Appendix 32

AUPAGAN NATIONAL HIGH SCHOOL Fund Cluster :

Entity Name MOOE
Date : September 6, 2022

DISBURSEMENT VOUCHER DV No. : 2022-08-001

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment

TIN/Employee No.: ORS/BURS No.:

Payee CHARLIE CAITOM
BRGY. AUPAGAN, BUTUAN CITY
Address

Responsibility
Particulars MFO/PAP Amount
Center

Payment for Security Services 3,000.00

Amount Due 3,000.00

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

CHARITO M. LAZAGA, PRINCIPAL I

Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name CHARITO M. LAZAGA APRIL ANN G. BERNABE
PRINCIPAL I District Incharge - SOUTHEAST II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ 6/9/2022 Bank Name & Account
ADA No. : 79633525 Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents :

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