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Republic of the Philippines
MUNICIPALITY OF BINMALEY
Province of Pangasinan
DISBURSEMENT VOUCHER
CLASSIFICATION OF DISBURSEMENT
No:
Cash Advance Reimbursement X Other Payments Date:
Name of Claimant: ID No./Tin:
MUNICIPAL TREASURER
Address:
Binmaley, Pangasinan Responsibility Center:
PARTICULARS AMOUNT
To transfer Municipal deposit from LBP to PNB

for the month of October 2012 in the amount of …. P 1,502,975.00
Amount Due P 1,502,975.00
A Certified B Certified
Allotment obligated for the purpose as indicated above Funds Available
Supporting documents complete
Signature: Signature:
Printed Date Printed Date:
Name GERTRUDES C. REYES, CPA Name ERLINDA C. ERGUIZA
Position Municipal Accountant Position Municipal Treasurer
Head, Accounting/Authorized Representative Head, Treasury/Authorized Representative
C APPROVED FOR PAYMENT D Received Payment

Check No. Bank Name Date
Printed Date: Printed
Name HON. LORENZO M. CEREZO Name SEE ATTACHED PAYROLL
Position Municipal Mayor OR/Other Documents : JEV No. : Date
Head, Agency/Authorized Representative
JOURNAL ENTRY VOUCHER No.:

Local Government Unit of Binmaley, Pangasinan Date:
Collection Chk. Disb. Cash Disb. Others
ACCOUNTING ENTRIES
Responsibility Accounts and Explanation Account
Center Code PR Debit Credit
Prepared by: Approved by:
MARIA CRISTINA N. MAMORNO GERTRUDES C. REYES, CPA

Senior Bookkeeper Municipal Accountant
No:
JOSEPHINE F. ANCHIBOY
Address:
BINMALEY, PANGASINAN Responsibility Center:
PARTICULARS AMOUNT
To withdrawal for the payment of salaries

of Municipal Employees (Vice-Mayor, SBM's and Secretariat) for
for the period,January 1-15, 2013, in the amount of ……………. P 172,708.79
Amount Due P 172,708.79

Name HON. PEDRO A. MERRERA III Name SEE ATTACHED PAYROLL
Position Municipal Vice-Mayor OR/Other Documents : JEV No. : Date

ACCOUNTING ENTRIES

No:
JOSEPHINE F. ANCHIBOY
Address:
BINMALEY, PANGASINAN Responsibility Center:
PARTICULARS AMOUNT
To withdraw for the payment of year-end bonus and cash gift,

2012 of municipal employees in the amount of………….. P 1,088,609.50


ACCOUNTING ENTRIES

No:
Cash Advance x Reimbursement Other Payments Date:
ROSE ANN R. ESTRELLAS
Address:
Binmaley, Pangasinan Responsibility Center:
PARTICULARS
To cash advance the Registration Fee for the 2024 Interactive

Seminar/Workshop Schedule for the DRRM officers and
members of the Inter-Agency Task Force to be held at Pines
View Hotel, Legarda Rd., Baguio City as per supporting P 9,000.00
papers hereto attached amounting to....
Name TEGGIE V. DE GUZMAN, CPA Name JOSEPHINE F. ANCHIBOY

Check No. Bank Name
Printed Printed
Name HON. PEDRO A. MERRERA III Name ROSE ANN R. ESTRELLAS

ACCOUNTING ENTRIES
FERNANDO L. FERNANDEZ TEGGIE V. DE GUZMAN, CPA

Administrative Assistant VI Municipal Accountant
MODE OF PAYMENT No:

MDS Check Commercial Check ADA Others Date:
Payee/Office: Bureau of Internal Revenue TIN/Employee No: OS/BUS No.:
Date:
Address: Binmaley, Pangasinan Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Payment for monthly remittance of Employees Withholding

Tax Compensation for the month of April, 2007 as per attached
documents in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101,428.49
Amount Due 101,428.49
A Certified Supporting Documents complete abd proper B Approved for Payment
Cash Available
Subject to ADA (where applicable)

HON. SIMPLICIO L. ROSARIO
Municipal Mayor
GERTRUDES C. REYES, CPA
Municipal Accountant
Date: Date:
C Received Payment: Check/ADA No.: D Journal Entry Voucher
Date: Date:
No.:
Signature: Bank Name:
Date:
Printed Name: O.R. No./Other relevant document
issued:
MODE OF PAYMENT No:

