DISBURSEMENT VOUCHER

SK of Barangay: ANGOLUAN DV No.:2020-11-02

City/Municipality: ECHAGUE Date : 11-23-2020
Province: ISABELA  
Payee: BENJ SPORTSWEAR  
Address: DISTRICT 1, CAUAYAN CITY, ISABELA  
TIN: 256-043-085-000  
Particulars Amount

Payment of the Basketball Jersey with the amount 25,700.00

of………………………………………………………………………… VAT 1,028.00
24,672.00
DISBURSEMENT VOUCHER
CHECK DUPLICATE
OFFICIAL RECIEPT
PURCHASE ORDER
PURCHASE REQUEST
INSPECTION AND ACCEPTANCE
CANVASS FORMS
RESOLUTION
PICTURE

A. Certified as to availability of B. Certified as to availability of C. Certified as to necessity,

the budget or funds received for cash, and completeness and validity, propriety, and legality of
specific purpose propriety of supporting documents claim; and Approved for payment:

BENJIE P. COMA JR DECERIE JOY M. VERA CRUZ MARLON M.VIDEZ

Budget Monitoring Officer SK Treasurer SK Chairperson

Date : 11-23-2020 Date : 11-23-2020 Date : 11-23-2020

D. Received Payment: Check No.:  
 
Date:  

__________________________________ Bank Name:  

Signature Over Printed Name of Payee/
Bank Branch:  
Authorized Representative
___________________ OR No.:  
Date Date: