Appendix 48

PETTY CASH VOUCHER No. :

Entity Name : Bureau of Fire Protection-R7
Office : Anda Fire Station Date : 4/12/2023
Fund Cluster: 101

Payee : FO3 Victor Ryan Dellosa Responsibility Center Code:

Section : ______________________

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

Particulars Amount
To payment for PLDT Internet in Total Amount Granted
the amount of ….
1,899.00 Total Amount Paid per
OR/Invoice No. _______

Amount Refunded/
(Reimbursed)

A Requested by: C
Received Refund
FO3 Victor Ryan Dellosa
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:

FO3 Victor Ryan Dellosa FO3 Victor Ryan Dellosa

Payee Payee

Date: Date:
 Appendix 48

PETTY CASH VOUCHER No. :

Entity Name : Bureau of Fire Protection-R7
Office : Anda Fire Station Date : 5/20/2023
Fund Cluster: 101

Payee : FO3 Victor Ryan Dellosa Responsibility Center Code:

Section : ______________________

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

Particulars Amount
To payment for PLDT Internet in Total Amount Granted
the amount of ….
1,899.00 Total Amount Paid per
OR/Invoice No. _______

Amount Refunded/
(Reimbursed)

A Requested by: C
Received Refund
FO3 Victor Ryan Dellosa
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:

FO3 Victor Ryan Dellosa FO3 Victor Ryan Dellosa

Payee Payee

Date: 5/20/2022 Date: 5/20/2022