Disbursement Voucher Checking Account MOOE

Arrangement of Supporting Documents
1 Disbursement Voucher (DV) --- one voucher per issued check

***Ang voucher po na issubmit ay walang highlight na green. Naka-green highlight
lang po ang sample para maemphasize ang mga importanteng parte ng voucher.****
2 Summary of expenses (if reimbursement)

3 Duplicate/Photocopy of Check Issued
4 Purchase Request (PR) / Job Order (JO)
5 Canvass Forms
6 Abstract of Canvass
7 Purchase Order (PO) / Job Order (JO)
8 Sales Invoice (SI) / Official Receipt (OR)
9 Inspection & Acceptance Report (IAR)
10 Inventory Custodian Slip (ICS) for non-consumables
11 Pictures
12 Permits (business permit, dti, bir permits)
13 bir form 2306 & 2307
na
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highlig
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Naka-
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Department of Education-Division of Quezon Fund Cluster:
Entity Name MOOE
Date: (MM-DD-YYYY)
DISBURSEMENT VOUCHER DV No. :
(YYYY-MM-000)
Mode of MDS Chec ü Commercial Check ADA Others (Please specify)

Payment
TIN/Account No.: ORS/BURS No.:
Payee QUEZON 1 ELECTRIC COOPERATIVE, INC.
000-541-425-000
Address Brgy. Poctol, Pitogo, Quezon
Responsibility
Particulars Center MFO/PAP Amount
For payment of School Monthly Electric Consumption for the period of August 1-31,
y
2020 with Account No. ___________, as per attached supporting papers made part of
l
this voucher in the amount of ...........
O n
e
Total Amount Due 82.80
l
Tax Base 78.86 77.28
p
Less: Withholding Tax
2% 1.58
m
5% 3.94 5.52
a
Net Amount After W/Tax 77.28
S
GROSS AMOUNT/ ACTUAL AMOUNT
Amount Due - 77.28

A Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision. NET AMOUNT (AMOUNT NA NASA TSEKE)
.
(Signature of School Head)
(Printed Name of School Head)
Printed name, Designation and Signature of School Head
BAccounting Entry:
.
Account Title UACS Code Debit Credit
Electricity Expense 5020402000 82.80

Due to BIR 2020101000 5.52
Cash - MDS Regular 1010404000 77.28
82.80 82.80
C Certified: DApproved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed
proper
Signature Signature
Printed Printed
SUSAN P. FONTARUM ELIAS A. ALICAYA JR. Ed. D
Name Name
Accountant III ASDS, OIC - OFFICE OF THE SCHOOLS DIVISION SUPERINTENDENT
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E Receipt of Payment JEV No.:

Check/ Date: Bank Name & Account Number:
. (Check #) (Date of Check)
ADA NO.: (LBP Checking Account #)
(Signature of Date: Printed Name:
Signature: (Date Signed)
Supplier) QUEZON 1 ELECTRIC COOPERATIVE, INC. Date:
Official Receipt No. & Date/other Documents (Official Receipt No. & Date)
Entity Name MOOE
Date: (MM-DD-YYYY)
(YYYY-MM-000)

Payment
Payee ARGOSINO PAPERMART
128-239-708-001
Address Bonifacio St., Brgy. San Diego, Gumaca, Quezon
Responsibility
For payment of ______________________________, as per attached supporting
l y
papers made part of this voucher in the amount of ...........
O n
e
Total Amount Due 1,350.00
l
Tax Base (Net of VAT) 1,205.36 1,277.68
p
1% 12.05
m
5% 60.27 72.32
Sa
Net Amount After W/Tax 1,277.68
Amount Due - 1,277.68

A Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
.
BAccounting Entry:
.
Office Supplies 5020301000 1,350.00

Due to BIR 2020101000 72.32
Cash - MDS Regular 1010404000 1,277.68
1,350.00 1,350.00
Cash available
proper
Signature Signature
Printed Printed
Name Name
Position Position
Date Date

Supplier) ARGOSINO PAPERMART Date:
Entity Name MOOE
Date: (MM-DD-YYYY)
(YYYY-MM-000)

Payment
Payee SIGHTHIRD STORE
192-202-683-000
Address Brgy. Progreso, Gumaca, Quezon
Responsibility
y
l
O n
e
Total Amount Due 1,350.00
l
Tax Base 1,350.00 1,296.00
p
m
1% 13.50
Sa
3% 40.50 54.00
Net Amount After W/Tax 1,296.00
Amount Due - 1,296.00

.
BAccounting Entry:
.
Office Supplies 5020301000 1,350.00

Due to BIR 2020101000 54.00
Cash - MDS Regular 1010404000 1,296.00
1,350.00 1,350.00
Cash available
proper
Signature Signature
Printed Printed
Name Name
Position Position
Date Date

Supplier) SIGHTHIRD STORE Date:
Entity Name MOOE
Date: (MM-DD-YYYY)
(YYYY-MM-000)

Payment
Payee MARIA GANDA ENTERPRISES
123-456-789-000
Address Brgy. Progreso, Gumaca, Quezon
Responsibility
y
l
O n
p l e 1,000.00
m
Amount Due Sa -
1,000.00
.
BAccounting Entry:
.
Mobile 5020502001 1,000.00

Cash - MDS Regular 1010404000 1,000.00
1,000.00 1,000.00
Cash available
proper
Signature Signature
Printed Printed
Name Name
Position Position
Date Date

Supplier) MARIA GANDA ENTERPRISES Date:
Republic of the Philippines
Department of Education
Division of Quezon
(Name of School)
Summary of Issued Checks

For the month of October 2020
DV NO. CHECK DATE CHECK NO. PAYEE NAME CHECK AMOUNT REMARKS
2020-10-001 10/01/2020
Certified True & Correct:
School Head

Disbursement Voucher Checking Account MOOE

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Disbursement Voucher Checking Account MOOE

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Arrangement of Supporting Documents

1 Disbursement Voucher (DV) --- one voucher per issued check

2 Summary of expenses (if reimbursement)

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

Address Brgy. Poctol, Pitogo, Quezon

Amount Due - 77.28

Electricity Expense 5020402000 82.80

E Receipt of Payment JEV No.:

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

Address Bonifacio St., Brgy. San Diego, Gumaca, Quezon

Amount Due - 1,277.68

Office Supplies 5020301000 1,350.00

E Receipt of Payment JEV No.:

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

Address Brgy. Progreso, Gumaca, Quezon

Amount Due - 1,296.00

Office Supplies 5020301000 1,350.00

E Receipt of Payment JEV No.:

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

Address Brgy. Progreso, Gumaca, Quezon

Mobile 5020502001 1,000.00

E Receipt of Payment JEV No.:

Summary of Issued Checks

Certified True & Correct:

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