Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 9-Feb-21
DISBURSEMENT VOUCHER DV No. : 2021- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR
147-404-053-000
Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

Petty cash fund for various payment

please see attached supporting documents amounting to ---------------------------------

Php 5,000.00
Less Tax

Tax Base X -
X -

Amount Due Php 5,000.00

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

JOY C. NACAR
Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit
Transportation & delivery expense 5029904000 800
Travel Expense 5020101000 3,300.00
Other supplies 5020399000 900.00
Advances to Operating Expenses 5,000.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 5,000.00
proper

Signature Signature

Printed Name Printed Name

JOY C. NACAR JOY C. NACAR
Principal I Principal I
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date 9-Feb-21 Date 9-Feb-21
D. Receipt of Payment JEV No.
Date : 02-09-2021 Development Bank of the
Check/
ADA No. : Philippines
073328804 Bank Name
Date : 02-09-2021 Date 9/2/2021
JOY C. NACAR
Signature : Printed Name

Official Receipt No. & Date/Other Documents

 Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 9-Feb-21
DISBURSEMENT VOUCHER DV No. : 2021- 02 -

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee SOCOTECO II

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the school electricity

please see attached supporting documents amounting to ---------------------------------

Php 1,455.48
Less Tax

Tax Base X -
X -

Amount Due Php 1,455.48

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 360.00

Advances to Operating Expenses 360.00
Due to BIR 5%
Due to BIR 1%

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed
proper

Signature Signature

Printed Name Printed Name

JOY C. NACAR
Position Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date :02-09-2021 SOCOTECO II Date 9-Feb-21
Signature :
Printed Name
Official Receipt No. & Date/Other Documents
 Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date:
DISBURSEMENT VOUCHER DV No. : 2021- 0 -

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

District-Wide SBM Evaluation
please see attached supporting documents amounting to ---------------------------------
Php 3,985.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 3,985.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

3,985.00
Advances to Operating Expenses 3,985.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 3,985.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : JOY C. NACAR Date
Signature :
Printed Name
Official Receipt No. & Date/Other Documents
 Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 21-Dec-20
DISBURSEMENT VOUCHER DV No. : 2020- 12-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center
To payment for the travel expense incurred during
Get MOOE for the month of december
Please see attached documents amounting to--------------------------------

Php 360.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 360.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 360.00

Advances to Operating Expenses 360.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 360.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
 Date : 21/12/2020 STELLA MARIE Y. CADAPAN Date 12/21/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 2-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEAN MAE H. MORALES

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center
To payment for the travel expense incurred during
the submission of February DTR's at Polomolok Cluster II Office
Please see attached documents amounting to--------------------------------

Php 100.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 100.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 2/3/2020 GEAN MAE H. MORALES Date 3/2/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 4-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEAN MAE H. MORALES

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center
To payment for the travel expense incurred during
the submission of SALN
Please see attached documents amounting to--------------------------------

Php 100.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 100.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
 Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 4/3/2020 GEAN MAE H. MORALES Date 4/3/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 5-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEAN MAE H. MORALES

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center
To payment for the travel expense incurred during
the submission of SALN with notarization
Please see attached documents amounting to--------------------------------

Php 100.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 100.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature
Printed Name Printed Name
LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 4/3/2020 GEAN MAE H. MORALES Date 4/3/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 9-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEAN MAE H. MORALES

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center
To payment for the travel expense incurred during
the submission of Cosolidated Phil-Iri Result at Division Office
Please see attached documents amounting to--------------------------------

Php 220.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 220.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 220.00

Advances to Operating Expenses 220.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 220.00
proper
 220.00

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 9/3/2020 GEAN MAE H. MORALES Date 9/3/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 6-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEAN MAE H. MORALES

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

the purchased of supplies for school use
please see attached supporting documents amounting to ---------------------------------
Php 168.00
Less Tax

Tax Base X -
X

Amount Due Php 168.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 168.00

Advances to Operating Expenses 168.00

B. Certified: C. Approved for Payment

Cash available

168.00
 Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 168.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 6/3/2020 GEAN MAE H. MORALES Date 6-Mar-20
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 6-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BIANCA'S HOUSE OF TEXTILE-BRANCH

Address
GENERAL SANTOS CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of supplies for school use

please see attached supporting documents amounting to ---------------------------------

Php 553.00
Less Tax

Tax Base X -
X

Amount Due Php 553.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 553.00

Advances to Operating Expenses 553.00
B. Certified: C. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 553.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 6/3/2020 BIANCA'S HOUSE OF TEXTILE Date 3/6/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 6-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee UNITOP GENERAL MERCHANDISE INC.

