Disbursement Voucher: Department of Agrarian Reform Iv-A

DEPARTMENT OF AGRARIAN REFORM IV-A
(Entity name)
DISBURSEMENT VOUCHER
Mode of
MDS Check Commercial Check ADA Others ( Please specif
Payment
TIN/Employee No. :
Payee LUIS B. BUENO, JR.
Address
Responsibility Center MFO/PAP

Particulars
To payment for the Regional Director's

Extraordinary and Miscellaneous Expenses for the month of
FEBRUARY 2018 in the amount of………………………………………………..
Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
ROMEO J. DELA CRUZ

OIC - Regional Chief Administrative Officer
B. Accounting Entry
Account Title UACS Code Debit
C. Certified: D. Approved for Payment

Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed
proper
ERGENE I. REVECHE LUIS B. BUENO, JR.
Regional Acountant Regional Director
Head Accounting Unit/Authorized Representative Agency Head/Authorized Repesentative
Date Date
E. Receipt of Payment
Check/ ADA Date : Bank Name & Account Number:
No.:
Date : Printed Name :
Signature
Official Receipt No. & Date/other Documents

Fund Cluster:
Date:
DV No. :
hers ( Please specify)
ORS/BURS No. :
Amount
9,800.00
9,800.00
Credit
UENO, JR.
Director
rized Repesentative
JEV No.
Date:
(Entity name)
Mode of
MDS Check Commercial Check ADA Others ( Please spe
Payment
TIN/Employee No. :
Payee LUIS B. BUENO, JR.
Address

Particulars
To payment of travelling expenses and per diems

from August 9 to 31, 2017 in the total
amount of…………………………………………….
Amount Due
LORENZA R. EVANGELISTA
RCAO
B. Accounting Entry

Cash Available
proper
ERGENE I. REVECHE PRISCILLA E. ONG
Regional Acountant DIRECTOR III
Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
Others ( Please specify)
ORS/BURS No. :
Amount
4,254.00
RENZA R. EVANGELISTA
RCAO
Credit
PRISCILLA E. ONG
DIRECTOR III
Agency Head/Authorized Repesentative
JEV No.
Date:
(Entity name)
Mode of
MDS Check Commercial Check ADA Others ( Please specify
Payment
TIN/Employee No. :
Payee JOHNNY SY
Address

Particulars
To payment of travelling expenses and per diems

in the total amount of…………………………………………….
Amount Due
RCAO
B. Accounting Entry

Cash Available
proper
Regional Acountant DIRECTOR III
Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
ORS/BURS No. :
Amount
2,960.00
2,960.00
RENZA R. EVANGELISTA
RCAO
Credit
PRISCILLA E. ONG
DIRECTOR III
JEV No.
Date:
(Entity name)
Mode of
MDS Check Commercial Check ADA Others ( Please spec
Payment
TIN/Employee No. :
Payee
Address

Particulars
To reimburse travelling expenses and per diems during

official travel to Bacolod City in the amount of……………….
Amount Due
DALANGIN CEFERINA S. PAREL

CARPO-FOD
B. Accounting Entry

Cash Available
proper
Regional Acountant Director III
Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
ORS/BURS No. :
Amount
12, 975.00
12, 975.00
LANGIN CEFERINA S. PAREL

CARPO-FOD
Credit
PRISCILLA E. ONG
Director III
JEV No.
Date:
(Entity name)
Mode of
Payment
TIN/Employee No. :
Payee SKYCABLE
Address

Particulars
To payment of CATV subscription with AN 611591837

in the total amount of………………………………………………………
July 21 to October 20, 3017
Amount Due
RCAO
B. Accounting Entry

Cash Available
proper

Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
ORS/BURS No. :
Amount
3,025.00
3,025.00
ORENZA R. EVANGELISTA
RCAO
Credit
PRISCILLA E. ONG
Director III
JEV No.
Date:
(Entity name)
Mode of
Payment
TIN/Employee No. :
Payee SKYCABLE
Address

Particulars
To payment of CATV subscription with AN 648593988

or the period of August 21 to September 20, 2017………………………………
Amount Due
RCAO
B. Accounting Entry

Cash Available
proper

Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
ORS/BURS No. :
Amount
310.00
310.00
ORENZA R. EVANGELISTA
RCAO
Credit
PRISCILLA E. ONG
Director III
JEV No.
Date:
(Entity name)
Mode of
MDS Check Commercial Check ADA Others ( Please specify)
Payment
TIN/Employee No. :
Payee Philippine Airlines
Address