MDS ChCommercial Check ADA Others Date:
Payee/Office GOVERNMENT SERVICE INSURANCETIN/Employee No: OS/BUS No.:
SYSTEM Date:
Address: DAGUPAN CITY Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Payment for the renewal of Fire Insurance premium of

building for the year 2010 as per attached billing statement
in the amount of ONE HUNDRED THIRTY THOUSAND FIVE
HUNDRED FORTY SEVEN PESOS & 43/100 ONLY P 130,547.43
Amount Due 130,547.43
Cash Available

Municipal Mayor
Date: Date:
Date: Date:
No.:
Date:
issued:
MODE OF PAYMENT No:

Payee/Office: P. L. D. T. TIN/Employee No: OS/BUS No.:
Date:
Address: Dagupan City Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Payment of telephone bill No. 540-0593 for the period

of February 8, 2009 to March 7, 2010 as per O.R. No. ________dated
__________in the amount of SEVEN HUNDRED TWELVE PESOS
& 72/100 ONLY P 712.72
Amount Due P 712.72
Cash Available

Municipal Mayor
Date: Feb. 19, 2010 Date: Feb. 19, 2010
Date: Date:
No.:
Date:
P.L.D.T. issued:
MODE OF PAYMENT No:

Payee/Office: JULIETA DG. TORIO TIN/Employee No: OS/BUS No.:
Date:
Address:Binmaley, Pangasinan Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Reimbursement of traveling expenses in going to HDMF, Dagupan

City; Landbank, Lingayen; Smart, inc.,GSIS, PNB, PHIC, Dagupan City
as per attached supporting papers in the amount of TWO THOUSAND
FIVE HUNDRED SEVENTY TWO PESOS ONLY P 2,572.00
ACertified Supporting Documents complete and proper B Approved for Payment
Cash Available

Municipal Mayor
Date: 5/24/2010 Date: May 24, 2010
CReceived Payment: Check/ADA No.: ____________ D Journal Entry Voucher
Date: _______________ Date: ______________________

No.: _______________________
Signature: _____________________ Bank Name: ________________
Date: ______________________
Printed Name: ____________________ O.R. No./Other relevant document
JULIETA DG. TORIO issued: ____________________
MOUNT
d for Payment
CIO L. ROSARIO
ipal Mayor
Entry Voucher
______________
______________
MODE OF PAYMENT No:
Payee/Office: TIN/Employee No: OS/BUS No.:
MEDAR COM SHOP Date:
Title: Code:
PARTICULARS AMOUNT
Payment of repair of printer/Installation of computer and

change of parts/accessories as per attached O. r. No.2508 in the P 3,080.00
amount of THREE THOUSAND EIGHTY PESOS ONLY
Less: VAT 123.20
2,956.80
Amount Due
Cash Available

Hon. SIMPLICIO L. ROSARIO
Municipal Mayor
Date: Date:
C Received Payment: Check/ADA No.: ____________ D Journal Entry Voucher
Date: _______________ Date: ______________________

No.:
Date:
MEDAR COM SHOP issued: ____________________
MODE OF PAYMENT No:
GERONIMA F. VICTORIO Date:
Title: Code:
PARTICULARS AMOUNT
Payment of loyalty payable for every 5 years in service

as per attached supporting paper in the amount of FIVE THOUSAND P 5,000.00
PESOS ONLY
Amount Due 5,000.00
Cash Available

Municipal Mayor
Date: Date:
Date: _______________ Date: ______________________

No.:
Date:
Printed Name: GERONIMA F. VICTORIO O.R. No./Other relevant document
issued: ____________________
MODE OF PAYMENT No:
FRANCISCO G. ZAMORA Date:
Title: Code:
PARTICULARS AMOUNT
Payment of initial salary as Administrative Asst.III (Utility Worker II)

for the period of July 1 to 15, 2009 with monthly salary of P 6,576.00 as per P 3,288.00
attached supporting papers, to wit:
Less: Deductions - Personal Government

Life & retirement(GSIS) 591.84 789.12
Pag-ibig 131.52 131.52
PHIC 75.00 75.00
Cash Advance 500.00
SIF 65.76 1,298.36
1,298.36 1,061.40 1,989.64
Add: ACA 1,500.00

TOTAL: THREE THOUSAND NINE HUNDRED EIGHTY NINE PESOS & 64/100 3,489.64
Amount Due 3,489.64
A Certified Supporting Documents complete abd propeApproved

B for Payment
Cash Available

Municipal Mayor
Date: Date:
Date: _______________ Date: ______________________

No.:
Date:
Printed Name: FRANCISCO G. ZAMOR O.R. No./Other relevant document
issued: ____________________
MODE OF PAYMENT No:
JOSEPH FABIA Date:
Title: Code:
PARTICULARS AMOUNT
Payment of salary for the period of October 1 -15, 2009

as per attached supporting paper, to wit: P 3,551.00
Less: Deductions - Personal Government

