Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Bantay, Ilocos Sur

Salomague Elementary School Date:

Cabugao, Ilocos Sur CDV No:
CASH DISBURSEMENT VOUCHER 100422-2019-___-___

ELEM

Payee TIN/Employee No. : DV No.:

Check No.

Address

Particulars Amount

Payment for the procurement of supplies/matls for SBFP 2019-2020

Amount Due

A Certified: Expenses necessary, lawful and incurred under my direct supervision.

.
______________________________
RONEL UBALDO
B Accounting Entry
.
Cr Account Title UACSCode Debit Credit

Other Supplies and Materials Expenses 5020399000

Cash on Hand 1010101000

C Certified: D. Approved for Payment

.
Cash available
.

Supporting documents complete and amount

Claimed proper

Signature Signature

Printed Name CRISTEL MARIE R. CISNEROS Printed Name RONEL UBALDO

Position SENIOR BOOKKEEPER Position HEAD TEACHER III

Date Date

E Receipt of Payment
.
Signature: Date : Printed Name :

Official Receipt No. & Date/Other Documents

DOCUMENT CODE: SDO-ILS-OSDS-FIN-ACC-QF-005 REVISION: 00 EFFECTIVITY DATE: 09-10-2018

Quirino Boulevard, Zone V, Bantay, 2727 Ilocos Sur Tel. No.: (077) 722-2055 Fax No. (077) 722-7400 www.depedilocossur.xyz www.facebook.com/SDOilocossur
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