Professional Documents
Culture Documents
No.
DISBURSEMENT VOUCHER
Mode of Payment Payee Address Tagbilaran City EXPLANATION AMOUNT Check Cash
TIN/Employee No.
Others
Obligation Request No.
Responsibility Center Code
To payment of cellphone bills at the office of BM Torrefranca for the period of March 18 to April 19, 2013 as pertinent papers attached in the amount of
P 6,808.99
Supporting Papers:
1. OBR 2. Billing 3. BIR witholding
A. Certified * Allotment obligated for the purpose as indicated above * Supporting documents complete
Signature Printed Name Position Date
EUSTAQUIO A. SOCORIN
OIC-Provincial Treasurer
Signature
Printed Name Position Date
Treasurer/Authorized Representative D. Received Payment Check No. Bank Name Date Signature Printed Name OR/Other Documents JEV No.
Position
Date
Date