Republic of the Philippines Re
Republic of the Philippines DepEd, DIVISION OF NEGROS ORIENTAL
DISBURSEMENT VOUCHER
Mode of Payment MDS Check Payee/Office: Commercial Check ADA TIN/Employee No.: Responsibility Center Others No.: Date: OS/BUS No.:
Department of Education
Address: Liptong Elementary School, Valencia District Particulars
Title:
Code: 101
Amount
Reimbursement Payment to Lorilyn R. Nocete, a Teacher III of Liptong Elementary School, Liptong, Valencia, Negros Oriental for her Travel Expenses: 1. December 24, 2014 Attend the Content Review and Training for
Master Trainers under the Policy, Governance and Capacity-Building for Philippine Leaders and Educators (PGCB) Programme Php 6,330.00
2. Dec. 1012, 2014 Attend the Training for the Master Trainers
Monthly Lesson Study Implementation under the Policy, Governance and Capacity-Building for Philippine Leaders and Educators (PGCB) Programme Php 4,866.00
Amount Due
A. Certified
Supporting documents complete and proper Cash Available Subject to ADA (where applicable)
Php 11,196.00
B. Approved for Payment
Signature: _________________________________ Signature: ______________________________________________ Printed Name: ARLENE O. MAPILI Position: Elem. School Principal I Printed Name: ARLENE O. MAPILI
Position: Elem. School Principal I
Date: _____________________________________ Date: __________________________________________________
C. Received Payment
D. Journal Entry Voucher:
Check/ADA No.: ___________________________
Signature: _________________ Date: ___________ Date: ___________________________________ No: ______________
Bank Name: ________________________ Date: _________________ Printed Name: LORILYN R. NOCETE OR No./Other relevant document: ____________________________ Issued: ___________________________________