Address
GENERAL SANTOS CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of supplies for school use

please see attached supporting documents amounting to ---------------------------------

Php 252.00
Less Tax

Tax Base X -
X

Amount Due Php 252.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 252.00

 Advances to Operating Expenses 252.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 252.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 6/3/2020 UNITOP GEN. MERCHANDISE INC Date 3/6/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 6-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KCC MALL OF GENSAN

Address
GENERAL SANTOS CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of supplies for school use

please see attached supporting documents amounting to ---------------------------------

Php 501.25
Less Tax

Tax Base X -
X

Amount Due Php 501.25

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit
 Other Supplies & Materials 501.25
Advances to Operating Expenses 501.25

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 501.25
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 6/3/2020 KCC MALL OF GENSAN Date 3/6/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 4-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GEAN MAE H. MORALES

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

Getting of Form 7A & 7B with signature's at Polo Integrated School
please see attached supporting
documents amounting to --------------------------------- Php 100.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 100.00

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

MARY ANN D. BARABAG

Name of Requesitioner
 Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
GEAN MAE H. MORALES Date 4/3/2020
Signature : 3/4/2020
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 6-Jan-20
DISBURSEMENT VOUCHER DV No. : 2020- 01-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

Submission of January and SF7 at Polomolok Cluster II Office
please see attached supporting
documents amounting to --------------------------------- Php 100.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 100.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
 MARY ANN D. BARABAG
Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
JOY C. NACAR Date 6-Jan-20
Signature : 1/6/2020
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 5-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

HANDWASHING ORIENTATION-MUNICIPAL WIDE

Please see attached documents amounting to----------------------------- Php 120.00

Less Tax

Tax Base X -
X -

Amount Due Php 120.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 120.00

Advances to Operating Expenses 120.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 120.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 5/2/2020 JOY C. NACAR Date 2/5/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 6-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

the submission of Consolidated District Phil-Iri Post Test
at Polomolok North District
Please see attached documents amounting to----------------------------- Php 100.00
Less Tax

Tax Base X -
 X -

Amount Due Php 100.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 6/3/2020 JOY C. NACAR Date 3/6/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 3-Jan-20
DISBURSEMENT VOUCHER DV No. : 2020- 01-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

the submission of Monthly Accomplishment January
at Polomolok North District
Please see attached documents amounting to----------------------------- Php 100.00
Less Tax

Tax Base X -
X -

Amount Due Php 100.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 3/1/2020 JOY C. NACAR Date 3-Jan-20
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 26-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 01-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

the SBM Evaluation as Evaluator- Principle 4
at Bonifacio R. Tagaban SR. Integrated School
Please see attached documents amounting to----------------------------- Php 150.00
Less Tax

Tax Base X -
X -

Amount Due Php 150.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 150.00

Advances to Operating Expenses 150.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 150.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 26/2/2020 JOY C. NACAR Date 26-Feb-20
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 11-Mar-20
DISBURSEMENT VOUCHER DV No. : 2020- 03-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
 Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

the District-Wide School-Based Management (SBM) Evaluation
at Polo Integrated School
Please see attached documents amounting to----------------------------- Php 100.00
Less Tax

Tax Base X -
X -

Amount Due Php 100.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 100.00

Advances to Operating Expenses 100.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 100.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 11/3/2020 JOY C. NACAR Date 11-Mar-20

Signature : Printed Name

Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 24-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
Mode of
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOY C. NACAR

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

the purchased of supplies for school use at DBM

Please see attached documents amounting to----------------------------- Php 240.00

Less Tax

Tax Base X -
X -

Amount Due Php 240.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense-Local 240.00

Advances to Operating Expenses 240.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 240.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : 24/2/2020 JOY C. NACAR Date 24-Feb-20
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 6-Jan-20
DISBURSEMENT VOUCHER DV No. : 2020- 01-
 DISBURSEMENT VOUCHER

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KCC MALL OF GENSAN

Address
GENERAL SANTOS CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of materials for school use

please see attached supporting documents amounting to ---------------------------------

Php 679.50
Less Tax

Tax Base X -
X -

Amount Due Php 679.50

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 679.50

Advances to Operating Expenses 679.50

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 679.50
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : KCC MALL OF GENSAN Date 2/6/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
 Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 9-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee INK NOW CORPORATION

