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Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 23, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LEXIS LAUNDRY HUB
310-961-280-000 20-07-0982
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Labor for curtains laundry services, in the 14,250.00


amount of…

Gross: 15,000.00
2% 300.00
3% 450.00
Amount Due 14,250.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other General Services 5021399000 15,000.00
Due to GSIS 2020102000 750.00
Cash-MDS, Regular 1010400000 14,250.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 23, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee STARTECH COMPUTER SALES CENTER
20-07-0983
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of ICT equipment for MADRASAH of Placer 17,982.15


West Central ES, in the amount of…

Gross: 19,000.00
5%: 848.21
1% 169.64
Amount Due 17,982.15
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Semi-expendable ICT Equipment 1040503000 19,000.00
Due to GSIS 2020102000 1,017.85
Cash-MDS, Regular 1010400000 17,982.15

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 10, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BUREAU OF THE TREASURY
101-20-07-0966
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To Payment of Fidelity Bond Premiums - Budget Officer 3,375.00


in the amount of ..

Amount Due 3,375.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fidelity Bond Premuims 5021502000 3,375.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 3,375.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 7, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CHONA C. MABUNGA
20-07-0965
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

2,000.00
To reimbursement of LTO registration -deped vehicle
-adventure (erroneous entry of amount)

Amount Due 2,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Insurance expense 5021503000 2,000.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010404000 2,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee BIOLOGIC SYSTEMS COMPUTER
20-05-0614
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of pocket wifi for EPS & PSDS for communication


purposes in the amount of …
35,543.13

Gross: 37,555.00
5% 1,676.56
1% 335.31
2,011.87
Amount Due 35,543.13
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

JULIETA R. VIRTUDAZO
SGOD CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM- Other Structure 5021304099 37,555.00
Due to BIR 2020101000 2,011.87
Cash-MDS, Regular 1010400000 35,543.13

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
May 26, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee NERISSA E. GUMAPAC
101-101-20-05-0642

Address
LAKANDULA SHS, PLACER SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of reimbursement for Drugs and medicine 49,959.00


in the amount of ….

Amount Due 49,959.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Drugs and medicine 5020307000 49,959.00
Due to BIR 2020101000
Cash-LCCA 49,959.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
April 15, 2020
DISBURSEMENT VOUCHER DV No. :
2020-03-176

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
101-101-2020-176

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of reimbursement for Drugs and medicine 49,959.00


in the amount of ….

Amount Due 49,959.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Drugs and medicine 5020307000 49,959.00
Due to BIR 2020101000
Cash-LCCA 49,959.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
101-20-03-0462

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of reimbursement for Office Supplies 4,019.80


in the amount of ….

Amount Due 4,019.80


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301000 4,019.80
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 4,019.80

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ELIZABETH CAMPOREDONDO
101-20-03-0443
Address
SDO SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of assorted supplies 7,770.00


in the amount of …

Amount Due 7,770.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Mobile Expenses 5020399000 7,770.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 7,770.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
03/25/2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
101-20-03-0458
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimburse of payment of fortuner plate no. 800.00


in the amount of …

Amount Due 800.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM-Motor Vehicles 5021306001 800.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 800.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee PV GRILL HOUSE

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of meals/snacks for MANCOM Launching of


Edukalidad in the amount of … 250,593.75
Gross: 267,300.00
5% 11,933.04
2% 4,773.21

Amount Due 250,593.75


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Expenses 5029903000 267,300.00
Due to BIR 2020101000 16,706.25
Cash-MDS, Regular 1010400000 250,593.75

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
MYLES DESIGN SHOP PLAQUES SIGNS & TIN/Employee No.: ORS/BURS No.:
Payee
PRINT 101-20-03-0463
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Plaques - Division Battle of the Bands 2,044.29


in the amount of …

Gross: 2,120.00
3% 56.79
1% 18.93

Amount Due 2,044.29


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies 5020301000 2,120.00
Due to BIR 2020101000 75.71
Cash-MDS, Regular 1010400000 2,044.29

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
101-20-03-0461
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of reimbursement of Office Supplies for 3,402.00


Division Office use in the amount of ….

Amount Due 3,402.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020502002 3,402.00
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 3,402.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PALMA GROUP OF COMP. INC.
101-20-03-0461
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of alcohol for Division Office use 3,189.38


in the amount of ….

Gross: 3,402.00
5% 151.875
2% 60.75

Amount Due 3,189.38


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020502002 3,402.00
Due to BIR 2020101000 212.63
Cash-MDS, Regular 1010400000 3,189.38

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee JUNIVA GARMENTS
101-20-03-0419
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of athlete's uniform - CAA-RSC 2020


ELEM, JHS, SHS in the amount of … 362,825.55
Gross: 383,362.84
1% 3,422.88
5% 17,114.41

Amount Due 362,825.55


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses - Elementary 5020201000 269,571.17
Training Expenses - JHS 5020201000 82,641.67
Training Expenses - SHS 5020201000 31,150.00
Due to BIR 2020101000 20,537.30
Cash-MDS, Regular 1010400000 362,825.55

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature
0

Printed Name Printed Name


JULIET M. DUMAGUIT - GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee PV GRILL HOUSE
101-20-03-0422
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of snacks for COA Exit Conference March 3, 2020


in the amount of … 2,812.50
Gross: 3,000.00
5% 133.93
2% 53.57

Amount Due 2,812.50


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Expenses 5029903000 3,000.00
Due to BIR 2020101000 187.50
Cash-MDS, Regular 1010400000 2,812.50

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee IRAX MULTIMEDIA
101-20--03-0426
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of LED Wall rental for 2nd MANCOM -cum- 14,330.35


Launching of Sulong Edukalidad, in the amount of ….

Gross: 15,000.00
2% - 267.86
3% - 401.79

Amount Due 14,330.35


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Expenses 5029903000 15,000.00
Due to BIR 2020101000 669.65
Cash-MDS, Regular 1010400000 14,330.35

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GLOBE
101-20-03-0421
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Internet for the month of February 2020 - 2,342.81


March 2020 in the amount of …

Gross: 2,499.00
2% - 44.63
5% - 111.56

Amount Due 2,342.81


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 2,499.00
Due to BIR 2020101000 156.19
Cash-MDS, Regular 1010400000 2,342.81

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 18, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee SURIGAO CABLE TV., INC.
20-03- 0396
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Cable bill for the month of 720.00


March 2020, in the amount of ….

Amount Due 720.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Cable Expenses 502050400 720.00
Cash-MDS, Regular 1010400000 720.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 18, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PLDT INC.
20-02-0138
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Telephone bill for the month of 1,084.72


March 2020, in the amount of ….

Amount Due 1,084.72


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Telephone Expenses 5020502002 1,084.72
Internet Expenses 502030000
Due to BIR 2020101000 -
Cash-MDS, Regular 1010400000 1,084.72

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 06, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee ONE STOP RESOLUTIONS & TRADING CORP.
20-03-0275
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of toner cartridge - cashier


in the amount of … 4,921.43

Gross: 5,200.00
1% 46.43
5% 232.14
278.57
Amount Due 4,921.43
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 50202010000 5,200.00
Due to BIR 2020101000 278.57
Cash-MDS, Regular 1010400000 4,921.43

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 06, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee UPTOWN PRESS SURIGAO INC.
20-03-0274
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Collection/Disbursement Cash Book


in the amount of … 14,461.43

Gross: 15,280.00
1% 136.43
5% 682.14
818.57
Amount Due 14,461.43
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 50202010000 15,280.00
Due to BIR 2020101000 818.57
Cash-MDS, Regular 1010400000 14,461.43

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee AQUARIAN PHARMA
20-03-0271
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Medicines - CAA-RSC 2020


in the amount of … 74,779.68

Gross: 79,765.00
1% 1,424.38
5% 3,560.94
4,985.32
Amount Due 74,779.68
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 50202010000 79,765.00
Due to BIR 2020101000 4,985.32
Cash-MDS, Regular 1010400000 74,779.68

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :
2020-03-0292

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DENAVILLE RESORT
20-03-0270
Address
Alegria, Sta. Monica, SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Meals & Snacks- Div. Orientation on RA- 378,750.00


9710-Magna Carta of Women & gender Fair Educ.- Cum
Team Bldg. March 13-15,2020.
Gross: 404,000.00
2% - 7,214..29
5% - 18,035.71

Amount Due 378,750.00


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

JULIETA R. VIRTUDAZO
SGOD CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 404,000.00
Due to BIR 2020101000 25,250.00
Cash-MDS, Regular 1010400000 378,750.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MELLICENT C. LIANZA
20-03-0264
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimburse of travelling expenses - Nt'l Consultation on the 4,380.00


