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D.V. No.

: 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund :
TIN : Type :

PARTICULARS AMOUNT

Php

AMOUNT IN WORDS:

TOTAL AMOUNT Php

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code

To record payment for the above transaction


Total Php Php
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- 010 - 094
DISBURSEMENT VOUCHER Date : October 24, 2017

Barangay : CAMBASI Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : MUNICIPALITY OF MASANTOL-TF Employee No.:


Address : MASANTOL, PAMPANGA Fund : GENERAL FUND
TIN : Type : MOOE

PARTICULARS AMOUNT

PAYMENT FOR HONORARIA OF BARANGAY BOOKKEEPERS (5-02-99-990) PER LIGA


RESOLUTION NO. 2014-01 DATED JANUARY 09, 2014 AND OFFICE MEMORANDUM NO.
2012-021 DATED APRIL 01, 2012 AMOUNTING TO ……
Php 2,901.26

NB : For the Quarter Ended September 30, 2017

AMOUNT IN WORDS: TWO THOUSAND NINE HUNDRED ONE


PESOS & 26/100 ONLY.

TOTAL AMOUNT Php 2,901.26

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

CONSTANTINO B. MARIN LUCY M. ABRIGO CARLITO S. VIRAY


(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay
10/24/2017 10/24/2017 10/24/2017
Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010 2,901.26
OMOE 5-02-99-990 2,901.26

To record payment for the above transaction


Total Amount Php 2,901.26 Php 2,901.26
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No. 283972
Signature over Printed Name/Supplier Date October 24, 2017
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : CA/PS&MOOE

PARTICULARS AMOUNT

CASH ADVANCE FOR THE HONORARIA OF BRGY. OFFICIAL, EMPLOYEES & BRGY.
TANOD, LUPON TAGA-PAMAYAPA CERTIFIED TRUE XEROX COPY OF THE MINUTES OF
MEETING DATED APRIL 6 & 20 REPECTITIVELY, AND APPROVED HONORARIA &
ALLOWANCE OF BATAY BAYAN PAYROLL FOR THE MONTH ENDED APRIL 30, 2014
AMOUNTING TO........ Php -

PS - SECURITY -
ENVIRONMENTAL/SANITARY - OMOE -
JANITORIAL - TOTAL Php -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
ADVANCES FOR PAYROLL 1-03-03-010

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : CA/PS

PARTICULARS AMOUNT

CASH ADVANCE FOR THE HONORARIA OF BRGY. OFFICIAL AND EMPLOYEES PER
CERTIFIED TRUE XEROX COPY OF THE MINUTES OF MEETING DATED
_____________________ & ________________ REPECTIVELY, AND APPROVED
HONORARIA PARYROLL FOR THE MONTH ENDED _______________________
AMOUNTING TO........ -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
ADVANCES FOR PAYROLL 1-03-03-010

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : CA/MOOE&SW

PARTICULARS AMOUNT

CASH ADVANCE FOR THE BARANGAY ALLOWANCE FOR THE BARANGAY TANOD,
LUPON TAGA-PAMAYAPA AND THE LIKE PER APPROVED ALLOWANCE PAYROLL FOR
THE MONTH _______________________________ AMOUNTING TO . . . . . . .
-
ENVIRONMENTAL/SANITARY -
JANITORIAL -
SECURITY -
OTHER MAIN. OPERATING EXP. -
TOTAL -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
ADVANCES FOR PAYROLL 1-03-03-010

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : MOOE

PARTICULARS AMOUNT

REIMBURSMENT FOR TRAVELING EXP. (5-02-01-010-) PER APPROVED ITINERARY OF


TRAVEL No. ___________ DATED __________________ COVERING THE PERIOD
___________________ TO ___________ AMOUNTING TO. . . . . . . . .
-

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
TRAVELING EXP. LOCAL 5-02-01-010

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

CASH ADVANCE/REIMBURSMENT FOR TRAINING EXP. (5-02-02-010) PER APPROVED


ITINERARY OF TRAVEL No. ____________ DATED ___________________ WHICH WILL BE
HELD ON _____________________ AT _________________________________ BY THE
____________________________________________ WITHE A TEAM
_____________________________ AMOUNTING TO. . . . . . . . . -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
DUE FROM OFFICERS & EMPLOYEES 1-03-04-020

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : MOOE

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR TELEPHONE EXP. (5-02-05-020) PER STATEMENT


FOR ACCOUNT No. ________ DATED ____________________ COVERING THE PERIOD
____________________TO _______________ AMOUNTING TO. . . . . . .
-

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
TEL. EXP. 5-02-05-020

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2022 - 009 - 002
DISBURSEMENT VOUCHER Date : September 8, 2022

