Appendix 32

Republic of the Philippines Fund Cluster :

DEPARTMENT OF EDUCATION
REGION I Date :
SCHOOLS DIVISION OF ILOCOS SUR DV No. :
STA. CATALINA DISTRICT
ELEM
CALAWAAN ELEMENTARY SCHOOL

DISBURSEMENT VOUCHER 100660-2023-04-014

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

Payment
_________________
Mack Chelsea School & Office Supplies & TIN/Employee No.: ORS/BURS No.:
Payee
Photocopy 930-104-927
Address Bantay Arcade, Brgy 4., Bantay Ilocos Sur

Particulars Responsibility Center MFO/PAP Amount

To recognize payment of supplies for school

Gross amount: 5,520.00 5,409.60
Tax base: 5,520.00
Withholding Tax:
1% 55.20
1% 55.20 110.40
5,409.60
Amount Due 5,409.60
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

WILBERT R. QUINTUA
SCHOOL HEAD
B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 5,520.00
Due to BIR (1%) 2020101000 55.20
Due to BIR (1%) 2020101000 55.20
ADVANCES FOR OPERATING EXPENSES 1990101000 5,409.60
TOTAL 5,520.00 5,520.00
C. Certified: D. Approved for Payment
X Cash available
X Sup #VALUE!
proper

Signature Signature

Printed Name JANINE AUSTINE O. RAFANAN Printed Name WILBERT R. QUINTUA

Position SENIOR BOOKKEEPER Position SCHOOL HEAD
Date Date
E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check No. : 1221397 LBP
0402-0124-98
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

92
 Appendix 32
Republic of the Philippines Fund Cluster :
DEPARTMENT OF EDUCATION
REGION I Date :
SCHOOLS DIVISION OF ILOCOS SUR DV No. :
STA. CATALINA DISTRICT
ELEM
CALAWAAN ELEMENTARY SCHOOL

DISBURSEMENT VOUCHER 100660-2023-06-020

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ILOCOS SUR ELECTRIC COOPERATIVE INC.
000-555-221-00001
Address Ayusan Norte, Vigan City Ilocos Sur

Particulars Responsibility Center MFO/PAP Amount

To recognize payment of electric consumption for

the month of JUNE
Gross amount: 4,308.40 4,291.50
Tax base: 40.57
Withholding Tax:
5% 16.90
- 16.90
4,291.50
Amount Due 4,291.50
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

WILBERT R. QUINTUA
SCHOOL HEAD
B. Accounting Entry:
Account Title UACS Code Debit Credit
Electricity Expense 5020402000 4,308.40
Due to BIR (5%) 2020101000 16.90
ADVANCES FOR OPERATING EXPENSES 1990101000 4,291.50
TOTAL 4,308.40 4,308.40
C. Certified: D. Approved for Payment
X Cash available
X Sup #VALUE!
proper

Signature Signature

Printed Name JANINE AUSTINE O. RAFANAN Printed Name WILBERT R. QUINTUA

Position SENIOR BOOKKEEPER Position SCHOOL HEAD
Date Date
E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check No. : 1457903 June 26, 2023 LBP
0402-0124-98
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

92
 Appendix 32
Republic of the Philippines Fund Cluster :
DEPARTMENT OF EDUCATION
REGION I Date :
SCHOOLS DIVISION OF ILOCOS SUR DV No. :
STA. CATALINA DISTRICT
ELEM
CALAWAAN ELEMENTARY SCHOOL

DISBURSEMENT VOUCHER 100660-2023-07-021

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

Payment
_________________
Mack Chelsea School & Office Supplies & TIN/Employee No.: ORS/BURS No.:
Payee
Photocopy 930-104-927
Address Bantay Arcade, Brgy 4., Bantay Ilocos Sur

Particulars Responsibility Center MFO/PAP Amount

To recognize payment of supplies for school

Gross amount: 20,000.00 19,200.00
Tax base: 20,000.00
Withholding Tax:
1% 200.00
3% 600.00 800.00
19,200.00
Amount Due 19,200.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

WILBERT R. QUINTUA
SCHOOL HEAD
B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 19,248.00
Other Supplies and Materials Expenses 5020399000 752.00
Due to BIR (1%) 2020101000 200.00
Due to BIR (3%) 2020101000 600.00
ADVANCES FOR OPERATING EXPENSES 1990101000 19,200.00
TOTAL 20,000.00 20,000.00
C. Certified: D. Approved for Payment
X Cash available
X Sup #VALUE!
proper

Signature Signature

Printed Name JANINE AUSTINE O. RAFANAN Printed Name WILBERT R. QUINTUA

Position SENIOR BOOKKEEPER Position SCHOOL HEAD
Date Date
E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check No. : LBP
0402-0124-98
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

92
 Appendix 32
Republic of the Philippines Fund Cluster :
DEPARTMENT OF EDUCATION
REGION I Date :
SCHOOLS DIVISION OF ILOCOS SUR DV No. :
STA. CATALINA DISTRICT
ELEM
CALAWAAN ELEMENTARY SCHOOL

DISBURSEMENT VOUCHER 100660-2023-08-028

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee Mack Chelsea School & Office Supplies & Photocopy
930-104-927
Address Bantay Arcade, Brgy 4., Bantay Ilocos Sur

Particulars Responsibility Center MFO/PAP Amount

To recognize payment of supplies for school

Gross amount: 8,470.00 8,131.20
Tax base: 8,470.00
Withholding Tax:
1% 84.70
3% 254.10 338.80
8,131.20
Amount Due 8,131.20
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

WILBERT R. QUINTUA
SCHOOL HEAD
B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 8,470.00
Due to BIR (1%) 2020101000 84.70
Due to BIR (3%) 2020101000 254.10
ADVANCES FOR OPERATING EXPENSES 1990101000 8,131.20
TOTAL 8,470.00 8,470.00
C. Certified: D. Approved for Payment
X Cash available
X Sup #VALUE!
proper

Signature Signature

Printed Name JANINE AUSTINE O. RAFANAN Printed Name WILBERT R. QUINTUA

Position SENIOR BOOKKEEPER Position SCHOOL HEAD
Date Date
E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check No. : 1457912 LBP
0402-0124-98
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

92