DepEd Order on the Guidelines on the Acquisition Survey,
Titling of Schl. Sites.Feb 17-20,2020,
in the amount of …
Amount Due 4,380.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expenses 5020101000 4,380.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 4,380.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DOMINICO P. LARONG JR.
20-03-0249
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimburse of travelling expenses - 4th quarter interfacing 1,178.00


RO & SDO's Jan 22,2020, in the amount of …

Amount Due 1,178.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expenses 5020101000 1,178.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,178.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 03, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee SUSAN DIGOL
20-03-0225
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of travelling expenses & per diem - 1,500.00


attending FY 2021 Division Budget proposal Feb. 19,2020
in the amount of …

Amount Due 1,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expenses 5020101000 1,500.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,500.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEMMA F. COL
20-03-0260
Address
ROXAS ES, MAINIT
Responsibility
Particulars MFO/PAP Amount
Center

To cash advance of MOOE January & Febuary 2020 46,334.00


in the amount of …

THIS IS TO CERTIFY THAT MELBA LUMANGCAS HAS NO


UNLIQUIDITED CASH ADVANCE IN THE OFFICE THIS CERTIFICATION
IS BEING ISSUED TO SUPPORT THE SAID EMPLOYEES REQUEST FOR
CASH ADVANCE FOR THE PURPOSE STATED ABOVE.

JULIET M. DUMAGUIT - GO
Accountant III
Amount Due 46,334.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Advances of Operating Expenses 1990101000 46,334.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 46,334.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 28, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CAREER EXECUTIVE SERVICE BOARD
20-02-0218
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of training fee- I Gabay training course - ASDS 42,000.00


in the amount of …

Amount Due 42,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 42,000.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 42,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 17, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LAILA F. DANAQUE
101-20-0971
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of mobile load 1,499.00


for the month of May 2020 in the amount of …

Amount Due 1,499.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Mobile Expenses 5020502001 1,499.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,499.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 26, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CARMEN T. BESARIO
20-02-0206
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of Token & center table flower 660.00


in the amount of …

Amount Due 660.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Expenses 5029903000 660.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 660.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 26, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EMMA L. CAÑEDA
20-02-0159
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of crude oil - Early registration 1,000.00


monitoring , in the amount of …

Amount Due 1,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 1,000.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 21, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOSELITO P. MANONGAS
20-02-0193
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of travelling exp.- Capacity bldg. for schl 1,180.00


leaders, Jan 10- 11, 2020 in the amount of …

Amount Due 1,180.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 1,180.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,180.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 21, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee AMADO M. NARDO
20-02-0164
Address
Mabibi ES, Mainit District
Responsibility
Particulars MFO/PAP Amount
Center

To cash advance MOOE - Mabini ES 23,500.00


in the amount of …

Amount Due 23,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Advances for Operating Expenses 1990101000 23,500.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 23,500.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 21, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEMAR M. JANDAYAN
20-02-0168
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of travelling exp. - Pilot downloading of RPSU 3,510.00


Feb 13-14, 2020, in the amount of …

Amount Due 3,510.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 3,510.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 3,510.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
QUEENKRIST REFRIGERATION AND ORS/BURS No.:
Payee
AIRCONDITIONING PARTS & SERVICES 101-20-05-07-16
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of labor (division office) cleaning & check-up of aircon


in the amount of … 13,584.00

Gross: 14,150.00
3% 424.50
1% 141.50
566.00

Amount Due 13,584.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
FA - Operating Units 5021304099 14,150.00
Due to BIR 2020101000 566.00
Cash-MDS, Regular 1010400000 13,584.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 19, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0169

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee PV GRILL HOUSE
20-02-0156
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of snacks -Division finance meeting & function


review Jan 31, 2020,in the amount of … 9,375.00
Gross: 10,000
5% 446.43
2% 178.57

Amount Due 9,375.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 10,000.00
Due to BIR 625.00
Cash-MDS, Regular 1010400000 9,375.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 19, 2020
DISBURSEMENT VOUCHER DV No. :
2020-02-0170

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee PV GRILL HOUSE
20-02-0155
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of snacks - Conduct of Demotration Teaching & Interview


of Tchrs applicants CY 2020, Feb 5,2020 in the amount of … 12,750.00
Gross: 13,600
5% 607.14
2% 242.86

Amount Due 12,750.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 13,600.00
Due to BIR 850.00
Cash-MDS, Regular 1010400000 12,750.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account
No. : Number:
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 18, 2020
DISBURSEMENT VOUCHER DV No. :
2020-02-0162

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee IVAN PAUL V. DAMALERIO
20-02-0149
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of travelling expenses - 1st Regional reading 4,070.00


exhibit Jan 31- Feb 1, 2020, in the amount of …

Amount Due 4,070.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 4,070.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 4,070.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 18, 2020
DISBURSEMENT VOUCHER DV No. :
2020-02-0161

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LEA MADELON G. BECERRO
20-02-0146
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of travelling expenses - C Y 2019 2,324.00


reconcillation workshop & function review of finance
position,Jan 13-17,2020 in the amount of ….

Amount Due 2,324.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 2,324.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 2,324.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 17, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0151

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee VIVAPURE
20-02-0137
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of mineral drinking water - January 2020


in the amount of … 2,544.00

Gross: 2,650.00
3% 79.50
1% 26.50
106.00
Amount Due 2,544.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
FA - Operating Units 5021304099 2,650.00
Due to BIR 2020101000 106.00
Cash-MDS, Regular 1010400000 2,544.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 10, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee DINA CRISTINE B. CAMINGUE
20-02-0130
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of travelling exp. - CY 2019 Reconciliation


workshop function review of finance positions,in the amount of .. 2,460.00

Amount Due 2,460.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 2,460.00
Due to BIR -
Cash-MDS, Regular 1010400000 2,460.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 10, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee CARMEN BESARIO
20-02-0131
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of travelling exp. - 1st Regional Reading


Exhibit Jan31- Feb 1, 2020, in the amount of … 3,990.00

Amount Due 3,990.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 3,990.00
Due to BIR -
Cash-MDS, Regular 1010400000 3,990.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 7, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0122

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee PV GRILL HOUSE
20-02-0102
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of meals & snacks -1st Regular Mancom


in the amount of … 78,750.00
Gross: 84,000
5% 3,750
2% 1,500

Amount Due 78,750.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 84,000.00
Due to BIR 5,250.00
Cash-MDS, Regular 1010400000 78,750.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 7, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0120

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee GEMMA PULLOS
20-02-0106
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of travelling exp. - 1st Regional Reading


Exhibit Jan31- Feb 1, 2020, in the amount of … 4,090.00

Amount Due 4,090.00


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

DOMINICO P. LARONG JR.


CID CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 3,450.00
Due to BIR -
Cash-MDS, Regular 1010400000 4,090.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 7, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0118

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee PHILIPPINE POSTAL CORPORATION
20-02-0107
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Documentary Stamps


in the amount of …. 7,400.00

Amount Due 7,400.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Subscription Expenses 5029907099 7,400.00
Due to BIR -
Cash-MDS, Regular 1010400000 7,400.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee MA TERESA M. REAL
20-03-0273
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of Internet bill -bal.2019/ Jan 27- Feb 26,2020


in the amount of … 9,665.95

Amount Due 9,665.95


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Telephone Expenses 5020502002 9,665.95
Due to BIR -
Cash-MDS, Regular 1010400000 9,665.95

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 4, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0082

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee PV GRILL HOUSE
20-02-0069
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of snacks -1st quarterly meeting with HRMO's


in the amount of … 5,250.00
Gross: 5,600
5% 250
2% 100

Amount Due 5,250.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 5,600.00
Due to BIR 350.00
Cash-MDS, Regular 1010400000 5,250.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 06, 2020
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee ELENITA M. PELIGRO
20-03-0282
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Terminal Leave benefits


in the amount of … 313,967.00

Amount Due 313,967.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Terminal Leave Benefits-Civilian 5010403001 313,967.00
Due to BIR -
Cash-MDS, Regular 1010400000 313,967.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 20, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee GOVERMENT SERVICE INSURANCE SYSTEM

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of unpaid premuims due to salary adjustment


Cy 2012, in the amount of … 1,175,104.61

Amount Due 1,175,104.61


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to GSIS 202010200 489,935.34
Due to Gov't Share 501030100 662,669.27
Due to EC 5010304000 22,500.00 -
Cash-MDS, Regular 1010400000 1,175,104.61

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 6, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0094

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee ALEJANDRO SACLOLO
20-02-0081
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of travelling exp.-1st Rgnl. training of sports


officials & managers.Jan 6-10, 2020.,in the amount of .. 4,721.00

Amount Due 4,721.00


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

DOMINICO P. LARONG JR.