Barangay : BRGY CAMBASI MASANTOL - SK Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : M&M GEN. MERCHANDISE Employee No.:


Address : ARABIA, BEBE ANAC, MASANTOL PAMPANGA Fund : SK FUND
TIN : 157-750-090-000 Type : MOOE

PARTICULARS AMOUNT

PAYMENT FOR MATERIALS FOR THE (CONSTRUCTION OF HANDWASHING FACILITY


FOR CAMBASI ELEMENTARY SCHOOL) PER INVOICE /DELIVERY No._______ DATED
SEPTEMBER 8, 2022 & FINAL INSPECTION REPORT NO. 2022-009-001 DATED
SEPTEMBER 8, 2022 AMOUNTING TO . . . . . . 17,810.84

GROSS AMOUNT FOR NON-VAT FOR VAT-REG. Php 18,819.00


LESS 840.13
168.03 Php 1,008.16
NET AMOUNT - 1,008.16 Php 17,810.84

AMOUNT IN WORDS: SEVENTEEN THOUSAND EIGHT HUNDRED TEN PESOS &


84/100 CENTAVOS ONLY

TOTAL AMOUNT Php 17,810.84

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

HON. ROGELIO V. SAWAL JR. MR. JEROME F. VIRAY HON. REINER M. DUNGO
(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA SK Treasurer SK Chairperson
9/8/2022 9/8/2022 9/8/2022
Date Date Date

D Received Payment:
Check No.
MRS. MILAGROS L. SAN DIEGO Bank Name LANDBANK Apalit, Pampanga
Signature over Printed Name/Supplier OR Number Date :
8-Sep-22 Date

E Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 17,810.84 17,810.84
DUE TO BIR 1,008.16 1,008.16

To record payment for the above transaction


Total Amount Php 18,819.00 Php 18,819.00

Prepared By: Approved By:

MS. BELINDA B. TRINIDAD MS.CLARIZA C. UY


Barangay Bookkeeper Date City/Municipal Accountant Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR FUEL, OIL AND LUBRICANTS EXP. (5-02-03-050) FOR


THE PERIOD OF ________________ TO ____ PER FUEL CONSUMPTION REPORT NO.
__________ DATED ______________________________ AMOUNTING TO . . . . . .
-

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
FEUL, OIL & LUBRICANTS EXP. 5-02-03-050

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR WATER EXP. (5-02-04-010) COVERING THE PERIOD


________________ TO _____________________ PER STATEMENT FOR ACCOUNT/INVOICE
NO. __________ DATED __________________________ AMOUNTING TO . . . . . .
-

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
WATER EXP. 5-02-04-010

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

PAYMENT FOR INFORMATION AND COMMUNICATION EQUIPMENT (1-07-05-020) PER


SALES INVOICE No. _________ DATED _________________ AMOUNTING TO……………..

GROSS AMOUNT FOR NON-VAT FOR VAT-REG. Php 25,000.00 25,000.00


LESS 669.64 1,116.07
223.21 223.21
NET AMOUNT 892.86 1,339.29 Php 25,000.00

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php 25,000.00

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
INFORMATION & COMMUNICATION EQUIPMENT 1-07-05-030
DUE TO BIR 2-02-01-010
To record payment for the above transaction
Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

CASH ADVANCE FOR LABOR INCURRED IN __________________________OF


BARANGAY ___________________ AT PUROK ____________________ AS PER APPROVED
ACCEPTANCE AND FINAL INSPECTION REPORT NO. __________ DATED __________
AMOUNTING TO. . . . . . . . . -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
ADVANCES TO OFFICERS AND EMPLOYEES 1-03-03-020

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

REIMBURSMENT/PAYMENT FOR REPRESENTATION EXP. (5-02-99-020) PER OR


/INVOICE No. ____________ DATED ____________, ATTENDANCE SHEET AND
CERTIFICATION ISSUED BY THE BARANGAY CHAIRMAN DATED
_______________________________, AMOUNTING . . . . . . . . -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
REPRESENTATION EXP. 5-02-99-020

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR REPAIRS AND MAINTENANCEE OF BARANGAY


PATROLL (5-02-09-050) WIHT PLATE No. _________ PER DELIVERY RECEIPT No.
_________ DATED _____________________ AND ACCEPTANCE AND FINAL INSPECTION
REPORT No. _________ DATED ____________________ AMOUNTING TO. . . . . . . . . .
-
GROSS AMOUNT FOR NON-VAT FOR VAT-REG.
LESS - -
- - -
NET AMOUNT - - Php -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
RM OF TRANSPORTATION EQUIPMENT 5-02-09-050
DUE TO BIR 2-02-01-010
To record payment for the above transaction
Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

