Disbursement Voucher: General Fund

DISBURSEMENT VOUCHER DV NO.
: ______________
Date: _________________
Barangay: BURGOS POBLACION City/Municipality: LOPEZ
Tel. No.: _____________________________ Province: QUEZON
Payee: Quezelco I Employee: _____________ Fund:
Address: Lopez, Quezon TIN No.: ______________ General Fund
PAYMENT, for the Electric Bill of Barangay Burgos Pob.,

Lopez, Quezon for the month of “APRIL 2015”, as per supporting papers hereto P 7,632.12
attached in the total amount of………… 458.17
_____________
P 7,173. 95
Breakdown:
 St. Lights c/o Brgy. Capt. (32/set)……. 2,245.01
 Burgos Day Care Center……………… 694.88
 SB/Brgy. Capt. (St. Lights)…………… 400.02
 Brgy. Burgos Multi-Purpose………….. 4,292.21
Less:
 2%................. 130.90
 5%................. 327.27
458.17
A. Certified: B. Certified: C. Approved:

Existence of available appropriations for the Funds (Cash) available As to validity, propriety and legality
charges/expenses indicated above
VILMA R. SAAVEDRA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Signature over printed name Signature over printed name Signature over printed name
Chairman, Committee on Barangay Treasurer Barangay Captain
Appropriation
Received Payment Check No.: _______________ Date: _____________

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: ___________
________________________________
Signature over printed name
DV NO.: ______________
DISBURSEMENT VOUCHER Date: _________________

Payee: Lopez Water District Employee: _____________ Fund:
PAYMENT, for the WATER BILL of Barangay Burgos Pob.,

Lopez, Quezon for the month of “November 2016”, as per supporting
Hereto attached in the total amount of…………………. P 251.00
5.02
__________
P 245.98
Less:
 2%.................5.02
D. Certified: E. Certified: F. Approved:

VILAM R. SAAVEDRA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

Payee: Maria Marisa C. Villanueva Employee: _____________ Fund:
CASH ADVANCE, the Barangay Council Honoraria

for the month of November 2016”, as per supporting papers hereto attached P 50,768.00
in the total amount of………………………………………………….. 250.02
_____________
P 50,517.98
LESS:
RPN Interest…………. 250.02
G. Certified: H. Certified: I. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
Maria Marisa C. Villanueva

DV NO.: ______________
Date: _________________
DISBURSEMENT VOUCHER

Payee: Employee: _____________ Fund:
CASH ADVANCE, intended to Barangay Personnel

Honoraria of Barangay Burgos Poblacion, Lopez, Quezon for the month of
“APRIL 2015”, as per supporting papers hereto attached in the total amount
Of……………………………………………………………………. P 16,420.00
BREAKDOWN:
 Barangay Tanod……………. P 5,820.00

 BHW/BNS…………………. 5,700.00
 DCW…………………….. 2,000.00
 Janitorial…………………. 900.00
 Garbage Collector ………….. 2,000.00
J. Certified: K. Certified: L. Approved:

ELVIRA C. CAPUCION MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ___________________
DISBURSEMENT VOUCHER Date: _____________________

Reimbursement intended to ELECTRIC EXPENSES for the

Month of February 2018 of Barangay Burgos Poblacion, Lopez, Quezon as per P 14,471.18
supporting papers hereto attached in the total amount of…………………
M. Certified: N. Certified: O. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

P. Certified: Q. Certified: R. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DISBURSEMENT VOUCHER DV NO.: ______________
Date: _________________

Address: Lopez, Quezon TIN No.: ______________
S. Certified: T. Certified: V. Approved:

Existence of available appropriations for the U. Funds (Cash) available As to validity, propriety and legality
VILMA R. SAAVERA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Chairman, Committee on Appropriation Barangay Treasurer Barangay Captain

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

W. Certified: X. Certified: Y. Approved:


Appropriation
Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

PAYMENT for the SALARY INCREASE of the Barangay

Council Honoraria for the month of “JANUARY - APRIL 2015”, as per supporting P 24,308.00
Papers hereto attached in the total amount of………………………………..
----------------
P 24,308.00
Breakdown:
Brgy. Chairman…….. 794.00 x 4 = 3,176.00

Brgy. Councilor…….. 587.00 x 4 x 7 = 16,436.00
Brgy. Secretary…….. 587.00 x 4 = 2,348.00
Brgy. Treasurer…...... 587.00 x 4 = 2,348.00
Z. Certified: AA. Certified: BB. Approved:


Appropriation
Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

CC. Certified: DD. Certified: EE. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

A. Certified: B. Certified: C. Approved:

ELVIRA C. CAPUCION MARIA MARISA C. VILLANUEVA ARLENE V. MARQUEZ

Appropriation
Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

Payee: Quezelco I Employee: _____________ Fund:
FF.Certified: GG. Certified: HH. Approved:


