DV No.

: 101-21- 05 - ____
Disbursement Voucher
Barangay: STO. ANGEL City/ Municipality: Date : May 31,2021
MAUBAN
Payee: RENAN D. ENCOMIENDA Province: QUEZON Fund: 20% BDFUND
Address: Brgy. Sto. Angel, Mauban,Quezon TIN: 294-961-451
Particulars Amount

Payment for the Supply and Delivery of materials used in the

construction of Concrete Pathway at Sitio Mabiga Brgy. Sto. Angel
Php 15,650.00
Mauban, Quezon as per attached supporting papers hereto in a total
amount Gross Amount……… . . . . . . . . . .
Less: 698.66
Withholding Tax 5%…………. 139.73
Withholding Tax 1%............ Php 14, 811.61
Net Amount…………………….
A. Certified B. Certified C. Certified
as to availability of as to availability of funds for the purpose, as to validity, propriety, and legality
appropriation for and completeness and propriety of of claim and approved for payment
obligation supporting documents

EMMA T. SANTILLANA RENAN D. ENCOMIENDA DANTE E. LASCANO

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Chairman Committee on Barangay Treasurer Punong Barangay
Appropriation

Date: May 31,2021 Date: May 31,2021

Date: May 31,2021

D. Received Payment:

Check No.: 0073231279

RENAN D. ENCOMIENDA Bank Name: DBP Bank, Lucena, City Date : May 31, 2021
(Signature Over Printed Name) OR No.:_____________

E. Accounting Entries
Account Account Debit Credit
Code

Prepared by:

_____________________ _____________
Barangay Bookkeeper Date

Approved by:

_____________________ _____________
City Municipal Accountant Date

Appendix 1
 DV No.: 101-21- 05 - ____
Disbursement Voucher
Barangay: STO. ANGEL City/ Municipality: Date : May 31,2021
MAUBAN
Payee: RENAN D. ENCOMIENDA Province: QUEZON Fund: 20% BDFUND
Address: Brgy. Sto. Angel, Mauban,Quezon TIN: 294-961-451
Particulars Amount

Payment for the Supply and Delivery of materials used in the

construction of Concrete Pathway at Sitio Maligtu Barangay Sto. Angel
Php 15,650.00
Mauban, Quezon as per attached supporting papers hereto in a total
amount Gross Amount……… . . . . . . . . . .
Less: 698.66
Withholding Tax 5%…………. 139.73
Withholding Tax 1%............ Php 14, 811.61
Net Amount…………………….
A. Certified B. Certified C. Certified
as to availability of as to availability of funds for the purpose, as to validity, propriety, and legality
appropriation for and completeness and propriety of of claim and approved for payment
obligation supporting documents

EMMA T. SANTILLANA RENAN D. ENCOMIENDA DANTE E. LASCANO

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Chairman Committee on Barangay Treasurer Punong Barangay
Appropriation

Date: May 31,2021 Date: May 31,2021

Date: May 31,2021

D. Received Payment:

Check No.: 0073231280

RENAN D. ENCOMIENDA Bank Name: DBP Bank, Lucena, City Date : May 31, 2021
(Signature Over Printed Name) OR No.:_____________

E. Accounting Entries
Account Account Debit Credit
Code

Prepared by:

_____________________ _____________
Barangay Bookkeeper Date

Approved by:

_____________________ _____________
City Municipal Accountant Date

Appendix 1