Republic of the Philippines

DEPARTMENT OF EDUCATION
DIVISION OF CEBU PROVINCE
Region VII, Central Visayas

REPORT OF CASH DISBURSEMENTS

Period Covered __________ ____________
Entity Name : CALANGCANG ELEMENTARY SCHOOL Report No. : ______________________
Fund Cluster : 01 Sheet No. : 1

DV/Payroll ORS/BURS Responsibility

Date Payee UACS Object Code Nature of Payment Amount
No. No. Center Code

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CERTIFICATION

I hereby certify on my official oath that this Report of Cash Disbursements in _________ sheet(s) is a full, true and correct statement of all cash disbursements during the
period stated above actually made by me in payment for obligations shown in pertinent disbursement vouchers/payroll.

NELIZABETH M. ESPLAGUERA
Name and Signature

Teacher-In-Charge ____________
Official Designation Date