Address
KORONADAL CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of materials for school use

please see attached supporting documents amounting to ---------------------------------

Php 1,758.00
Less Tax
78.48
Tax Base 1,758.00 X 5% 78.48 15.7
1,758.00 X 1% 15.70

Amount Due Php 1,663.90

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 1,758.00

Advances to Operating Expenses 1,663.90
Due to BIR (5%) 78.48
Due to BIR (5%) 15.70

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 1,663.90
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : ALL HOME CORP Date 2/9/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

 Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 1-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KRISZELYN L. FARINAS

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

purchased of materials for school use
please see attached supporting documents amounting to ---------------------------------
Php 158.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 158.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense 158.00

Advances to Operating Expenses 158.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 158.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : KRISZELYN L. FARINAS Date 2/1/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents
 Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 26-Jan-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee STELLA MARIE Y. CADAPAN

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

purchased of materials for school use
please see attached supporting documents amounting to ---------------------------------
Php 138.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 138.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense 138.00

Advances to Operating Expenses 138.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 138.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : STELLA MARIE Y. CADAPAN Date 1/26/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents
 Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 7-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KRISTEEN SHAYNE E. HINALAO

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the travel expense incurred during

Nutrition Coordinator Program Implementation Review and Planning
Workshop on SBFP, School Milk Feeding Program Orientation at Dolores Farm Resort
please see attached supporting documents amounting to --------------------------------- Php 90.00
Less Tax

Tax Base X % -
X % -

Amount Due Php 90.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Travelling Expense 90.00

Advances to Operating Expenses 90.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 90.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : KRISTEEN SHAYNE HINALAO Date 2/7/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents
 Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 10-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee GOLDEN MATUTUM CONSTRUCTION SUPPLY

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of materials for school use

please see attached supporting documents amounting to ---------------------------------

Php 3,462.28
Less Tax
154.57
Tax Base 3,462.28 X 5% 154.57 30.91
3,462.28 X 1% 30.91

Amount Due Php 3,276.80

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 3,462.28

Advances to Operating Expenses 3,276.80
Due to BIR (5%) 154.57
Due to BIR (5%) 30.91

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 3,276.81
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : GOLDEN MATUTUM CONSTRUCTION SUPPLY Date 2/10/2020
Signature :
Printed Name
Official Receipt No. & Date/Other Documents
 Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 1-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KKC MALL OF GENSAN

Address
GENSAN CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of supplies for school use

please see attached supporting documents amounting to ---------------------------------

Php 776.00
Less Tax

Tax Base X -
X -

Amount Due Php 776.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 776.00

Advances to Operating Expenses 776.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 776.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : KCC MALL OF GENSAN Date 2/1/2020
Signature :
 Date :
Signature : Printed Name

Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 9-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ULTRIUM CORP.

Address
GENSAN CITY
Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchased of supplies for school use

please see attached supporting documents amounting to ---------------------------------

Php 780.00
Less Tax

Tax Base X -
X -

Amount Due Php 780.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Other Supplies & Materials 780.00

Advances to Operating Expenses 780.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 780.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : ULTRIUM CORP. Date 2/9/2020
Signature : Printed Name

Official Receipt No. & Date/Other Documents

Appendix 32

Department of Education Fund Cluster :

Region XII
Division of South Cotabato
CASSAVA ELEMENTARY SCHOOL
Prk. Cassava, Brgy. Maligo, Polomolok, South Cotabato
Date: 12-Feb-20
DISBURSEMENT VOUCHER DV No. : 2020- 02-

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOSE WINCESLAO VILLACAMPA

Address
POLOMOLOK, SOUTH COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

To payment for Labor- School Buzzer and electrical installation

please see attached supporting documents amounting to ---------------------------------

Php 900.00
Less Tax

Tax Base X -
X -

Amount Due Php 900.00

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

MARY ANN D. BARABAG

Name of Requesitioner

Accounting Entry:
Account Title UACS Code Debit Credit

Labor & Wages 900.00

Advances to Operating Expenses 900.00

B. Certified: C. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed 900.00
proper

Signature Signature

Printed Name Printed Name

LEILANIE S. JITOTOWANI JOY C. NACAR
Position
Senior Bookkeeper Position
Principal I
 Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
D. Receipt of Payment JEV No.
Check/ Date : LandBank of the Philippines
ADA No. : Bank Name
Date : JOSE WINCESLAO VILLACAMPA Date 2/12/2020
Signature : Printed Name

Official Receipt No. & Date/Other Documents