PAYMENT FOR MATERIAL USED IN THE __________________ OF


__________________ (__-___-___-____) LOCATED AT __________________, BARANGAY
_______________, PER DELIVERY RECEIPT/INVOICE No. _______ DATED
__________________ AND ACCEPTANCE AND FINAL INSPECTION REPORT No. _________
DATED ____________________AMOUNTING TO …… 24,107.14
GROSS AMOUNT FOR NON-VAT FOR VAT-REG. Php 25,000.00
LESS 669.64 1,116.07
223.21 223.21 892.86 .
NET AMOUNT 892.86 1,339.29 Php 24,107.14

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php 24,107.14

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010 24,107.14
25,000.00
DUE TO BIR 2-02-01-010 892.86
To record payment for the above transaction
Total Amount Php 25,000.00 Php 25,000.00
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : MOOE

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR OFFICE SUPPLIES EXP. (5-02-03-010) PER


INVOICE/DELIVERTY No. ________ DATED ______________________ PER ACCEPTANCE
AND INSPECTION No. __________ DATED ______________________
AMOUNTING . . . . . . . . .
24,107.14
GROSS AMOUNT FOR NON-VAT FOR VAT-REG. Php 25,000.00
LESS 669.64 1,116.07
223.21 223.21 Php 892.86
NET AMOUNT 892.86 1,339.29 Php 24,107.14

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php 24,107.14

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
OFFICE SUPPLIES EXP. 5-02-03-010
DUE TO BIR 2-02-01-010
To record payment for the above transaction
Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : MOOE

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR OTHER SUPPIES EXP. (5-02-09-990) PER


INVOICE/DELIVERTY No. ________ DATED ______________________ PER ACCEPTANCE
AND INSPECTION No. __________ DATED ______________________
AMOUNTING . . . . . . . . .
25,000.00
GROSS AMOUNT FOR NON-VAT FOR VAT-REG. Php 25,000.00
LESS 669.64 1,116.07
223.21 223.21
NET AMOUNT 892.86 1,339.29 Php 25,000.00

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php 25,000.00

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
OTHER SUPPLIES EXP. 5-02-03-990
DUE TO BIR 2-02-01-010
To record payment for the above transaction
Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : MOOE

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR DRUGS AND MEDICINES EXP. (5-02-03-040) PER


INVOICE/DELIVERTY No. ________ DATED ______________________ PER ACCEPTANCE
AND INSPECTION No. __________ DATED ______________________
AMOUNTING . . . . . . . . .
25,000.00
GROSS AMOUNT FOR NON-VAT FOR VAT-REG. Php 25,000.00
LESS 669.64 1,116.07
223.21 223.21
NET AMOUNT 892.86 1,339.29 Php 25,000.00

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php 25,000.00

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
DRUGS & MEDICINES EXP. 5-02-03-040
DUE TO BIR 2-02-01-010
To record payment for the above transaction
Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type : MOOE

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR MEMBERSHIP DUES AND CONTRIBUTION TO


ORGANIZATION (5-02-99-050) PER STATEMENT OF ACCOUNT No. _________ DATED
_______________________ AND OFFICIAL RECEIPT No. ________ DATED
____________________________ AMOUNTING TO. . . . . . . . . . . -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
MEMBERSHIP DUES AND CONTRIBUTION TO ORGANIZATIONS EXP. 5-02-99-050

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

PAYMENT FOR W/TAX E VAT AMOUNTING TO. . . . . . . . .. .

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
DUE TO BIR 2-02-01-010

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date
D.V. No. : 2017- -
DISBURSEMENT VOUCHER Date :

Barangay : Municipality : MASANTOL


Telephone No. : Province : PAMPANGA

Payee : Employee No.:


Address : Fund : GENERAL FUND
TIN : Type :

PARTICULARS AMOUNT

PAYMENT/REIMBURSMENT FOR ADVERTISING EXPENSES (5-02-99-010) COVERING


THE PERIOD _____________ TO _______________ PER STATEMENT OF
ACCOUNT/INVOICE No. _________ DATED _________________________, AMOUNTING
TO…… -

AMOUNT IN WORDS: XXXXX


XXXXX

TOTAL AMOUNT Php -

A B C
Certified by: as to Certified: As to availability Certified: As to validity
availability fo appropriation of funds for the purpose, and propriety and legality of claim
for obligation completenss and propriety and approved for payments;

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, CCA Barangay Treasurer Punong Barangay

Date Date Date

D.
Accounting Entries
Account
Account Credit Debit
Code
CASH IN BANK LCCA 1-01-02-010
ADVERTISING EXP. 5-02-99-010

To record payment for the above transaction


Total Amount Php - Php -
E
Received Payment:
Bank Name LANDBANK Apalit, Pampanga
Check No.
Signature over Printed Name/Supplier Date
OR Number Date :
Date

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