REPUBLIKA NG PILIPINAS

(REPUBLIC OF THE PHILIPPINES)

KAGAWARAN NG EDUKASYON
Region VII, Central Visayas
DIVISION OF CEBU
Cebu City

DISBURSEMENT VOUCHER
MODE OF PAYMENT No:
MDS Commercial Check ADA Others Date: 11/15/2022
Check
Payee/Office TIN/Employee No. OS/BUS No:
CATHERINE F. ABABON 4648524
Address: Responsibility Center:
Minglanilla District I, Minglanilla, Cebu Title: Code:
Particulars AMOUNT

To record payment of LOYALTY CLAIMS to CATHERINE F. ABABON, Teacher 1

of Minglanilla District I, Minglanilla, Cebu per supporting papers here to attached…

Certification:
This is to certify that the aforementioned teacher is entitled to receive
such claim.
FDS:
Birth Date: 03/10/1979
GSIS BP No.: 0203851517888920 MARIE ANN L. SEBIAL
PHILHEALTH NO.: 12-050716939-8 School Head
PAG-IBIG NO.: 164000814084
TIN: 251-153-703-000
Amount Due
A Certified: Supporting documents complete and proper B Approved for Payment:
Cash Advance
Subject to ADA (where applicable)
Signature: ________________________________________ Signature: ___________________________________
Printed Name: DESIREE C. RAMOS, CPA Printed Name: MARILYN S. ANDALES, Ed.D., CESO V
Position: ACCOUNTANT Position: Schools Division Superintendent
(Head Accountant/Authorized Representative) (Agency/Head/Authorized Representative)

Date: ______________________________________________ Date: ____________________________________

C
Received Payment: Check/ADA No:_____________ Journal Entry:Voucher:

Signature:________________________________ Date:________Date: _____________________No: _______________

Bank Name:_________________
Printed Name: _________________________________________DR No./other relevant docume Date:_____________
Issued:_________________
FEB 3 MAY 18