Appropriation
Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

II. Certified: JJ. Certified: KK. Approved:


Appropriation
Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

PAYMENT, intended to ANNUAL DUES of Barangay Burgos

Poblacion, Lopez, Quezon , as a supporting papers hereto attached
In the total amount of................................................................ P 10,000.00
LL. Certified: MM. Certified: NN. Approved:


Appropriation
Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

To reimbursement of Internet Installation of Barangay Burgos

Poblacion, Lopez, Quezon as per supporting paper P 1,299.00
OO. Certified: PP.Certified: QQ. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DISBURSEMENT VOUCHER DV NO.: ___________________
Date: ______________________
Address: Lopez, Quezon TIN No.: ______________ Gen. Fund
To reimbursement, intended for the Barangay Certification PBC

(for Barangay Check Disbursement) of Barangay Burgos Poblacion P 1,200.00
Lopez, Quezon, as per supporting papers attached in the total amount
of................................
100 x 12 = 1,200.00
RR. Certified: SS. Certified: TT. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
________________________________
DV NO.: ______________

Payee: ALSWDOPI - Quezon Chapter Employee: _____________ Fund:
Address: Lopez, Quezon TIN No.: ______________ GAD
To Payment for Day Care Worker for the 3 days Training/Seminar of

Early Childhood Care and Development on October 14-16, 2015 at
Graceland Estates and Country Club, Tayabas City as per supporting
papers hereto attahced in the total amount of.................... P 3,600.00
UU. Certified: VV. Certified: WW. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
ALSWDOPI- Quezon Chapter

________________________________
Date:_________________________________
DISBURSEMENT VOUCHER DV NO.: _________________
Date: ____________________
Payee: Winjoy Drug and Cosmetics Employee: _____________ Fund:
Address: Lopez, Quezon TIN No.: ______________ 1% LCPC
To payment intended to purchased of Multivitamins for

Children of Barangay Burgos Poblacion Lopez, Quezon, as per
supporting document attached in the total amount of................. P 10,000.00
400.00
9,600.00
1% 100.00
3% 300.00
XX. Certified: YY. Certified: ZZ. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
Winjoy Drug and Cosmetics

Date:_________________________________
DISBURSEMENT VOUCHER DV NO.: ___________________

Date: ______________________
Payee: Janeah Enterprises Employee: _____________ Fund:
Address: TIN No.: ______________ 1% LCPC
To payment intended to purchase of School Supplies

of Barangay Burgos Poblacion Lopez, Quezon, as per supporting
document attached in the total amount of................. P 10,000.00
400.00
9,600.00
1% 10,000.00 100.00
3% 10,000.00 300.00
AAA. Certified: BBB. Certified: CCC. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
Janeah Enterprises
Date:_________________________________
DV NO.: _________________
Date: ____________________
Payee: Nancy D. Lizano Employee: _____________ Fund:
Address: TIN No.: ______________ Gen. Fund
Reimbursement intended Travelling expenses of Barangay

Daycare Worker of Barangay Burgos Poblacion, per supporting document P 2,540.00
here to attached in the total amount of..............
DDD. Certified: EEE. Certified: FFF. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
Nancy D. Lizano
Date:_________________________________
DV NO.: ______________

Tel. No.: ____________________________ Province: QUEZON
Reimbursement intended Travelling expenses of Barangay

Treasurer of Barangay Burgos Poblacion, per supporting document here
to attached in the total amount of.............. P
GGG. Certified: HHH. Certified: III.Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________

Signature o\ver printed name
DV NO.: ______________

Payee:Maria Marisa C. Villanueva Employee: _____________ Fund:
To reimbursement, intended for 1 day Training and Seminar for Senior

Citizen for Pagsasanay at Oryentasyon ng mga Miyembro Mamamayang
ng Brgy. Burgos Lopez, Quezon on September 30, 2015 as per supporting
document here to attached in the total amount of.............. P 18,640.00
JJJ. Certified: KKK. Certified: LLL. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
MARIA MARISA C. VILLANUEVA

DV NO.: ______________

Payee:Maria Marisa C. Villanueva Employee: _____________ Fund:
To reimbursement, intended for the Fidelity Bond of Barangay |

Chairman and Barangay Treasurer of Barangay Burgos Poblacion ,
Lopez, Quezon, as per supporting papers hereto attached in the total
amount of.............................................................................................. P 4,710.00
MMM. Certified: NNN. Certified: OOO. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
MARIA MARISA C. VILLANUEVA

DV NO.: ______________

Address: Lopez, Quezon TIN No.: ______________ Supplemental Budget
CASH ADVANCE, intended for the expenses incurred during

nd
the 2 Barangay General Assembly of the Barangay Burgos Poblacion Lopez, Quezon ,
as per supporting papers hereto attached in the total amount of .......................... P 10,000.00
PPP. Certified: QQQ. Certified: RRR. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________

