Annex B

Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
Division Of Maguindanao – I
DATU UDTOG MATALAM SR. MEMORIAL HIGH SCHOOL
Poblacion, Pagalungan, Maguindanao
No.
DISBURSEMENT VOUCHER
Mode of X Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee
ABDULRAHMAN M. KAMANSA, MPA

Poblacion, Pagalungan, Maguindanao Responsibility Center

Office/Unit/Project Code
Address

EXPLANATION AMOUNT

To reimbursement of expenses incurred for the Team Building of School Personnel

per supporting documents hereto attached in the amount of -------------------------------------- ₱39,000.00

A. Certified B. Certified
Allotment obligated for the purpose as indicated above Funds Available
Supporting documents complete

Signatur
Signature
e
Printed Date Date
Name Printed
JO ALEXANDER M. BELOTINDOS Name ABDULRAHMAN M. KAMANSA, MPA

Disbursing Officer Principal - I

Position Position
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative

C. Approved for Payment D. Received Payment

Check No. Bank Name Date
Signature

Date Signatur
Printed e
Name ABDULRAHMAN M. KAMANSA, MPA
Printed Date
Name
Principal – I OR/Other Documents JEV No. Date
Position
Agency Head/Authorized Representative
 Annex B
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
Division Of Maguindanao – I
DATU UDTOG MATALAM SR. MEMORIAL HIGH SCHOOL
Poblacion, Pagalungan, Maguindanao
No.
DISBURSEMENT VOUCHER
Mode of X Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee
ABDULRAHMAN M. KAMANSA, MPA

Poblacion, Pagalungan, Maguindanao Responsibility Center

Office/Unit/Project Code
Address

EXPLANATION AMOUNT

To reimbursement of expenses incurred for the Team Building of School Personnel

per supporting documents hereto attached in the amount of -------------------------------------- ₱32,800.00

A. Certified B. Certified
Allotment obligated for the purpose as indicated above Funds Available
Supporting documents complete

Signatur
Signature
e
Printed Date Date
Name Printed
JO ALEXANDER M. BELOTINDOS Name ABDULRAHMAN M. KAMANSA, MPA

Disbursing Officer Principal - I

Position Position
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative

C. Approved for Payment D. Received Payment

Check No. Bank Name Date
Signature

Date Signatur
Printed e
Name ABDULRAHMAN M. KAMANSA, MPA
Printed Date
Name
Principal – I OR/Other Documents JEV No. Date
Position
Agency Head/Authorized Representative
 Annex B
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
Division Of Maguindanao – I
DATU UDTOG MATALAM SR. MEMORIAL HIGH SCHOOL
Poblacion, Pagalungan, Maguindanao
No.
DISBURSEMENT VOUCHER
Mode of X Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee
JO ALEXANDER M. BELOTINDOS

Poblacion, Pagalungan, Maguindanao Responsibility Center

Office/Unit/Project Code
Address

EXPLANATION AMOUNT

To reimbursement of expenses incurred for the Team Building of School Personnel

per supporting documents hereto attached in the amount of -------------------------------------- ₱31,200.00

A. Certified B. Certified
Allotment obligated for the purpose as indicated above Funds Available
Supporting documents complete

Signatur
Signature
e
Printed Date Date
Name Printed
JO ALEXANDER M. BELOTINDOS Name ABDULRAHMAN M. KAMANSA, MPA

Disbursing Officer Principal - I

Position Position
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative

C. Approved for Payment D. Received Payment

Check No. Bank Name Date
Signature

Date Signatur
Printed e
Name ABDULRAHMAN M. KAMANSA, MPA
Printed Date
Name
Principal – I OR/Other Documents JEV No. Date
Position
Agency Head/Authorized Representative
 Annex B
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
Division Of Maguindanao – I
DATU UDTOG MATALAM SR. MEMORIAL HIGH SCHOOL
Poblacion, Pagalungan, Maguindanao
No.
DISBURSEMENT VOUCHER
Mode of X Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee

Poblacion, Pagalungan, Maguindanao Responsibility Center

Office/Unit/Project Code
Address

EXPLANATION AMOUNT

A. Certified B. Certified
Allotment obligated for the purpose as indicated above Funds Available
Supporting documents complete

Signatur
Signature
e
Printed Date Date
Name Printed
JO ALEXANDER M. BELOTINDOS Name ABDULRAHMAN M. KAMANSA, MPA

Disbursing Officer Principal - I

Position Position
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative

C. Approved for Payment D. Received Payment

Check No. Bank Name Date
Signature

Date Signatur
Printed e
Name ABDULRAHMAN M. KAMANSA, MPA
Printed Date
Name
Principal – I OR/Other Documents JEV No. Date
Position
Agency Head/Authorized Representative
 Annex B
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
Division Of Maguindanao – I
DATU UDTOG MATALAM SR. MEMORIAL HIGH SCHOOL
Poblacion, Pagalungan, Maguindanao
No.
DISBURSEMENT VOUCHER
Mode of Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee

Responsibility Center
Office/Unit/Project Code
Address

EXPLANATION AMOUNT

A. Certified B. Certified
Allotment obligated for the purpose as indicated above Funds Available
Supporting documents complete

Signatur
Signature
e
Printed Date Date
Name Printed
JO ALEXANDER M. BELOTINDOS Name ABDULRAHMAN M. KAMANSA, MPA

Disbursing Officer Principal - I

Position Position
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative

C. Approved for Payment D. Received Payment

Check No. Bank Name Date
Signature

Date Signatur
Printed e
Name ABDULRAHMAN M. KAMANSA, MPA
Printed Date
Name
Principal – I OR/Other Documents JEV No. Date
Position
Agency Head/Authorized Representative