Particulars
To payment for One (1) round trip ticket to Manila-Busuanga-Manila

for the attendance of Mr. Mario Lopez in 'DAR-PIA Training on
Strategic Communications in Times of Crisis and Effective Media
Relations' on June 7-11 2016 as per supporting papers hereto
attached in the total amount of…………………………………………………
Attachment:
- R.S.O. No. __'16
Amount Due
RCAO
B. Accounting Entry

Cash Available
proper
ERGENE I. REVECHE ENGR. RODOLFO. S. PANGILINAN

Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
( Please specify)
ORS/BURS No. :
Amount
12,075.00
12,075.00
Credit
PANGILINAN
ctor
Repesentative
JEV No.
Date:
(Entity name)
Mode of
MDS Check Commercial Check ADA Others ( Please specify)
Payment
TIN/Employee No. :
Payee GRACECHIEL M. TAMBOT
Address

Particulars
To cash advance the expenses to be incurred in the conduct

of Review on Transactions/ Records Management of DAR IV-A
Regional Office on December 27, 2016
in the total amount of…………………………………………………….
Amount Due
RCAO
B. Accounting Entry

Cash Available
proper
ERGENE I. REVECHE
Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
( Please specify)
ORS/BURS No. :
Amount
20,000.00
d
20,000.00
Credit
ctor
Repesentative
JEV No.
Date:
#2 ARDAN Bldg., Meralco Ave. cor. Shaw Blvd., Pasig City
Mode of
MDS Check Commercial Check ADA Others ( Please spe
Payment
TIN/Employee No. :
Payee
Address

Particulars
To payment for the registration fee of Mr. Ramon S. Dayrit

who will represent the Regional Director to attend the "UPLB
6th Intl Conference on Climate and Disaster Risks Management
on September 27-28, 2017 in the amount of…………………………………
Attachment:
a.Letter/ Notice of Meeting
b. DTS No. E-070417-0003
Amount Due
DALANGIN CEFERINA S. PAREL

CARPO-FOD
B. Accounting Entry

Cash Available
proper
ERGENE I. REVECHE
Regional Acountant
Date Date
No.:
Signature

Fund Cluster:
Date:
DV No. :
ORS/BURS No. :
Amount
P4,500.00
ANGIN CEFERINA S. PAREL

CARPO-FOD
Credit
JEV No.
Date:

Disbursement Voucher: Department of Agrarian Reform Iv-A

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Disbursement Voucher: Department of Agrarian Reform Iv-A

Uploaded by

Copyright:

Available Formats

DEPARTMENT OF AGRARIAN REFORM IV-A

Responsibility Center MFO/PAP

To payment for the Regional Director's

ROMEO J. DELA CRUZ

C. Certified: D. Approved for Payment

Official Receipt No. & Date/other Documents

Responsibility Center MFO/PAP

To payment of travelling expenses and per diems

C. Certified: D. Approved for Payment

Official Receipt No. & Date/other Documents

Responsibility Center MFO/PAP

To payment of travelling expenses and per diems

C. Certified: D. Approved for Payment

Official Receipt No. & Date/other Documents

Responsibility Center MFO/PAP

To reimburse travelling expenses and per diems during

DALANGIN CEFERINA S. PAREL

C. Certified: D. Approved for Payment

Official Receipt No. & Date/other Documents

LANGIN CEFERINA S. PAREL

Responsibility Center MFO/PAP

To payment of CATV subscription with AN 611591837

C. Certified: D. Approved for Payment

ERGENE I. REVECHE PRISCILLA E. ONG

Official Receipt No. & Date/other Documents

Responsibility Center MFO/PAP

To payment of CATV subscription with AN 648593988

C. Certified: D. Approved for Payment

ERGENE I. REVECHE PRISCILLA E. ONG

Official Receipt No. & Date/other Documents

Responsibility Center MFO/PAP

To payment for One (1) round trip ticket to Manila-Busuanga-Manila

C. Certified: D. Approved for Payment

ERGENE I. REVECHE ENGR. RODOLFO. S. PANGILINAN

Official Receipt No. & Date/other Documents

Responsibility Center MFO/PAP

To cash advance the expenses to be incurred in the conduct

C. Certified: D. Approved for Payment

Official Receipt No. & Date/other Documents

Responsibility Center MFO/PAP

To payment for the registration fee of Mr. Ramon S. Dayrit

DALANGIN CEFERINA S. PAREL

C. Certified: D. Approved for Payment

Official Receipt No. & Date/other Documents

ANGIN CEFERINA S. PAREL

You might also like