DV NO.: ______________
DISBURSEMENT VOUCHER Date: _____

Payee: Julivin Textile &RTW Employee: _____________ Fund:
c/o Ricardo V. Uy TIN No.: ______________ Supplemental
Address: Brgy. Gomez Lopez, Quezon
To payment intended to purchased of Barangay Uniform

Tanod and BHW of Barangay Burgos Poblacion Lopez, Quezon, as per
supporting document attached in the total amount of................. P 5,000.00
200.00
4,800.00
1% 5,000.00 50.00
3% 5,000.00 150.00
SSS. Certified: TTT. Certified: UUU. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
Ricardo V. Uy
Julivin Textile &RTW
________________________
Date:_________________________________
DV NO.: ______________
Address: Lopez, Quezon TIN No.: ______________ GAD
CASH ADVANCE, intended for the Training and Seminar of

SKL Samahan ng mga Kababaihan ng Lopez At ERPAT Move of Barangay Burgos
Poblacion Lopez, Quezon, as per supporting document attached in the total
amount of...............
P 10,000.00
Erpat Move 4,000.00

SKL 6,000.00
VVV. Certified: WWW. Certified: XXX. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________

DV NO.: ______________
Date: _____

Payee: ERV Load And Gadget Employee: _____________ Fund:
Address: Brgy. Gomez Lopez, Quezon TIN No.: ______________ Supplemental
To payment intended to purchased of CCTV - Camera of

Barangay Burgos Poblacion Lopez, Quezon, as per supporting document
attached in the total amount of................. P 50,000.00
2,500.00
48,000.00
1% 50,000.00 500.00
3% 50,000.00 1,500.00
YYY. Certified: ZZZ. Certified: AAAA. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
ERV Load and Gadgets

Date:_________________________________
DV NO.: ______________

Payee: Arlene V. MArquez Employee: _____________ Fund:
Reimbursement of Traveling Expenses of Barangay Chairman of

Barangay Burgos Poblacion Lopez, Quezon, hereto attached the in total
amount of…………………….. P
BBBB. Certified: CCCC. Certified: DDDD. Approved:


Appropriation

Bank Name: _____________ Date: _____________
O.R. No.: ________________ Date: _____________
ARLENE V. MARQUEZ

Disbursement Voucher: General Fund

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DISBURSEMENT VOUCHER DV NO.

PAYMENT, for the Electric Bill of Barangay Burgos Pob.,

A. Certified: B. Certified: C. Approved:

VILMA R. SAAVEDRA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

PAYMENT, for the WATER BILL of Barangay Burgos Pob.,

D. Certified: E. Certified: F. Approved:

VILAM R. SAAVEDRA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

CASH ADVANCE, the Barangay Council Honoraria

G. Certified: H. Certified: I. Approved:

VILMA R. SAAVEDRA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Maria Marisa C. Villanueva

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

CASH ADVANCE, intended to Barangay Personnel

 Barangay Tanod……………. P 5,820.00

J. Certified: K. Certified: L. Approved:

ELVIRA C. CAPUCION MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

Reimbursement intended to ELECTRIC EXPENSES for the

M. Certified: N. Certified: O. Approved:

VILMA R. SAAVEDRA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

P. Certified: Q. Certified: R. Approved:

ELVIRA C. CAPUCION MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

S. Certified: T. Certified: V. Approved:

VILMA R. SAAVERA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

W. Certified: X. Certified: Y. Approved:

VILMA R. SAAVERA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

PAYMENT for the SALARY INCREASE of the Barangay

Brgy. Chairman…….. 794.00 x 4 = 3,176.00

Z. Certified: AA. Certified: BB. Approved:

VILMA R. SAAVERA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

CC. Certified: DD. Certified: EE. Approved:

VILMA R. SAAVERA MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Received Payment Check No.: _______________ Date: _____________

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

A. Certified: B. Certified: C. Approved:

ELVIRA C. CAPUCION MARIA MARISA C. VILLANUEVA ARLENE V. MARQUEZ

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

FF.Certified: GG. Certified: HH. Approved:

ELVIRA C. CAPUCION MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

II. Certified: JJ. Certified: KK. Approved:

ELVIRA C. CAPUCION MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

PAYMENT, intended to ANNUAL DUES of Barangay Burgos

LL. Certified: MM. Certified: NN. Approved:

ELVIRA C. CAPUCION MARIA MARISA VILLANUEVA ARLENE V. MARQUEZ

Barangay: BURGOS POBLACION City/Municipality: LOPEZ

To reimbursement of Internet Installation of Barangay Burgos

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _

Received Payment Check No.: ___ Date: _