CID CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 4,721.00
Due to BIR -
Cash-MDS, Regular 1010400000 4,721.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :
2019-12-2856

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee DEPED- DIVISION OF SURIGAO DEL NORTE
19-12-2450
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of monitoring allowance of key personnel


in the amount of … 26,300.00

Amount Due 26,300.00


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

JULIETA R. VIRTUDAZO
SGOD CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
Financial Assistance/Subsidy 5021408000 26,300.00
Due to BIR -
Cash-MDS, Regular 1010400000 26,300.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee D'BEAUT WATER REFILLING STATION
19-12-2447
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of drinking water -Nov 2019


in the amount of … 1,872.00

Gross: 1,950.00
3% 58.50
1% 19.50
78.00
Amount Due 1,872.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
FA - Operating Units 5021304099 1,950.00
Due to BIR 2020101000 78.00
Cash-MDS, Regular 1010400000 1,872.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee MONDAYA'S CARENDERIA
19-12-2453
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of meals & snacks for 2019 Regional Arabic


Language Skills Competition
in the amount of … 11,400.00

Gross: 12,000.00
3% 360.00
2% 240.00
600.00
Amount Due 11,400.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

DOMINICO P. LARONG
CID CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
FA - Operating Units 5021304099 12,000.00
Due to BIR 2020101000 600.00
Cash-MDS, Regular 1010400000 11,400.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee MT. BAGARABON BEACH & MOUNTAIN RESORT
19-12-2459
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Meals & Snacks for Capacity building on Enhancing


Coaching & mentoring skills for Div. Office Section Head
& School Heads in the amount of … 350,437.50

Gross: 373,800.00
5% 16,687.50
2% 6,675.00
23,362.50
Amount Due 350,437.50
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

JULIETA R. VIRTUDAZO
SGOD CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM- Other Structure 5021304099 373,800.00
Due to BIR 2020101000 23,362.50
Cash-MDS, Regular 1010400000 350,437.50

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee BIOLOGIC SYSTEMS COMPUTER
19-12-2458
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of supplies for Validation of last


mile schools in public elem & jhs
in the amount of … 19,780.35

Gross: 20,900.00
5% 933.04
1% 186.61
1,119.65
Amount Due 19,780.35
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

JULIETA R. VIRTUDAZO
SGOD CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM- Other Structure 5021304099 20,900.00
Due to BIR 2020101000 1,119.65
Cash-MDS, Regular 1010400000 19,780.35

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 17, 2020
DISBURSEMENT VOUCHER
DV No. :
2020-02-0152

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee K3CP CORPORATION
20-02-0136
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of office supplies


in the amount of … 5,025.54

Gross: 5,310.00
5% 237.05
2% 47.41
284.46
Amount Due 5,025.54
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM- Other Structure 5021304099 5,310.00
G Due to BIR 2020101000 284.46
Cash-MDS, Regular 1010400000 5,025.54

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee GEVANS GENERAL MERCHANDISE
19-12-2449
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of construction materials - kitchen sink 2,952.85


& dental office in the amount of …

Gross: 3,120.00
2% 139.29
1% 27.86
167.15
Amount Due 2,952.85
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM- Other Structure 5021304099 3,120.00
Due to BIR 2020101000 167.15
Cash-MDS, Regular 1010400000 2,952.85

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee ALMONT BEACH RESORT
19-12-2448
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of meals/snacks for Mathematical Investigation 302,906.25


& teaching strategies for SHS teachers in the amount of …

Gross: 323,100.00
2% 5,769.64
5% 14,424.11
20,193.75
Amount Due 302,906.25
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

DOMINICO P. LARONG
CID CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 323,100.00
Due to BIR 2020101000 20,193.75
Cash-MDS, Regular 1010400000 302,906.25

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee JMJ SNACK HAUZ & CATERING SERVICES
19-12-2448
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of IPED gathering cum - Kahimuan festival 93,750.00


in the amount of …

Gross: 100,000.00
2% 1,785.71
5% 4,464.29
6,250.00
Amount Due 93,750.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

DOMINICO P. LARONG
CID CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 100,000.00
Due to BIR 2020101000 6,250.00
Cash-MDS, Regular 1010400000 93,750.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 12, 2019
DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee NERI STORE
19-12-2457
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of 1 sack rice for 2019 IPED gathering 4,800.00


in the amount of …

Gross: 5,000.00
1% 50.00
5% 150.00
200.00
Amount Due 4,800.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

DOMINICO P. LARONG
CID CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 5,000.00
Due to BIR 2020101000 200.00
Cash-MDS, Regular 1010400000 4,800.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 10, 2019
DISBURSEMENT VOUCHER DV No. :
2019-05-777

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee GAISANO CAPITAL SURIGAO
18-12-2528
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of tools & equipment of Alegria Stand Alone 10,463.53


SHS TVL (FBS NC II) , in the amount of …

Gross: 11,055.80
1% - 98.71
5% - 493.56
592.27
Amount Due 10,463.53
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 11,055.80
Due to BIR 2020101000 592.27
Cash-MDS, Regular 1010400000 10,463.53

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 10, 2019
DISBURSEMENT VOUCHER DV No. :
2019-09-1821

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ACE HARDWARE PHILLIPINES, INC.
19-09-1490
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of assorted supplies 4,993.35


& signages, in the amount of …

Gross: 5,276
1% - 47.11
5% - 235.54
282.65
Amount Due 4,993.35
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 5,276.00
Due to BIR 2020101000 282.65
Cash-MDS, Regular 1010400000 4,993.35

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 28,2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee VTA LINK PRINTING SERVICES
19-11-2278
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of tarpauline printing-lay out of school map 85,500.00


& signages, in the amount of …

Gross: 90,000
2% - 1,800
3% - 2,700
4,500.00
Amount Due 85,500.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 90,000.00
Due to BIR 2020101000 4,500.00
Cash-MDS, Regular 1010400000 85,500.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Nov.21,2019
DISBURSEMENT VOUCHER DV No. :
2019-11-2591

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JAMAEL A. AMBOLO
19-11-2210
Address
SDO SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of salary- alive teacher 26,000.00


July-Oct. 2019, in the amount of …

Amount Due 26,000.00


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

LAILA F. DANAQUE
ASDS

B. Accounting Entry:
Account Title UACS Code Debit Credit
FA operating Units 5021408000 26,000.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 26,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 15, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PMDC ENTERPRISES
101-19-10-1846
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of server rock cabinet power distribution 2,129.46


unit & cable ,in the amount of ….

Gross: 2,250.00
1% - 20.09
5% - 100.45
120.54
Amount Due 2,129.46
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Others Supply 2020399000 2,250.00
Due to BIR 2020101000 120.54
Cash-MDS, Regular 1010400000 2,129.46

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 08, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MM GLASS SUPPLY
101-19-10- 1717
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of roller blinds for windows of 64,512.00


SDS/ASDS office , in the amount of …

Gross: 67,200.00
2% - 672.00
3% - 2,016.00
2,688.00
Amount Due 64,512.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Furniture and Fixtures 5060407001 67,200.00
Due to BIR 2020101000 2,688.00
Cash-MDS, Regular 1010400000 64,512.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER
DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
ORS/BURS No.:
Payee BIOLOGIC SYSTEMS COMPUTER
20-05-0614
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of pocket wifi for EPS & PSDS for communication


purposes in the amount of …
35,543.13

Gross: 37,555.00
5% 1,676.56
1% 335.31
2,011.87
Amount Due 35,543.13
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

JULIETA R. VIRTUDAZO
SGOD CHIEF

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM- Other Structure 5021304099 37,555.00
Due to BIR 2020101000 2,011.87
Cash-MDS, Regular 1010400000 35,543.13

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed Name Printed Name


JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ ADA Date : Bank Name & Account Number:
No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 07, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BUREAU OF THE TREASURY
101-19-10-1693
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To Payment of Fidelity Bond - SDS 22,500.00


in the amount of ..

Amount Due 22,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fidelity Bond Premuims 5021502000 22,500.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 22,500.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 22,2019
DISBURSEMENT VOUCHER DV No. :
2019-11-2632

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee RACHEL JADE B. DELA CRUZ
19-11-2267
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of traveling exp.-Pre implementation 16,894.00


workshop on the implementation of basic educ.facilities
Nov. 18-21,2019,in the amount of ….

