CBFM Form 13

Department of Social Welfare and Development

(Name of CDD Project/Program)
Barangay: _________________
Municipality : _____________________

VLCC NO. OSA-00__

Date : _________________________

VOUCHER FOR LOCAL COUNTERPART CONTRIBUTIONS

Contributor/Donor: _______________________________________________ Date: ______________

Complete Address:

PARTICULARS AMOUNT

ACCOUNT TITLE

Note: attach to this voucher, photocopy or duplicate copy of the source document.

Prepared by: Concurred by: Approved by:

___________________ ____________________
Barangay Treasurer Donor BDC-TWG Chairperson

CBFM Form 08
 DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
KALAHI CIDSS NCDDP Project
Barangay Osao
Municipality of San Juan

Acknowledgment Receipt
AR# OSA-001
Date ________________

Please acknowledge receipt in the amount of

____________________________________________________________________
(P __________________)
Received from ________________________________________________________
For the Purpose of _____________________________________________________
____________________________________________________________________
____________________________________________________________________
___________________________

Cash/Check No. : __________________________

Date : __________________________
Amount : __________________________

Prepared by:

______________________
(Signature over printed name)

Received by:

_____________________
(Signature over printed name)