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Republic of the Philippines Department of Education Region V DIVISION OF MASBATE MASBATE Rodeo Complex, Masbate City

DISBURSEMENT VOUCHER
MODE OF PAYMENT
Other Payee / Office : MDS Check Commercial Check

No. Date :
TIN / Employee No. Responsibility Center Title: Office Supplies Ex. Code :

OS/ BUS No.: Date :

Address Mabini San Pascual Masbate

PARTICULARS

Amount

Amount Due

Certified A complete and proper

Supporting documents Cash available Subject to AOA (where

Approved for payment ____________________ GELACIO M.DELAP School Head ___________________

Signature : Printed Name: EA Date :

available ) Signature : Printed Name: Position Representative; Date :

_____________________________ SHYNE R. SINAGPULO Bookkeeper ( Designate ) (Head, Accounting Unit /Authorized _____________________________

Journal Entry Voucher

Receive Payment Check / ADA No. ________ Signature :_____________Date : ______ Date : ___________ __________________ Bank Name: __________ Printed Name: JOSEPH A. DENSING OR. No./ Other relevant
document Issued :

No. : ____________________________ Date : ___________________________

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