Republic of the Philippines Fund Cluster:

Department of Education
Region V (Bicol)
Division of Masbate Date: 12/10/2022
CONCEPCION ELEMENTARY SCHOOL DV No.:

DISBURSEMENT VOUCHER
Mode of
MDS Check Commercial Check ADA Others (Please Specify)
Payment

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

Payee ROGER C. CABARLES III
Address CONCEPCION, AROROY, MASBATE

Particulars Responsibility Center MFO/PAP Amount

To reimbursement payment of ELECTRIC BILL/MASELCO, Fidelity

Bond Premiun Due, Comm. CHKREQ of Concepcion Elementary ₱ 2, 132.74
School as per supporting papers hereto attached…………………

MASELCO… October 1, 172.74

Concepcion ES
Fidelity Bond Premium Due… 450.00
Comm. CHKREQ… 510.00

________________
Amount Due ₱ 2, 132.74
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

ROGER C. CABARLES III, T III/TIC

School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES EXPENSE 50203010-00
ADVANCES FOR OPERATING EXPENSES 19901010-00 ₱ 2, 132.74 ₱ 2, 132.74
C. Certified : D. Approved for Payment
Cash Available
Subject to ADA (where applicable)

Supporting documents complete and amount claimed proper

Signature Signature

Printed Name Printed Name

MARITES B. PALIZA ROGER C.CABARLES III, TIII/TIC
Position School Bookkeeper-Designate Position School Head
Date Date
E. Receipt of Payment JEV No.

Date: Bank Name & Account Number:

Check/ADA No.:

Printed
Signature: Date: 12/10/2022 ROGER C. CABARLES III
Name:
12/10/2022
Official Receipt No. & Date/Other Documents
 Republic of the Philippines Fund Cluster:
Department of Education
Region V (Bicol)
Division of Masbate Date: 12/10/2022
CONCEPCION ELEMENTARY SCHOOL DV No.:

DISBURSEMENT VOUCHER
Mode of MDS Check Commercial Check ADA Others (Please Specify)
Payment
TIN/Employee No.: ORS/BURS No.:
Payee DEVELOPMENT BANK OF THE PHILIPPINES
Address Mabini St. Masbate City, Masbate
Responsibility
Particulars MFO/PAP Amount
Center
To payment for COMM. CHKREQ of Concepcion Elementary School
as per supporting papers hereto attached………………… ₱ 510.00

Concepcion ES

________________
Amount Due ₱ 510.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

ROGER C. CABARLES III, T III/TIC

School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES EXPENSE 50203010-00 ₱ 510
ADVANCES FOR OPERATING EXPENSES 19901010-00 ₱ 510
C. Certified : D. Approved for Payment
Cash Available
Subject to ADA (where applicable)
Supporting documents complete and amount claimed proper

Signature Signature

Printed Name MARITES B. PALIZA Printed Name ROGER C. CABARLES III, TIII/TIC
Position School Bookkeeper-Designate Position School Head
Date Date
E. Receipt of Payment JEV No.
Check/ADA Date: Bank Name & Account Number:
No.:
Printed DEVELOPMENT BANK OF
Signature: Date: 12/10/2022
Name: THE PHILIPPINES
12/10/2022
Official Receipt No. & Date/Other Documents
 Republic of the Philippines Fund Cluster:
Department of Education
Region V (Bicol) MOOE
Division of Masbate Date:
CONCEPCION ELEMENTARY SCHOOL DV No.:

DISBURSEMENT VOUCHER
Mode of
MDS Check Commercial Check ADA Others (Please Specify)
Payment

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

Payee ROGER C. CABARLES III
Address CONCEPCION, AROROY, MASBATE

Particulars Responsibility Center MFO/PAP Amount

To payment for travel expenses of teachers of Concepcion Elementary

School as per supporting papers hereto attached………………… ₱ 8, 400.00

Concepcion ES

________________
Amount Due ₱ 8, 400.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

ROGER C. CABARLES III, T III/TIC

School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES EXPENSE 50203010-00
ADVANCES FOR OPERATING EXPENSES 19901010-00 ₱ 8, 400.00 ₱ 8, 400.00
C. Certified : D. Approved for Payment
Cash Available
Subject to ADA (where applicable)

Supporting documents complete and amount claimed proper

Signature Signature

Printed Name Printed Name

MARITES B. PALIZA ROGER C.CABARLES III, TIII/TIC
Position School Bookkeeper-Designate Position School Head
Date Date
E. Receipt of Payment JEV No.

