DEPARTMENT OF EDUCATION

DIVISION OF NUEVA ECIJA

FOR THE MONTH OF FEBRUARY 2021

CASH DISBURSEMENTS REGISTER

Entity Name: CAMP MARTYR ELEMENTARY SCHOOL Name of Accountable Officer: ARIEL P. NAVARRO
Sub-Office/District/Division: BONGABON DISTRICT Official Designation: HEAD TEACHER I
Municipality/City/Province: BONGABON, NUEVA ECIJA Station: 095
Fund Cluster : 01 Register No. :
Sheet No. : 001
Advances for
Operating Expenses BREAKDOWN OF PAYMENTS
1990104000
DV/Payroll/ Check
Date No.
Particulars Gross Amount Tax Withheld Amount OTHERS
Payments Electricity Water Travel Office Supplies Security
Expenses Expenses Expenses Expenses services
Cash Advance Balance Account Description UACS Object Code Amount
5020102000 5020401000 5020101000 5020301000 5021203000
FORWARDED BALANCE 500.00

MOOE DOWNLOADING FOR THE MONTH OF FEBRUARY 2021 13,350.00 13,850.00

C AND I OFFICE AND SCHOOL SUPPLIES TRADING, to payment

02/24/2021 120390 for mandatory forms with SI # 0347 dtd 02/24/2021 555.00 27.75 527.25 13,322.75 Other Supplies Expenses 5020399000 555.00

JUDITH G. BUCAGO, Payment of Electrical Bill for the Month of

02/24/2021 120391 January February with OR# 685599 dated 02/24/2021 520.00 520.00 12,802.75 520.00

ARIEL P. NAVARRO, Reimbursement of payment of Communication

Expenses for the month of February (Load)with SI# 4616 dtd
02/24/2021 120392 1,000.00 40.00 960.00 11,842.75 Other Supplies Expenses 5020399000 1,000.00
02/02/2021 and SI # 4625 dtd.02/15/2021

LAMBERT TRADING, Payment for Office Supplies with OR # 4585

02/24/2021 120393 dtd.02/24/2021 7,275.00 389.74 6,885.26 4,957.49 Other Supplies Expenses 5020399000 7,275.00

ARIEL P. NAVARRO, Reimbursement of Payment of BIR Taxes for the

02/26/2021 120394 period of FEBRUARY 2021 with check # 120394 dtd. 02/26/2021 457.49 4,500.00

RODANTE F. LOPEZ, Payment of Utility for the period of February 1-

1/3/2021 120395 28, 2021 with check # 120395 dtd. 03/01/2021 4,000.00 4,000.00 500.00 4,000.00

Totals
13,350.00 457.49 13,350.00 13,350.00 500.00 520.00 - - - 4,000.00 8,830.00
Recapitulation:

Account Description UACS Object Code Amount

Total 13,350.00
The total of the ‘Advances for Operating Expenses – Payments’ column must always be equal to the sum of the totals of the ‘Breakdown of Payments’ columns.

CERTIFIED CORRECT: RECEIVED BY:

ARIEL P. NAVARRO SARAH JANE A. SANGUEZA
Signature over Printed Name Signature over Printed Name

Date: 03/01/2021 Date: ______________________

NOTES:
***Please make sure change the font color to black upon completion of editing
***FORMAT ON PARTICULARS: PAYEE, PAYMENT DESCRIPTION, OR/SI/SOA NUMBER AND DATE ISSUED
***Amounts to be encoded on Breakdown of Payments should be Gross Amount
 LIQUIDATION REPORT No:
Date:
Department of Education Responsibility Center
Sama-Sama Region III Code:
sa DepEd
Division of Nueva Ecija
PARTICULAR Amount

TO LIQUIDATE DOWNLOADED MOOE FOR THE MONTH OF FEBRUARY 2021 AMOUNTING TO

THIRTEEN THOUSAND THREE HUNDRED FIFTY PESOS 13,350.00

TOTAL AMOUNT SPENT

13,350.00
BALANCE OF PREVIOUS CASH ADVANCE
500.00
AMOUNT OF CASH ADVANCE PER DV NO.
13,350.00
BALANCE OF CASH ADVANCE 500.00 DTD. 1/3/2021
500.00
A Certified: Correctness of the B Certified: Purpose of travel/cash C Certified: Supporting documents
above data: advance duly accomplished: complete and proper:

ARIEL P. NAVARRO ROGELIO S. BUE, PhD SARAH JANE A. SANGUEZA

Claimant Immediate Supervisor ADAS III
Designation: Head Teacher I
School: Camp Martyr ES
Account Codes for Disbursement Vouchers
Advances for Operating Expenses 1990104000
Travel Expenses 5020101000
Training Expenses 5020201000
Office Supplies Expenses 5020301000
Drugs, Medicine Expenses 5020307000
Other Supplies Expenses 5020399000
Water Expenses 5020401000
Electricity Expenses 5020402000
Internet Subscription Expenses 5020503000
Janitorial Services 5021202000
Security Services 5021203000
Other Gen.Services 5021299000
Rep&Maintenance-IT Equipment 5021299000
Rep&Maintenance-School Building 5021304002
Rep&Main-Other Structures 5021304099
Rep&Main-Furniture & Fixtures 5021307000
Fidelity Bond Premium 5021502000
Other MOOE 5029999002