Life & Retirement 639.18 852.24
Pag-ibig 142.04 142.04
PHIC 87.50 87.50
SIF/EC 71.02
BLI 504.17
Consoloan 805.38
EML 688.89
2,867.16 1,152.80 2,867.16
683.84
Add: ACA ........................................... 1,500.00
Amount Due 5,734.84
A Certified Supporting Documents complete and propeApproved

B for Payment
Cash Available

Municipal Mayor
Date: Date:
Date: _______________ Date: ______________________
No.:
Date:
Printed Name: JOSEPH FABIA
issued: ____________________
No:
Cash Advance Reimbursement Other Payments Date:
Address:
Responsibility Center:
PARTICULARS
Amount Due
Printed Date Printed
Name GERTRUDES C. REYES, CPA Name

Position Municipal Accountant Position
Head, Accounting Unit/Authorized Representative
C APPROVED FOR PAYMENT D
Check No.
Name HON. LORENZO M. CEREZO Name

Position Municipal Vice Mayor OR/Other Documents : J
JOURNAL ENTRY VOUCHER No

Local Government Unit of Binmaley, Pangasinan Dat
Collection Chk. Disb. Cash Disb.
ACCOUNTING ENTRIES
Center Code PR
MARIA CRISTINA N. MAMORNO

Senior Bookkeeper
sponsibility Center:
AMOUNT
Certified
Funds Available
Date:
ERLINDA C. ERGUIZA
Municipal Treasurer
Received Payment
Bank Name Date
R/Other Documents : JEV No. : Date
No.:
Date:
Others
Debit Credit

No:
PHILIPPINE NATIONAL BANK
Address:
Lingayen, Pangasinan Responsibility Center:
PARTICULARS AMOUNT
To transfer Municipal deposit from LBP to PNB

for the month of October 2012 in the amount of …. P 1,502,975.00


ACCOUNTING ENTRIES

MODE OF PAYMENT No:
ELIZABETH R. YUNGCA c/o BLI Date:
Address: Responsibility Center
Binmaley,Pangasinan Title: Code:
PARTICULARS AMOUNT
Remittance of BLI salary loan for the period of June 16 - 30, 2010
deducted in municipal payroll as per O.R._________dtd______in the amount of P 23,736.26
TWENTY THREE THOUSAND SEVEN HUNDRED THIRTY SIX PESOS & 26/100
A Certified Supporting Documents complete and proper B Approved for Payment
Cash Available

HON. LORENZO M. CEREZO
Municipal Mayor
Date: June 28, 2010 Date: July 1, 2010
Date: _______________ Date: ______________________

No.: 101-10-27-06-111
Date: July 1, 2010
Printed Name: BLI O.R. No./Other relevant document
issued: ____________________
MODE OF PAYMENT No:
HOME DEVELOPMENT MUTUAL FUND Date:
AddreSan Fernando City, La Union Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Remittance of Pag-ibig contribution for the month of June, 2010

as per O.R. No._______ dated ______ in the amount of SEVENTY FIVE
THOUSAND FORTY FIVE PESOS & 36/100 ONLY P 75,045.36
Cash Available

Municipal Mayor
Date: June 29, 2010 Date: June 29, 2010
Date: _______________ Date: ______________________

No.: 101-10-27-06-120
Date: June 29, 2010
Printed Name: H D M F O.R. No./Other relevant document
issued: ____________________
MODE OF PAYMENT No:
MDS Check Commer
ADA Others Date:
Payee/Office: OS/BUS No.:
GOVERNMENT SERVICE INSURANCE SYSTEM Date:
Dagupan City Code:
PARTICULARS AMOUNT
Remittance of GSIS Premiums and Loans for the month of

June, 2010 as per O.R.No.________dtd________in the amount of
FIVE HUNDRED SEVENTY TWO THOUSAND FORTY TWO PESOS P 572,042.42
& 42/100 ONLY
Add: Manager's check charges 31.50

572,073.92
Amount Due P
A Certified x Supporting Documents complete and proper B Approved for Payment
Cash Available

Municipal Mayor
GERTRUDES C. REYES
Date: Date: July , 2010
C Received Payment: D Journal Entry Voucher
Date: _______________
No. 101-10-27-06-116
Signature: _____________________
Date: July 1, 2010
Printed Name: GSIS
MODE OF PAYMENT No:
SMART BROADBAND INC. Date:
Address:Dagupan City Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Payment of internet charges for the period of April 26 to

