JEV No.
Check/ Date : 1/24/2022 Bank Name & Account Number:
ADA No. : 963642 LBP-ALAMINOS
Date : 1/24/2022 Printed Name: MARIGOLD STORE Date
Signature :

Official Receipt No. & Date/Other Documents

92

You might also like