Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Negros Oriental
CASH DISBURSEMENT REGISTER
Type of Working Fund :Reg. Monthly MOOE

For the Period:

CASH ADVANCE

DATE

REFERENCE
(OR/RER

PAYEE/
PARTICULARS

AMOUNT
RECEIVED

PAYMENTS

BALANCE
(6=4-5)

TRAVEL
EXPENSES

TRNG.
EXPENSES

OFFICE
SUPPLIES

CHECK #)

10/19/2014
10/24/2014

10/29/2014
10/31/2014

4701978
4701978
4701978
4701978
OR #1644
NV
NV

Dominador Bersa
Dominador Bersa
Dominador Bersa
Dominador Bersa
Dominador Bersa
Office Mate Ent.
BIR Tax 1%
BIR Tax 3%

10,500.00
10,702.50
8,702.50
6,702.50
4,500.00
2,500.00
97.12

2,000.00
2,000.00
2,000.00
2,000.00
2,402.88
25.03
75.09

10,503.00
CERTIFIIED CORRECT:

Date:

10,500.00
8,500.00
6,500.00
4,500.00
2,500.00
97.12
72.09
-3.00

REPAIRS

BREAKDOWN OF PAYMENTS
UTILITY EXPENSES
WATER

ELECTTRICITY

OTHER ACCOUNTS

TELEPHONE
LANDLINE

OTHERS

ACCOUNT

(PHOTO COPY) NAME

ACCOUNT

AMOUNT

CODE

2,000.00
2,000.00
2,000.00
2,000.00
2,402.88
BIR tax
BIR tax

6,000.00

2,000.00

CERTIFIED SUPPORTING DOCUMENTS COMMPLETE

2,402.88
NOTED:

DOMINADOR E. BERSA

MA. JENNIFER P. PIODOS

SALUSTIANO T. JIMENEZ, LLB. CESO VI

SPECIAL DISBURSING OFFICER

DIVISION ACCOUNTANT

SCHOOLS DIVISION SUPERINTENDENT

Date:

July to September 2014

Date:

1601-E
1600

25.03
75.09

100.12
RECAPITULATION :
Travel Expenses:
Office Supplies :
Training Reg. Fee:
TOTAL:

6,000.00
2,503.00
2,000.00
10,503.00

Cash Advance:

10,500.00

Total Balance:
Total Expenses:
Balance:

10,500.00
10,503.00
-3.00