Amount Due 16,894.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
training Expenses 5020201000 16,894.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 16,894.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
August 09, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ANELYN S. ALCOBER
101-19-08-1263
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimburse of crude oil in going to butuan 500.00


in the amount of …

Amount Due 500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Accountable Forms Expenses 5020302000 500.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 500.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 82019
DISBURSEMENT VOUCHER DV No. :
2019-11-2412

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee 357 CAR SPECIALIST
101-19-11-2055
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of spareparts for service Innova


in the amount of …

Amount Due -
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
RM-Motor Vehicles 5021306001
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 -

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name RAYMOND T. BAJAN MA TERESA M. REAL
Accountant Designate Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee VENTON GOWNS GALLERY AND TEXTILES

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of dance sports costume for Caragaa 48,592.50


RSC 2019, in the amount of …

Gross: 51,150.00
2% - 1,023.00
3% - 1,534.50

Amount Due 48,592.50


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supply 2020399000 51,150.00
Due to BIR 2020101000 2,557.50
Cash-MDS, Regular 1010400000 48,592.50

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CKAT PHARMA
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of medicines and vitamins for CARAGAA- 84,690.24


RSC 2019 , in the amount of …

Gross: 88,219.00
1% - 882.19
3% - 2,646.57

Amount Due 84,690.24


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Drugs & Medicines exp. 5020307000 88,219.00
Due to BIR 2020101000 3,528.76
Cash-MDS, Regular 1010400000 84,690.24

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 18, 2019
DISBURSEMENT VOUCHER DV No. :
2019-12-3166

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PARKWAY HOTEL
19-12-2779
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of meals & snacks-Div. Orientation on 261,000.00


RA 11032 Ease doing Business cum Christmas Party
Dec 20-21, 2019,in the amount of …

Gross: 278,400
2% - 4,971.43
5% - 12,428.57

Amount Due 261,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 278,400.00
Due to BIR 2020101000 17400
Cash-MDS, Regular 1010400000 261,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 19, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee RICHLOOM FABRICS
101-19-07-1041
Address
Surigao City
Responsibility
Particulars MFO/PAP Amount
Center

To payment of dance costume for Deped Caraga 15,648.75


anniversary, July 25, 2019 in the amount of …

Gross: 16,692
2% - 298.07
5% - 745.18
1043.25
Amount Due 15,648.75
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201002 16,692.00
Due to BIR 2020101000 1,043.25
Cash-MDS, Regular 1010400000 15,648.75

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 07, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED DIVISION OF SURIGAO DEL NORTE
101-19-10-1692
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Monetization CY 2019 ( SAGARIO et al ) 774,529.00


in the amount of …

Amount Due 774,529.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personal Benefits 5010499099 774,529.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 774,529.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 15, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee OZONE TECHNICAL SUPPLIES SERVICES
101-19-07-923
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Mineral drinking water for the month 2,553.60


of March 2019,in the amount of …

Gross: 2,660.00
1% - 26.60
3% - 79.80
106.40
Amount Due 2,553.60
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Water expenses 50204010000 2,660.00
Due to BIR 2020101000 106.40
Cash-MDS, Regular 1010400000 2,553.60

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
January 21, 2020
DISBURSEMENT VOUCHER DV No. :
2020-01-0011

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
20-01-0012
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of travelling exp. -Rgnl.orientation on sulong 1,650.00


Edukalidad & Cela Jan 9-11,2020
in the amount of ….

Amount Due 1,650.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020101000 1,650.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,650.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
20-03-0242
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimburse of travelling expenses - CES Board 19,079.00


Assessment in the amount of …

Amount Due 19,079.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 19,079.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 19,079.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LAILA F. DANAQUE
20-03-0244
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To reimburse of travelling expenses to attend DepEd 18,827.48


National Search Committee at Pasig City
in the amount of …

Amount Due 18,827.48


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travel Expenses 5020101000 18,827.48
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 18,827.48

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 09, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee AQUARIAN PHARMA
101-19-07-897
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Medical,Dental Supplies-Foundation day 31,090.18


in the amount of …

Gross: 32,850.00
1% - 293.30
5% - 1,466.52
1,759.82
Amount Due 31,090.18
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Structures 5021304099 32,850.00
Due to BIR 2020101000 1,759.82
Cash-MDS, Regular 1010400000 31,090.18

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 05, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LYNNDON ENTERPRISES
101-19-07-892
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Sliding window glass for new building 45,901.78


in the amount of …

Gross: 48,500
1% - 433.04
5% - 2,165.18

Amount Due 45,901.78


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Structures 5021304099 48,500.00
Due to BIR 2020101000 2,598.22
Cash-MDS, Regular 1010400000 45,901.78

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 04, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BUREAU OF TREASURY
101-19-07-872
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Fidelity bond 3,375.00


in the amount of …

Amount Due 3,375.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fidelity Bond Premuims 5021502000 3,375.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 3,375.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 26, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PMDC ENTERPRISES
101-19-06-845
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of plastic electrical molding 3,420.00


in the amount of ….

Gross:
1% -
5% -

Amount Due 3,420.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Others Supply 2020399000 3,420.00
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 3,420.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 25, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PARKWAY HOTEL
101-19-06-810
Address
Surigao City
Responsibility
Particulars MFO/PAP Amount
Center

To payment of meals & snacks - 3rd Division Mancom 98,203.12


cum symposium conference,in the amount of ….

Gross: 104,750.00
1% - 1,870.54
5% - 4,676.34
6,546.88
Amount Due 98,203.12
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Auditing Services 5021102000 104,750.00
Due to BIR 2020101000 6,546.88
Cash-MDS, Regular 1010400000 98,203.12

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 09, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
BANSAY SEAFOOD RESTAURANT & TIN/Employee No.: ORS/BURS No.:
Payee
CATERING SERVICES 101-19-07-902
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of meals & snacks during 117th Founding 120,175.00


Anniversary July 2,2019, in the amount of …

Gross: 126,500.00
2% - 2,530.00
3% - 3,795.00
6,325.00
Amount Due 120,175.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 126,500.00
Due to BIR 2020101000 6,325.00
Cash-MDS, Regular 1010400000 120,175.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 25, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ONE-STOP RESOLUTIONS & TRADING CORP.
101-19-06-794
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Toner Cartridge 14,764.28


in the amount of ….

Gross: 15,600.00
1% - 139.29
5% - 696.43
835.72
Amount Due 14,764.28
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Others Supply 2020399000 15,600.00
Due to BIR 2020101000 835.72
Cash-MDS, Regular 1010400000 14,764.28

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 21, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CKAT PHARMA
101-19-06-772
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of miscellaneous expenses 5,733.12


in the amount of ..

Gross: 5,972.00
1% - 59.72
3% - 179.16
238.88
Amount Due 5,733.12
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 5,972.00
Due to BIR 2020101000 238.88
Cash-MDS, Regular 1010400000 5,733.12

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 21, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EDMARK TOURIST TRANSPORT
101-19-06-768
Address
Surigao City
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Van hired for transportation - 37,500.00


capacity bldg.at Davao City April 26-30,2019
in the amonut of …
Gross: 40,000.00
2% - 714.29
5% - 1,785.71
2500
Amount Due 37,500.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201002 40,000.00
Due to BIR 2020101000 2,500.00
Cash-MDS, Regular 1010400000 37,500.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 21, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee SURIGAO VISAYAN MARKETING CORP.
101-19-06-770
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Pushcart-Handtruct (double handle-heavy) 3,312.50


for 2nd quarter 2019,in the amount of ….

Gross: 3,500
1% - 31.25
5% - 156.25
187.50
Amount Due 3,312.50
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies 5020201000 3,500.00
Due to BIR 2020101000 187.50
Cash-MDS, Regular 1010400000 3,312.50

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 10, 2019
DISBURSEMENT VOUCHER DV No. :
2019-12-2761

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee K3CP CORPORATION
18-12-2498
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Division office supplies 6,394.07


,in the amount of …

Gross: 6,756
1% - 60.32
5% - 301.61
361.93
Amount Due 6,394.07
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Exp. 5020201002 6,756.00
Due to BIR 2020101000 361.93
Cash-MDS, Regular 1010400000 6,394.07

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT -GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 11, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MAXTER RESOURCES INCORPORATED
101-18-08-1290
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of 10% retention of Installation of transformers 253,038.05


& Upgrading of Electrical Copnnctions- Hacienda NHS &
Matin-ao NHS,in the amount of ..

