VOUCHER NO.

AP2209013514
Republic of the Philippines

DISBURSEMENT VOUCHER
September 29, 2022
PAYING AGENCY
RFP-OF2209013737
PHILIPPINE CHARITY SWEEPSTAKES OFFICE
NAME AND ADDRESS OF CLAIMANT EMPLOYEE NO. / TIN
NOVA MAY I. CALDERON 461-936-778
PARTICULARS OF PAYMENT AMOUNT
To payment of money value of 58.561 days vacation and sick leave (terminal) as Cashier PHP 123,186.26
III at the rate of P 40,637.00/month in the amount of ..............P 114,686.26 Less : 123-A 50,000.00
73,186.26
T/L: P 40,637.00 x 58.561 x .0481927 P 114,686.26
Tax Refund 8,500.00
Gross amount P 123,186.26

Less:
Calamity Assistance 2020 50,000.00
Net P 73,186.26

A CERTIFIED : Expenses, Cash Advance, 09/23/2022

necessary, lawful and CYNTHIA AMELIA C. REGUDO
incurred under my DEPARTMENT MANAGER
direct supervision PRINTED NAME, DESIGNATION AND SIGNATURE OF OFFICER

B ACCOUNTING ENTRIES
OBLIGATION NO. F.F.A. OBJECT CODE ACCOUNT CODE DEBIT CREDIT
OF-BRANCH OPERATIONS
ACCOUNTS PAYABLE-
SECTOR-MINDANAO OF-BOS-MIN- 401-12-742 - OF-BOS-
DEPARTMENT- ZSA
MISCELLANEOUS-TERMINAL LEAVE
MIN-ZSA
114,686.26
BENEFITS
ZAMBOANGA DEL NORTE
00-BRANCH OPERATIONS
SECTOR-MINDANAO 00-BOS-MIN-
DEPARTMENT- ZSA
DUE TO OFFICERS EMPLOYEES 403 - 00-BOS-MIN-ZSA 8,500.00
ZAMBOANGA DEL NORTE
OF-BRANCH OPERATIONS
DUE FROM OFFICERS AND
SECTOR-MINDANAO OF-BOS-MIN- 123-A - OF-BOS-MIN- 50,000.00
EMPLOYEES-MISCELLANEOUS
DEPARTMENT- ZSA ZSA
RECEIVABLES-PLDT AND OTHERS
ZAMBOANGA DEL NORTE

ACCOUNTS PAYABLE-OPERATING 73,186.26

DEFAULT 00-000-000-000 FUND 401-6 - 00-000-000-000

Journalized by: 09/29/2022 Indexed C

09/29/2022 APPROVED: For (P___________)
123,186.26
CLARO G. ANZIA JR. by/date
ONE HUNDRED TWENTY THREE THOUSAND
CERTIFIED : Adequate available funds / budgetary allotment in the amount of ONE HUNDRED EIGHTY SIX AND 26/100
P________________________;
123,186.26 expenditure properly certified; supported by documents
marked (x) per checklist and back hereof; account codes proper; previous cash advance AMOUNT IN WORDS
liquidated / accounted for. 09/29/2022
09/29/2022 JULIETA F. ASEO
MA. CRISTINA J. GREGORIO ASSISTANT GENERAL MANAGER
DEPARTMENT MANAGER
PRINTED NAME AND SIGNATURE OF
PRINTED NAME AND SIGNATURE OF ACCOUNTANT APPROVING OFFICER/REPRESENTATIVE
CHECK FOR COA USE ONLY
279505 RECEIVED FROM BELEN E. BALTAZAR ALLOWED IN AUDIT: For (P_______)
No.
RELEASING OFFICER
73,186.26
Amount
SEVENTY THREE THOUSAND ONE HUNDRED EIGHTY SIX AND 26/100

Date 09/29/2022 AMOUNT IN WORDS

AMOUNT IN WORDS
OFFICIAL RECEIPT
NOVA MAY I. CALDERON
No.
PRINTED NAME AND SIGNATURE OF
Date CLAIMANT/REPRESENTATIVE PRINTED NAME AND SIGNATURE OF AUDITOR

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