Appendix 48

PETTY CASH VOUCHER No. :

Entity Name : Bureau of Fire Protection-R7
Office : Anda Fire Station Date : 4/30/2022
Fund Cluster: 101

Payee : SFO2 Gabriel V Amparo Responsibility Center Code:

Section : ______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
To reimbursment of travel of fire safety Total Amount Granted
Inspection Shift A
for 2nd Quarter 2023 Total Amount Paid per
S

Amount Refunded/
(Reimbursed)

A Requested by: C
Received Refund
SFO2 Gabriel V Amparo
Name of Requestor Reimbursement Paid

Approved by:
FO3 Victor Ryan Dellosa
SFO2 Filomeno A Resane Petty Cash Custodian
Acting Municipal Fire Marshal

B Paid by: D
Liquidation Submitted
FO3 Victor Ryan Dellosa
Petty Cash Custodian Reimbursement Received by:

Cash Received by:

SFO2 Gabriel V Amparo SFO2 Gabriel V Amparo

Payee Payee

Date: 4/30/2022 Date: 07/31/2022

 Appendix 48

PETTY CASH VOUCHER No. :

Entity Name : Bureau of Fire Protection-R7
Office : Anda Fire Station Date : 4/30/2022
Fund Cluster: 101

Payee : SFO2 Gabriel V Amparo Responsibility Center Code:

Section : ______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
To reimbursment of travel of fire safety Total Amount Granted
Inspection Shift B
for 2nd Quarter 2023 Total Amount Paid per
S

Amount Refunded/
(Reimbursed)

A Requested by: C
Received Refund
SFO2 Gabriel V Amparo
Name of Requestor Reimbursement Paid

Approved by:
FO3 Victor Ryan Dellosa
SFO2 Filomeno A Resane Petty Cash Custodian
Acting Municipal Fire Marshal

B Paid by: D
Liquidation Submitted
FO3 Victor Ryan Dellosa
Petty Cash Custodian Reimbursement Received by:

Cash Received by:

SFO2 Gabriel V Amparo SFO2 Gabriel V Amparo

Payee Payee

Date: 4/30/2022 Date: 07/31/2022