Amount Due 253,038.05


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Accounts Payable 2010101000 253,038.05
Cash in Bank 1010404000
Cash-MDS, Regular 1010400000 253,038.05

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 23, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee WINDFALL CONSTRUCTION
101-19-09-1584
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of final billing 100% Repair/Rehabilitation of 160,639.79


schl bldg.Cantapoy ES, Malimono BEFF 2019
in the amount of …
Gross: 191,808.71
Ret. 10% - 19,180.87
2% - 3,425.16
5% - 8,562.89

Amount Due 160,639.79


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Construction in Progress 191,808.71
Garranty & Security Payable 19,180.87
Due to BIR 2020101000 11,988.05
Cash-MDS, Regular 1010400000 160,639.79

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 23, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee WINDFALL CONSTRUCTION
101-19-09-1401
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of final billing 100% Repair/Rehabilitation of 588,548.10


schl bldg.SNNHS billeting quarter CRAM 2019
in the amount of …
Gross: 702,744.00
Ret. 10% - 70,274.40
2% - 12,549.00
5% - 31,372.50

Amount Due 588,548.10


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Construction in Progress 702,744.00
Garranty & Security Payable 70,274.40
Due to BIR 2020101000 43,921.50
Cash-MDS, Regular 1010400000 588,548.10

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 23, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee RJB CONSTRUCTION SUPPLY
101-18-12-2596
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Final billing 100%Transformer and Upgrading 219,439.33


of electrical connections for Malimono NHS
in the amount of …
Gross: 262,017.11
Ret. 10% - 26,201.71
2% - 4,678.88
5% - 11,697.19
Amount Due 219,439.33
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Construction in Progress 262,017.11
Garranty & Security Payable 26,201.71
Due to BIR 2020101000 16,376.07
Cash-MDS, Regular 1010400000 219,439.33

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
August 23, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee RJB CONSTRUCTION SUPPLY
101-18-12-02406
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of 10% retention of Electrification of Un- 557,004.50


Energized Schools Batch 3 Cluster 1 - Alegria Stand
Alone SHS,in the amount of ..
Gross: 665,080.00
2% - 11,876.43

Amount Due 557,004.50


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Accounts Payable 2010101000 164,465.13
Cash in Bank 1010404000
Cash-MDS, Regular 1010400000 557,004.50

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 11, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CLYBROS MERCHANDISING INC.
101-19-06-752
Address
Surigao City
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Srorage Box-office use 13,645.31


in the amount of ….

Gross: 14,555.00
2% - 259.91
5% - 649.78
909.69
Amount Due 13,645.31
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

MARYJANE M. ROSALES
Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Auditing Services 5021102000 14,555.00
Due to BIR 2020101000 909.69
Cash-MDS, Regular 1010400000 13,645.31

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 14, 2019
DISBURSEMENT VOUCHER DV No. :
2019-06-996

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MAHANEH GARMENTS
101-18-12-2583
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of T-Shirt as cultural allowance 46,848.22


in the amount of ….

Gross: 49,500.00
1% - 441.96
5% - 2,209.82
2,651.78
Amount Due 46,848.22
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

MARYJANE M. ROSALES
Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Others Supply 2020399000 49,500.00
Due to BIR 2020101000 2,651.78
Cash-MDS, Regular 1010400000 46,848.22

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 14, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee IRENE'S CAKE & CATERING SERVICES
101-19-06-724
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Meals & Snacks - Capacity bldg.- 47,025.00


Lay-out artist & teachers developer of K-12
May 23-25, 2019,in the amount of …

Gross: 49,500.00
2% - 990.00
3% - 1,485.00
2,475.00
Amount Due 47,025.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

MARYJANE M. ROSALES
Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 49,500.00
Due to BIR 2020101000 2,475.00
Cash-MDS, Regular 1010400000 47,025.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JULIETA R. VIRTUDAZO
20-03-0247
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of RATA for the month of 10,000.00


March 2020, in the amount of ….

Amount Due 10,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 5,000.00
Transportation Allowance 5010203001 5,000.00
Cash-MDS, Regular 1010400000 10,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
January 21, 2020
DISBURSEMENT VOUCHER DV No. :
2020-01-0008

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CHONA C. MABUNGA
20-01-0007
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Check book 3,750.00


in the amount of …

Amount Due 3,750.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Accountable Forms Plates & Stickers Inventory 1040401000 3,750.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 3,750.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
May 21, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GLOBE
20-07-0976
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Internet for the month of June 16 936.56


to May 15, 2020 in the amount of ….

Gross: 999.00
2% - 17.84
5% - 44.60

Amount Due 936.56


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 999.00
Due to BIR 2020101000 62.44
Cash-MDS, Regular 1010400000 936.56

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 15, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEVANS GEN. MERCHANDISE
101-19-10-1849
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of construction suppliesfor COA- 16,532.22


Cabinet @ Tables ,in the amount of ….

Gross: 17,468
1% - 155.96
5% - 779.82
935.78
Amount Due 16,532.22
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

MARYJANE M. ROSALES
Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Others Supply 2020399000 17,468.00
Due to BIR 2020101000 935.78
Cash-MDS, Regular 1010400000 16,532.22

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
May 14, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DIGOS CONSTRAK CORPORATION

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of 10% retention for Installation of Transformer 372,139.48


& Upgrading of Electrical connections in Amado A Fabio
NHS, Tagana-an NHS & Placer NHS.in the amount of ..

Amount Due 372,139.48


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Accounts Payable 2010101000 372,139.48
Cash in Bank 1010404000
Cash-MDS, Regular 1010400000 372,139.48

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
May 14, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee R.F. VARQUEZ CONSTRUCTION

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of 10% retention for repair/rehab of Cagtinae 131,315.57


ES, Malimono Dist. ..in the amount of ….

Amount Due 131,315.57


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Accounts Payable 2010101000 131,315.57
Cash in Bank 1010404000
Cash-MDS, Regular 1010400000 131,315.57

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
August 23, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PROCUREMENT SERVICES
101-19-08-1374
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of supplies for LIS/BEIS workshop 3,458.00


in the amount of …

Amount Due 3,458.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies 5020301000 3,458.00
Due to BIR 2020102000
Cash-MDS, Regular 1010400000 3,458.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 20, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee IRENES CAKE & CATERING
101-19-03-023
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Meals & Snacks-2020 Budget Proposal 28,125.00


Feb.11, 2019 in the amount of ….

Gross: 30,000
1% - 535.71
5% - 1,339.29
1,875.00
Amount Due 28,125.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 30,000.00
Due to BIR 2020101000 1,875.00
Cash-MDS, Regular 1010400000 28,125.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2020
DISBURSEMENT VOUCHER DV No. :
101-20-03-0457

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ELIZABETH CAMPOREDONDO
19-12-2668
Address
SDO SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of assorted supplies 7,591.50


in the amount of …

Amount Due 7,591.50


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 7,591.50
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 7,591.50

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
August 08, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
MYLES SESIGN SHOP PLAQUES SIGN & TIN/Employee No.: ORS/BURS No.:
Payee
PRINT 101-19-08-1243
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Plaques-DepEd SDN Founding 43,680.00


Anniversary 2019, in the amount of …

Gross: 45,500
2% - 455.00
3% - 1,365.00
1,820.00
Amount Due 43,680.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 45,500.00
Due to BIR 2020101000 1,820.00
Cash-MDS, Regular 1010400000 43,680.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 09, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KAPIHAN SA MAINIT
101-19-07-906
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Meals & Snacks - PIR cum Presentation 8,312.50


of action Plan,May 24,2019.in the amount of …

Gross: 8,750.00
2% - 175.00
3% - 262.50
437.50
Amount Due 8,312.50
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training expenses 5020201000 8,750.00
Due to BIR 2020101000 437.50
Cash-MDS, Regular 1010400000 8,312.50

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 16, 2019
DISBURSEMENT VOUCHER DV No. :
2019-12-3042

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PRIMEHUB PRODUCTS
19-12-2667
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of communication load for montoring 8,659.82


in the amount of ….

Gross: 9,150
1% - 81.70
5% - 408.48

Amount Due 8,659.82


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
FA to Operating Units 5021408000 9,150.00
Due to BIR 2020101000 490.18
Cash-MDS, Regular 1010400000 8,659.82

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 29, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BIOLOGIC SYSTEMS COMPUTER CENTER
19-11-2282
Address
SDO SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Printer w/ continous ink & hard drive-drrm 26,973.22


reporting & ,monitoring, in the amount of ….

Gross: 28,500
1% - 254.46
5% - 1,272.32
1,526.78
Amount Due 26,973.22
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
FA to Operating Exp. 5021408000 28,500.00
Due to BIR 2020101000 1,526.78
Cash-MDS, Regular 1010400000 26,973.22

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 17, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee SURIGAO CABLE TV,INC.
20-07-0972
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Cable for the month of 675.00


May-June 2020, in the amount of ….

