Appendix 43

CASH DISBURSEMENTS REGISTER

Entity Name: SAN RAFAEL ELEMENTARY SCHOOL Name of Accountable Officer: JEROME S. VILLAOS
Sub-Office/District/Division: LOPEZ WEST/QUEZON Official Designation: Teacher-In-Charge
Municipality/City/Province: LOPEZ, QUEZON Station: _______________________________________
Fund Cluster : MOOE Register No. : __________________________________
Sheet No. : ____________________________________

Advances for
Operating Expenses BREAKDOWN OF PAYMENTS
(19901010)
DV/Payroll/
Date Particulars Amount Office OTHERS
Check No. Travel Training
Due to BIR Supplies
Expenses Expenses
Cash Expenses UACS
Payments Balance Account Description Amount
Advance Object Code
(20101010) (50101020) (50101020) (50203010)
03-30-2021 4142103775 JEROME S. VILLAOS 14,000.00 14,000.00
04-05-2021 2021-04-001 LOPEZ BOOKSTORE & GENERAL MDSE 1,000.00 13,000.00 LOAD 5020500000 1,000.00
04-05-2021 2021-04-002 TRISUN TRADING 7,483.20 5,516.80 311.80 REPAIR 5020399000 7,795.00
117

04-06-2021 2021-04-003 ARGOSINO PAPERMART 2,116.80 3,400.00 119.82 2236.62

04-08-2021 2021-04-004 MARLO MARONILLA 1,200.00 2,200.00 CARPENTER 5021601000 1,200.00
04-08-2021 2021-04-005 RECSON AZORES 1,200.00 1,000.00 CARPENTER 5021601000 1,200.00
04-08-2021 2021-04-006 JEROME S. VILLAOS 1,000.00 - HAULING 5020100000 1,000.00
Totals 14,000.00 14,000.00 - 431.62 0 0 2,237 12,195.00

Recapitulation:
UACS Object
Account Description Amount
Code
LOAD 5020500000 1,000.00
REPAIR 5020399000 7,795.00
OFFICE SUPPLIES 5020301000 2,236.62
CARPENTER 5021601000 1,200.00
CARPENTER 5021601000 1,200.00
HAULING 5020100000 1,000.00

Total 14,432

The total of the ‘Advances for Operating Expenses – Payments’ column must always be equal to the sum of the totals of the
‘Breakdown of Payments’ columns.
CERTIFIED CORRECT: RECEIVED BY:
JEROME S. VILLAOS ________________________
Signature over Printed Name Signature over Printed Name

Date: 04-10-2021 Date: ______________________

 Appendix 43

CASH DISBURSEMENTS REGISTER

Entity Name: SAN RAFAEL ELEMENTARY SCHOOL Name of Accountable Officer: JEROME S. VILLAOS
Sub-Office/District/Division: LOPEZ WEST/QUEZON Official Designation: Teacher-In-Charge
Municipality/City/Province: LOPEZ, QUEZON Station: _______________________________________
Fund Cluster : MOOE Register No. : __________________________________
Sheet No. : ____________________________________

Advances for
Operating Expenses BREAKDOWN OF PAYMENTS
(19901010)
DV/Payroll/
Date Particulars Amount Office OTHERS
Check No. Travel Training
Due to BIR Supplies
Expenses Expenses
Cash Expenses UACS
Payments Balance Account Description Amount
Advance Object Code
(20101010) (50101020) (50101020) (50203010)
04-14-2021 4142103775 JEROME S. VILLAOS 14,000.00 14,000.00
4-15-2021 2021-04-007 TRISUN TRADING 8,452.80 5,547.20 352.2 REPAIR 5020399000 8,805.00
4-16-2021 2021-04-008 LOPEZ BOOKSTORE & GEN MDSE 1,000.00 4,547.20 LOAD 5020500000 1,000.00
117

4-19-2021 2021-04-009 ARGOSINO PAPERMART 1,946.80 2,600.40 110.2 2057.00

4-19-2021 2021-04-010 RECSON AZORES 1,200.00 1,400.40 PAINTER 5021601000 1,200.00
4-19-2021 2021-04-011 MARLO MARONILLA 900.00 500.40 HELPER 5021601000 900.00
4-20-2021 2021-04-012 JEROME S. VILLAOS 500.00 0.40 HAULING 5020100000 500.00
Totals 14,000.00 13,999.60 0.40 462.4 0 0 2,057 12,405.00

Recapitulation:
UACS Object
Account Description Amount
Code
REPAIR 5020399000 8,805.00
LOAD 5020500000 1,000.00
OFFICE SUPPLIES 5020301000 2,057.00
PAINTER 5021601000 1,200.00
HELPER 5021601000 900.00
HAULING 5020100000 500.00

Total 14,462

The total of the ‘Advances for Operating Expenses – Payments’ column must always be equal to the sum of the totals of the
‘Breakdown of Payments’ columns.
CERTIFIED CORRECT: RECEIVED BY:
JEROME S. VILLAOS ________________________
Signature over Printed Name Signature over Printed Name

Date: 4-22-2021 Date: ______________________