Date: Bank Name & Account Number:

Check/ADA No.:

Printed
Signature: Date: ROGER C. CABARLES III
Name:
Official Receipt No. & Date/Other Documents
 Republic of the Philippines Fund Cluster:
Department of Education
Region V (Bicol) MOOE
Division of Masbate Date:
CONCEPCION ELEMENTARY SCHOOL DV No.:

DISBURSEMENT VOUCHER
Mode of
MDS Check Commercial Check ADA Others (Please Specify)
Payment

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

Payee Ezein M. Rapsing…et.al
Address CONCEPCION, AROROY, MASBATE

Particulars Responsibility Center MFO/PAP Amount

To reimbursement payment for travel expenses of teachers of

Concepcion Elementary School as per supporting papers hereto ₱ 8, 400.00
attached…………………

EZEIN M. RAPSING 2, 520.00

MA. LULU B. GARCIA 2, 100.00 Concepcion ES
JOSEFINA G. RADA 2, 100.00
PRINCESS M. BELLO 1, 260.00
MARITES B. PAPLIZA 420.00
________________
Amount Due ₱ 8, 400.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

ROGER C. CABARLES III, T III/TIC

School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES EXPENSE 50203010-00
ADVANCES FOR OPERATING EXPENSES 19901010-00 ₱ 8, 400.00 ₱ 8, 400.00
C. Certified : D. Approved for Payment
Cash Available
Subject to ADA (where applicable)

Supporting documents complete and amount claimed proper

Signature Signature

Printed Name Printed Name

MARITES B. PALIZA ROGER C.CABARLES III, TIII/TIC
Position School Bookkeeper-Designate Position School Head
Date Date
E. Receipt of Payment JEV No.

Date: Bank Name & Account Number:

Check/ADA No.:

Printed
Signature: Date: Ezein M. Rapsing…et.al
Name:
Official Receipt No. & Date/Other Documents
 Republic of the Philippines Fund Cluster:
Department of Education
Region V (Bicol) MOOE
Division of Masbate Date:
CONCEPCION ELEMENTARY SCHOOL DV No.:

DISBURSEMENT VOUCHER
Mode of
MDS Check Commercial Check ADA Others (Please Specify)
Payment

Payee ROGER C. CABARLES III TIN/Employee No.: ORS/BURS No.:

Address CONCEPCION, AROROY, MASBATE

Particulars Responsibility Center MFO/PAP Amount

To reimbursement payment for travel expenses of teachers of

Concepcion Elementary School as per supporting papers hereto ₱ 420.00
attached…………………

Concepcion ES

________________
Amount Due ₱ 420.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

FILMOR A. VARGAS, PhD

School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES EXPENSE 50203010-00
ADVANCES FOR OPERATING EXPENSES 19901010-00 ₱ 420.000 ₱ 420.000
C. Certified : D. Approved for Payment
Cash Available
Subject to ADA (where applicable)

Supporting documents complete and amount claimed proper

Signature Signature

Printed Name Printed Name

MARITES B. PALIZA ROGER C.CABARLES III, TIII/TIC
Position School Bookkeeper-Designate Position School Head
Date Date
E. Receipt of Payment JEV No.

Date: Bank Name & Account Number:

Check/ADA No.:

Printed
Signature: Date: ROGER C. CABARLES III
Name:
Official Receipt No. & Date/Other Documents
 Appendix 32
Republic of the Philippines Fund Cluster : MOOE
Department of Education
Region V
DIVISION OF MASBATE PROVINCE
Rodeo Road, Masbate City
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
RCG ALUMINUM FABRICATION & TIN/Employee No.: ORS/BURS No.:
Payee
GLASS SUPPLY 181-786-081-000

Address POBLACION AROROY MASBATE

Responsibility
Particulars MFO/PAP Amount
Center

To purchase of GLASS PODIUM. P 14,700.00

Gross Amount:
15,000.00 Less: Tax Witheld
300.00 AMOUNT
PAID: 14,700.00

Amount Due P 14,700.00

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

MARITES B. COLLAMAR
Principal / School Head

B.
Accounting Entry:
Account Title UACS Code Debit Credit

OFFICE SUPPLIES EXPENSE 50203010-00 14,700.00

ADVANCES FOR OPERATING EXPENSES 19901010-00 14,700.00 -

C.
Certified: D. Approved for Payment:
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name EUNICE L. DANAO MARITES B. COLLAMAR
Position Bookkeeper Position Principal / School Head
Date Date
E.
Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: RCG ALUMINUM Date
FABRICATION & GLASS SUPPLY
Official Receipt No. & Date/Other Documents