Gross: 720
2% - 12.86
5% - 32.14
Amount Due 675.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LAILA F. DANAQUE
Asst.School Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Cable Expenses 5020504000 720.00
Due to BIR 2020101000 45.00
Cash-MDS, Regular 1010400000 675.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 11, 2019
DISBURSEMENT VOUCHER DV No. :
2019-12-2839

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LEO FRANCIS M. PORTILLO
19-12-2464
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of traveling expenses to attend 11,400.00


seminar & other matters -Dec 2019
in the amount of …

Amount Due 11,400.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expenses 5020402000 11,400.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 11,400.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 11, 2019
DISBURSEMENT VOUCHER DV No. :
2019-12-2838

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EDDIE MARIANO E. YU
19-12-2465
Address
SDO-SDN
Responsibility
Particulars MFO/PAP Amount
Center

To payment of traveling expenses to attend 18,312.00


seminar & other matters -Dec 2019
in the amount of …

Amount Due 18,312.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expenses 5020201002 18,312.00
Employees Compensation Insurance Premiums 5010304000
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 18,312.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
June 3, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PRIMEWATER INFRASTRUCTURE CORP.
101-20-06-0757

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Water bill for the month of May 2020 2,567.72


in the amount of ….

2738.9
2% - 48.91
5% - 122.26

Amount Due 2,567.72


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Water Expenses 5020401000 2,738.90
Due to BIR 2020101000 171.17
Cash-MDS, Regular 1010400000 2,567.73

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 4, 2020
DISBURSEMENT VOUCHER DV No. :
2020-02-0076

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CAREER EXECUTIVE SERVICE BOARD
20-02-0063
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of registration fee- CES Eligibity 17,000.00


in the amount of …

Amount Due 17,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 17,000.00
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 17,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 08, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BERTRAND ROD BRAVO BUSTAMANTE
101-19-03-0273
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Division Website Web Hosting Provider 6,000.00


for CY 2019, in the amount of ….

Amount Due 6,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 6,000.00
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 6,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JULIETA R. VIRTUDAZO
20-03-0247
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of RATA for the month of 10,000.00


March 2020, in the amount of ….

Amount Due 10,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 5,000.00
Transportation Allowance 5010203001 5,000.00
Cash-MDS, Regular 1010400000 10,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :
2020-02-0074

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DOMINICO P. LARONG
20-03- 0248
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of RATA for the month of 10,000.00


March 2020, in the amount of ….

Amount Due 10,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 5,000.00
Transportation Allowance 5010203001 5,000.00
Cash-MDS, Regular 1010400000 10,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LAILA F DANAQUE
20-03-0244
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of RATA for the month of 15,000.00


March 2020, in the amount of ….

Amount Due 15,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 7,500.00
Transportation Allowance 5010203001 7,500.00
Cash-MDS, Regular 1010400000 15,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 04, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
20-03-0245
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of RATA for the month of 17,000.00


March 2020, in the amount of ….

Amount Due 17,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 8,500.00
Transportation Allowance 5010203001 8,500.00
Cash-MDS, Regular 1010400000 17,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
January 27, 2020
DISBURSEMENT VOUCHER DV No. :
2020-01-0036

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PLDT INC.
20-01-0037
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Internet bill for the month of 14,700.00


December 2019, in the amount of ….

Gross: 15,680.00
5% 700
2% 280

Amount Due 14,700.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Telephone Expenses 5020502002 15,680.00
Internet Expenses 502030000
Due to BIR 2020101000 980.00
Cash-MDS, Regular 1010400000 14,700.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
January 27, 2020
DISBURSEMENT VOUCHER DV No. :
2020-01-0035

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PLDT INC.
20-01-0036
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Telephone bill for the month of 4,009.03


December 2019, in the amount of ….

Gross: 4,276.30
5% 190.91
2% 76.36

Amount Due 4,009.03


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Telephone Expenses 5020502002 4,276.30
Internet Expenses 502030000
Due to BIR 2020101000 267.27
Cash-MDS, Regular 1010400000 4,009.03

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
Febuary 17, 2020
DISBURSEMENT VOUCHER DV No. :
2020-02-0150

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PLDT INC.
20-02-0138
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Telephone bill for the month of 3,436.32


Febuary 2020, in the amount of ….

Gross: 3,665.40
5% 163.63
2% 65.45

Amount Due 3,436.32


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Telephone Expenses 5020502002 3,665.40
Internet Expenses 502030000
Due to BIR 2020101000 229.08
Cash-MDS, Regular 1010400000 3,436.32

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
August 08, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee NYER PETRON STATION
101-19-08-1229
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of fuel,diesel expenses for the 12,215.02


June 2019, in the amount of ….

Gross: 12,906.44
1% - 115.24
5% - 576.18
691.42

Amount Due 12,215.02


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fuel,Oil & Lubricants Expenses 5020309000 12,906.44
Due to BIR 2020102000 691.42
Cash-MDS, Regular 1010400000 12,215.02

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 2,2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
SURIGAO DEL NORTE ELECTRIC COOPERATIVE, TIN/Employee No.: ORS/BURS No.:
Payee INC. 20-03- 0224
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Electricity bill for the month of 97,295.00


Febuary 2020, in the amount of ….

Amount Due 97,295.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Electricity Expenses 5020402000 97,295.00
Cash-MDS, Regular 1010400000 97,295.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
January 21, 2020
DISBURSEMENT VOUCHER DV No. :
2020-01-0012

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JULIETA R. VIRTUDAZO
20-01-0010
Address
SDO-SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of Internet bill for the month 1,796.44


of December 2019, in the amount of …

Amount Due 1,796.44


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Mobile 5020502001 1,796.44
Employees Compensation Insurance Premiums 5010304000
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,796.44

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CITY SAVINGS BANK
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 1,286,536.91


for the month of Febuary 2020 in the amount of …

Amount Due 1,286,536.91


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 1,286,536.91
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 1,286,536.91

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
September 16, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
Payee
CORPORATION
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Philhealth Remittances Newlyhired 25,106.56


Teaching Personnel for the month of March to
August 2019 in the Amount of….

Amount Due 25,106.56


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

MARY JANE M. ROSALES


Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHILHEALTH 2020104000 12,553.28
PhilHealth Contributions 5010303000 12,553.28
Cash-MDS, Regular 1010400000 25,106.56

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 23, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
Payee
CORPORATION
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Philhealth Remittances 31,916.52


for the month of April- Sept. 2019
in the Amount of….

Amount Due 31,916.52


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

MARY JANE M. ROSALES


Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHILHEALTH 2020104000 15,958.26
PhilHealth Contributions 5010303000 639.20
Cash-MDS, Regular 1010400000 31,916.52

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 04, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
Payee
CORPORATION
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Philhealth Remittances RPSU 1,095,335.01


Teaching/Non Teaching Personnel for the month of
September 2019 in the Amount of….

Amount Due 1,095,335.01


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

MARY JANE M. ROSALES


Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHILHEALTH 2020104000 547,670.45
PhilHealth Contributions 5010303000 547,664.56
Cash-MDS, Regular 1010400000 1,095,335.01

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 31, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
Payee
CORPORATION
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Philhealth Remittances RPSU 1,091,376.60


Teaching/Non Teaching Personnel for the month of
July 2019 in the Amount of….

Amount Due 1,091,376.60


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

MARY JANE M. ROSALES


Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHILHEALTH 2020104000 545,690.72
PhilHealth Contributions 5010303000 545,685.88
Cash-MDS, Regular 1010400000 1,091,376.60

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
December 10, 2019
DISBURSEMENT VOUCHER DV No. :
2019-12-2781

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
Payee
CORPORATION
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Philhealth Remittances SHS/ELEM 261,373.58


Teaching/Non Teaching Personnel for the month of
October 2019 in the Amount of….

Amount Due 261,373.58


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

MARY JANE M. ROSALES


Administrative Officer V

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHILHEALTH 2020104000 130,687.05
PhilHealth Contributions 5010303000 130,686.53
Cash-MDS, Regular 1010400000 261,373.58

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name RAYMOND T. BAJAN MA TERESA M. REAL
ADAS-III/Accountant Designate OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 7,2019
DISBURSEMENT VOUCHER DV No. :
2019-11-2373

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
Payee
CORPORATION
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Philhealth Remittances JHS Teaching/ 119,548.91


Non Teaching Personnel for the month of
October 2019 in the Amount of….

