Annex B

Republic of the Philippines MUNICIPALITY OF GOVERNOR GENEROSO

DISBURSEMENT VOUCHER
Mode of Payment Payee

No. Others

Check CELEDONIA C. COQUILLA, Ed. D Governor Generoso, Davao Oriental
EXPLANATION

Cash
TIN/Employee #

Obligation Request #

Responsibility Center Address Office/Unit/Project Code

AMOUNT

TO PAYMENT of traveling expenses, per diem, To attend the

Reorientation Conference on the Monitoring and Evaluation and Program Delivery on Teacher Education which will be held on April 25, 2013 at John Paul II College of Davao, Ecoland Drive, Quimpo Blvd, Davao City.
per supporting documents hereto attached . . . . . . . . . . . . . .

P 1, 990.00

(TRUST FUND) TOTAL
A . Certified
Allotment obligated for the purpose as indicated above

P 1, 990.00
B. Certified

Funds Available
Supporting documents complete

Signature

Signature

Printed Name Position

ARNULFO J. LLORCA, CPA
Municipal Accountant

Date

Printed Name Position

MELVIN C. NABO
Municipal Treasurer
Treasurer/Authorized Representative

Date

Head, Accounting Unit/Authorized Representative

C.

Approved for Payment

D.

Received Payment
Bank Name Date

Check # Signature

Printed Name Position

VICENTE D. ORENCIA
Municipal Mayor

Date

Signature Printed Name CELEDONIA C. COQUILLA, Ed. D JEV # Date Date

Agency Head/Authorized Representative

OR/Other Documents