Amount Due 119,548.91


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHILHEALTH 2020104000 59,774.80
PhilHealth Contributions 5010303000 59,774.11
Cash-MDS, Regular 1010400000 119,548.91

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name RAYMOND T. BAJAN MA TERESA M. REAL
ADAS-III/Accountant Designate OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee FIRST CONSOLIDATED BANK, INC,

Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 238,785.44


for the month of Febuary 2020
in the amount of …

Amount Due 238,785.44


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 238,785.44
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 238,785.44

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
MINDANAO EDUCATORS MUTUAL TIN/Employee No.: ORS/BURS No.:
Payee
BENEFIT ASSOCIATION,INC
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 45,431.13


for the month of Febuary 2020,in the amount of ..

Amount Due 45,431.13


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 45,431.13
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 45,431.13

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________

Payee
CEBU CFI COMMUNITY TIN/Employee No.: ORS/BURS No.:
COOPERATIVE
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 30,474.26


for the month of Febuary 2020, in the amount of …

Amount Due 30,474.26


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 30,474.26
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 30,474.26

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BDO NETWORK BANK
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 26,670.60


for the month of Febuary 2020,in the amount of ..

Amount Due 26,670.60


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 26,670.60
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 26,670.60

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 25, 2019
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED CARAGA
BUTUAN CITY
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Remittances (RPSU Paid Personnel) 960,361.65


for the month of March 2019,in the amount of …

Amount Due 960,361.65


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

LAILA F. DANAQUE, CESE


Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to Reg. Offices 2030103000 960,361.65
Cash-MDS, Regular 1010400000 960,361.65

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT NELIA S. LOMOCSO
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 17, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LAILA F. DANAQUE
101-20-0971
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimbursement of mobile load 1,499.00


for the month of May 2020 in the amount of …

Amount Due 1,499.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Mobile Expenses 5020502001 1,499.00
Due to GSIS 2020102000
Cash-MDS, Regular 1010400000 1,499.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
July 17, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED DIVISION OF SURIGAO DEL NORTE
101-20-0970
Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Salary and Pera of JHS Teachers 5,134,181.38


and Non-Teaching personnel for the month of July 2020
in the amount of …

Amount Due 5,134,181.38


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

LAILA F. DANAQUE
Asst. Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Salaries and Wages 5010101001 4,760,181.38
PERA 5010201001 374,000.00
Cash-MDS, Regular 1010400000 5,134,181.38

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EAST WEST RURAL BANK
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 1,605,804.08


for the month of Febuary 2020,in the amount of ..

Amount Due 1,605,804.08


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 1,605,804.08
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 1,605,804.08

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED DIVISION OF SURIGAO DEL NORTE

Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Provident Remittance Loan of 163,093.90


Division Paid Personnel for the month of Febuary 2020
in the amount of …

Amount Due 163,093.90


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 163,093.90
Cash-MDS, Regular 1010400000 163,093.90

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MANILA TEACHERS MUTUAL AID SYSTEM, INC.

Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 93,118.52


for the month of Febuary 2020
in the amount of …

Amount Due 93,118.52


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 93,188.52
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 93,188.52

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ENTERPRISE BANK, INC.
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Loan remittances of SHS/Secondary 244,046.76


for the month of Febuary 2020
in the amount of …

Amount Due 244,046.76


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 244,046.76
Due to Other NGAs 2020105000
Cash-MDS, Regular 1010400000 244,046.76

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
March 05, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BUREAU OF THE TREASURY
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of PLI's Service Fee for the month 35,237.21


of Febuary 2020,in the amount of ..

Amount Due 35,237.21


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 2999999000 35,237.21
Cash-MDS, Regular 1010400000 35,237.21

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA TERESA M. REAL
Accountant III OIC Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
April 28, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JERCELLYN JOY DAGOC
20-03-0249
Address
DEPED SDN
Responsibility
Particulars MFO/PAP Amount
Center

To reimburse of travelling expenses for NSPC/NFOT/NSTF 16,707.60


& NSQ in the amount of . . .

Amount Due 16,707.60


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expenses 5020101000 16,707.60
2020102000
Cash-MDS, Regular 1010400000 16,707.60
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
April 28, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte
20-03-0249
Address
Surigao City

Particulars Responsibility Center MFO/PAP Amount

To payment of Benefits of Public Health Workers for 333,626.70


January-March 2020 in the amount of . . .

Amount Due 333,626.70


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Hazard Pay 5010211005 293,540.70
Laundry Allowance 5010206004 5,100.00
Subsistence Allowance 5010205003 34,986.00
Cash-MDS, Regular 1010400000 333,626.70
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature
Printed
JULIET M. DUMAGUIT - GO Printed Name MA. TERESA M. REAL
Name
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 14, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte 101-20-10-1599

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teacher's Day Incentive Benefit CY 41,000.00


2020 MAINIT NHS Teachers in the amount of . . .

Amount Due 41,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 41,000.00
Cash-MDS, Regular 1010400000 41,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 14, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte 101-20-10-1602

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teacher's Day Incentive Benefit CY 37,000.00


2020 Tagana-an NHS Teachers in the amount of . . .

Amount Due 37,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 37,000.00
Cash-MDS, Regular 1010400000 37,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature
Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte
101-20-10-1636

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teacher's Day Incentive Benefit CY 52,000.00


2020 Gigaquit NHS Teachers in the amount of . . .

Amount Due 52,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 52,000.00
Cash-MDS, Regular 1010400000 52,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________

TIN/Employee No.: ORS/BURS No.:


Payee DEPED - Division of Surigao del Norte
101-20-10-1637
Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teacher's Day Incentive Benefit CY 36,000.00


2020 Placer NHS Teachers in the amount of . . .

Amount Due 36,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 36,000.00
Cash-MDS, Regular 1010400000 36,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________

Payee DEPED - Division of Surigao del Norte TIN/Employee No.: ORS/BURS No.:
101-20-10-1638
Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teacher's Day Incentive Benefit CY 8,500.00


2020 Timamana NHS Teachers in the amount of . . .

Amount Due 8,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 8,500.00
Cash-MDS, Regular 1010400000 8,500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________

TIN/Employee No.: ORS/BURS No.:


Payee DEPED - Division of Surigao del Norte
101-20-10-1641
Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teacher's Day Incentive Benefit CY 18,000.00


2020 Balite NHS Teachers in the amount of . . .

Amount Due 18,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 18,000.00
Cash-MDS, Regular 1010400000 18,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________

TIN/Employee No.: ORS/BURS No.:


Payee DEPED - Division of Surigao del Norte
101-20-10-1643
Address Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 - Mainit 19,500.00


NHS Teachers in the amount of . . .

Amount Due 19,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 19,500.00
Cash-MDS, Regular 1010400000 19,500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte 101-20-10-1642

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 - Balite 9,000.00


NHS Teachers in the amount of . . .

Amount Due 9,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 9,000.00
Cash-MDS, Regular 1010400000 9,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________

Payee DEPED - Division of Surigao del Norte TIN/Employee No.: ORS/BURS No.:
101-20-10-1640
Address Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 - GNSHI 23,500.00


Teachers in the amount of . . .

Amount Due 23,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 23,500.00
Cash-MDS, Regular 1010400000 23,500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte 101-20-10-1639

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 - Placer 17,500.00


NHS Teachers in the amount of . . .

Amount Due 17,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 17,500.00
Cash-MDS, Regular 1010400000 17,500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________

TIN/Employee No.: ORS/BURS No.:


Payee DEPED - Division of Surigao del Norte
101-20-10-1644
Address Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 - Campo 15,500.00


NHS Teachers in the amount of . . .

Amount Due 15,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 15,500.00
Cash-MDS, Regular 1010400000 15,500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 20, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte
101-20-10-1635
Address Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 - Matin- 17,000.00


ao NHS Teachers in the amount of . . .

Amount Due 17,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 17,000.00
Cash-MDS, Regular 1010400000 17,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 14, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CAREER EXECUTIVE SERVICE BOARD
101-20-10-1605

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Training Expenses Integrated Gabay ng 12,000.00


Paglilingkod Training Course - Oct.7 to Nov. 13, 2020 in
the amount of . . .

Amount Due 12,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 12,000.00
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 12,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
October 14, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
GOVERNMENT SERVICE INSURANCE TIN/Employee No.: ORS/BURS No.:
Payee
SYSTEM 101-20-10-1596

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of building insurance - deped division office in 45,315.20


the amount of . . .

Amount Due 45,315.20


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Insurance Expense 5021503000 45,315.20
Due to BIR 2020101000
Cash-MDS, Regular 1010400000 45,315.20

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
MUTUAL EDUCATORS MUTUAL BENEFITS TIN/Employee No.: ORS/BURS No.:
Payee
ASSOCIATIONS

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of registration fee of Teachers/Personnel in 16,740.00


the amount of . . .

Amount Due 16,740.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Payables 299999000 16,740.00
Cash-MDS, Regular 1010400000
16,740.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT- GO MA.TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
SURIGAO DEL NORTE ELECTRIC TIN/Employee No.: ORS/BURS No.:
Payee
COOPERATIVE, INC. 101-20-11-1702

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of Electricity bill for the month of 80,065.33


October 2020, in the amount of ….

Amount Due 80,065.33


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Electricity Expenses 5020402000 80,065.33
Cash-MDS, Regular 1010400000 80,065.33

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED - Division of Surigao del Norte Fund Cluster :

Entity Name
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS C ADA Others (Please specify)
Payee PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
CORPORATION 101-20-11-1703
Address Surigao City
Responsibility
Particulars Center
MFO/PAP Amount

To payment of Remittance RPSU-Paid


Personnel/Teacher for the month of OCTOBER 2020
in the amount of . . . 1,345,856.01

Amount Due 1,345,856.01


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHIL HEALTH 2020104000 672,924.36
PhilHealth Contribution 5010303000 672,931.65
Cash-MDS Regular 1010400000 1,345,856.01

C. Certified: D. Approved for Payment


Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper
`
Signature Signature:
Printed Printed
Name JULIET M. DUMAGUIT-GO Name: MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position:
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date:

E. Receipt of Payment JEV No.


Check/ Date: Bank Name & Account Number:
ADA No. :

Signature : Date: Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED - Division of Surigao del Norte Fund Cluster :

Entity Name
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS C ADA Others (Please specify)
Payee
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
CORPORATION
101-20-11-1704
Address Surigao City
Responsibility
Particulars Center
MFO/PAP Amount

To payment of Remittance SHS/ELEM


Personnel/Teacher for the period covered OCTOBER
2020 in the amount of . . . 291,689.73

Amount Due 291,689.73


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHIL HEALTH 2020104000 145,843.31
PhilHealth Contribution 5010303000 145,846.42
Cash-MDS Regular 1010400000 291,689.73

C. Certified: D. ApprovD. Approved for Payment


Cash Available
Subject to Authority to Debit Account (when applicable)
Si
Pr
Supporting documents complete and amount claimed proper g
in
na
`
Signature te Signature:
tu
d
Printed re
N Printed
Name JULIET M. DUMAGUIT-GO P Name: MA. TERESA M. REAL
a
os
Accountant III Schools Division Superintendent
Position
m Position:
iti
Head, Accounting Unit/Authorized Representative on
e Agency Head/Authorized Representative
Date D Date:
at JEV No.
E. Receipt of Payment ePr
Check/ Date: Bank Name & Account Number:
ADA No. : int
ed
Signature : Date: N Printed Name: Date
a
Official Receipt No. & Date/Other Documents m
e:
Appendix 32

DEPED - Division of Surigao del Norte Fund Cluster :

Entity Name
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS C ADA Others (Please specify)
Payee
PHILIPPINE HEALTH INSURANCE TIN/Employee No.: ORS/BURS No.:
CORPORATION

Address Surigao City


Responsibility
Particulars Center
MFO/PAP Amount

To payment of Remittance Newly hired


Personnel/Teacher for the period covered July-
October 2020 in the amount of . . . 6,495.52

Amount Due 6,495.52


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to PHIL HEALTH 2020104000 3,247.76
PhilHealth Contribution 5010303000 3,247.76
Cash-MDS Regular 1010400000 6,495.52

C. Certified: D. ApprovD. Approved for Payment


Cash Available
Subject to Authority to Debit Account (when applicable)
Si
Pr
gin
Supporting documents complete and amount claimed proper
na
`
Signature te Signature:
tu
d
Printed re
N Printed
Name JULIET M. DUMAGUIT-GO P Name: MA. TERESA M. REAL
aos
Accountant III Schools Division Superintendent
Position
m Position:
iti
Head, Accounting Unit/Authorized Representative eon Agency Head/Authorized Representative
Date D Date:
at JEV No.
E. Receipt of Payment ePr
Check/ Date: Bank Name & Account Number:
ADA No. : int
ed
Signature : Date: N Printed Name: Date
a
Official Receipt No. & Date/Other Documents m
e:
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DOMINICO P. LARONG, JR.
101-20-11-1723
Address SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of RATA for the month of 10,000.00


November 2020, in the amount of ….

Amount Due 10,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 5,000.00
Transportation Allowance 5010203001 5,000.00
Cash-MDS, Regular 1010400000 10,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JULIETA R. VIRTUDAZO
101-20-11-1722
Address SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment of RATA for the month of 10,000.00


November 2020, in the amount of ….

Amount Due 10,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 5,000.00
Transportation Allowance 5010203001 5,000.00
Cash-MDS, Regular 1010400000 10,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee LAILA F. DANAQUE
101-20-11-1721
Address SURIGAO CITY
Particulars Responsibility Center MFO/PAP Amount

To payment of RATA for the month of 15,000.00


November 2020, in the amount of ….

Amount Due 15,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 7,500.00
Transportation Allowance 5010203001 7,500.00
Cash-MDS, Regular 1010400000 10,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature
Printed
Name JULIET M. DUMAGUIT-GO Printed Name MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MA. TERESA M. REAL
101-20-11-1720
Address SURIGAO CITY
Particulars Responsibility Center MFO/PAP Amount

To payment of RATA for the month of 17,000.00


November 2020, in the amount of ….

Amount Due 17,000.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Representation Allowance 5010202000 8,500.00
Transportation Allowance 5010203001 8,500.00
Cash-MDS, Regular 1010400000 17,000.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature
Printed
Name JULIET M. DUMAGUIT-GO Printed Name MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED - Division of Surigao del Norte Fund Cluster :

Entity Name
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS C ADA Others (Please specify)
Payee TIN/Employee No.: ORS/BURS No.:
HOME DEVELOPMENT MUTUAL
FUND
101-20-11-1719
Address Surigao City
Responsibility
Particulars Center
MFO/PAP Amount

To payment of Remittance Newly hired


Personnel/Teacher for the period covered July-
October 2020 in the amount of . . . 2,000.00

Amount Due 2,000.00


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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to Pag-big 2020103000 1,000.00
Pag-ibig Contribution 5010302001 1,000.00
Cash-MDS Regular 1010400000 2,000.00

C. Certified: D. ApprovD. Approved for Payment


Cash Available
Subject to Authority to Debit Account (when applicable)
Si
Pr
Supporting documents complete and amount claimed proper g
in
na
`
Signature te Signature:
tu
d
Printed re
N Printed
Name JULIET M. DUMAGUIT-GO P Name: MA. TERESA M. REAL
a
os
Accountant III Schools Division Superintendent
Position
m Position:
iti
Head, Accounting Unit/Authorized Representative on
e Agency Head/Authorized Representative
Date D Date:
at JEV No.
E. Receipt of Payment ePr
Check/ Date: Bank Name & Account Number:
ADA No. : int
ed
Signature : Date: N Printed Name: Date
a
Official Receipt No. & Date/Other Documents m
e:
Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 10, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________

TIN/Employee No.: ORS/BURS No.:


Payee DEPED - Division of Surigao del Norte
101-20-11-1750
Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teacher's Day Incentive Benefit CY 11,000.00


2020 Placer NHS Teachers in the amount of . . .

Amount Due 11,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 11,000.00
Cash-MDS, Regular 1010400000 11,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 10, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - Division of Surigao del Norte 101-20-11-1751

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 Placer 5,500.00


NHS Teachers in the amount of . . .

Amount Due 5,500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 5,500.00
Cash-MDS, Regular 1010400000 5,500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 10, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EUNELYN U. SAKILAN 101-20-11-1753

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of Annual Medical Allowance CY 2020 in the 500.00


amount of . . .

Amount Due 500.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 500.00
Cash-MDS, Regular 1010400000 500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 10, 2020
DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EUNELYN U. SAKILAN 101-20-11-1752

Address
Surigao City
Particulars Responsibility Center MFO/PAP Amount

To payment of World Teachers Day Incentive Benefits CY 1,000.00


2020 in the amount of . . .

Amount Due 1,000.00


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

LAILA F. DANAQUE
Asst.Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Personnel Benefits 5010499099 1,000.00
Cash-MDS, Regular 1010400000 1,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Suppo
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents


Appendix 32

DEPED DIVISION OF SURIGAO DEL NORTE Fund Cluster :


Entity Name 01101101
Date :
November 10, 2020
DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JULIETA R. VIRTUDAZO
101-20-11-1749

Address
SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

1,800.00
To reimburse mobile load for the month of October 2020 in the amount of. . .

Amount Due 1,800.00


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

LAILA F. DANAQUE
Asst. Schools Division Suprintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Mobile 5020502001 1,800.00
Cash-MDS, Regular 1010400000 1,800.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
ADA No. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents

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