June 25, 2010 as per attached O. R. No._________dated________
in the amount of ONE THOUSAND EIGHT HUNDRED NINETY SIX PESOS P 1,896.24
& 24/100 ONLY
Account No. 0126619790
Amount Due 1,896.24
Cash Available

Municipal Mayor
Date: June 9,2010 Date: June 9,2010
Date: _______________ Date: ______________________

No.:
Date: ______________________
Printed Name: SMART BROADBAND INC. O.R. No./Other relevant document
issued: ____________________
MODE OF PAYMENT No:
KABALIKAT SA PANG-ILALIM NA EKONOMIYA CREDIT CORP.(KPEC) Date:
AddrLingayen, Pangasinan Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Payment of KPEC loan for the period of June 16 - 30, 2010 deducted
in municipal payroll as per O.R._________dtd_________in the amount
of FIFTY ONE THOUSAND SIX HUNDRED FIFTY PESOS ONLY P 51,650.00
Cash Available

Municipal Mayor
Date: June 28, 2010 Date:
Date: _______________ Date: ______________________

No. 101-10-27-06-113
Date:
Printed Name: KPEC O.R. No./Other relevant document
issued: ____________________
MODE OF PAYMENT No:

PHIL. HEALTH INSURANCE CORPORATION Date:
AddresAlaminos City, Pangasinan Responsibility Center
Title: Code:
PARTICULARS AMOUNT
Remittance of PHIC/Medicare contribution for the month of June, 2010

as per attached O.R. No. ____________dated_____________in the amount
of FORTY THREE THOUSAND FIVE HUNDRED TWENTY FIVE PESOS ONLY P 43,525.00
Cash Available

Municipal Mayor
Date: Date:
Date: _______________ Date: ______________________

No.: 101-10-27-06-115
Date: ______________________
Printed Name: PHIC O.R. No./Other relevant document
issued: ____________________
MODE OF PAYMENT No:

PHIL. NATIONAL BANK Date:
Dagupan City Title: Code:
PARTICULARS AMOUNT
Remittance of PNB salary loan for the month of June, 2010

as per attached O.R. No._________ dated_____________ in the
amount of THIRTY TWO THOUSAND SIX HUNDRED NINETY SEVEN P
PESOS & 63/100 ONLY
Amount Due
A Certified x Supporting Documents complete and proper B
Cash Available

Municipal Mayor
Date: Date:
C Received Payment: Check/ADA No.: ____________ D
Date: _______________ Date: ______________________

No.
Signature: ____________________ Bank Name: ________________
Date:
PHIL. NATIONAL BANK issued: ____________________
Date:
OS/BUS No.:
Date:
ty Center
Code:
AMOUNT
32,697.63
32,697.63
B Approved for Payment

Municipal Mayor
Date:
D Journal Entry Voucher
101-10-27-06-116
Date:
MODE OF PAYMENT No:

BANCO SAN JUAN Date:
LINGAYEN, PANGASINAN Title: Code:
PARTICULARS AMOUNT
Remittance of BANCO SAN JUAN salary loan for the period of

June 16 - 30, 2010 deducted in municipal payroll as per O.R._________
dated ________in the amount of TWENTY THREE THOUSAND SEVEN HUNDRED P
FORTY NINE PESOS & 19/100 ONLY
Amount Due P
A Certified Supporting Documents complete and proper B
Cash Available

Municipal Mayor
Date: June 28, 2010 Date:
D
C Received Payment: Check/ADA No.: ____________
Date: _______________ Date: ______________________

No.:
Date:
Printed Name: __ BANCO SAN JUAN O.R. No./Other relevant document
issued: ____________________
`
OS/BUS No.:
er
AMOUNT
23,749.19
23,749.19

Municipal Mayor
June 28, 2010
D
Journal Entry Voucher
101-10-27-06-112
June 28, 2010

MODE OF PAYMENT No:

MDS Check Commercial CheckADA Others Date:
LANDBANK OF THE PHILS. Date:
Lingayen, Pangasinan Title: Code:
PARTICULARS AMOUNT
Remittance of Landbank salary loan for the month of June, 2010

as per attached O.R. No.______________dated_______________
in the amount of EIGHTY ONE THOUSAND TWO HUNDRED ELEVEN
PESOS & 67/100 ONLY P
Amount Due
A Certified x Supporting Documents complete and proper B
Cash Available

Municipal Mayor
Date: Date:
C Received Payment: Check/ADA No.: ____________ D
Date: ______________ Date: ______________________

No.
Signature: ___________________ Bank Name: ________________
Date:
LANDBANK OF THE PHILS. issued: __________________
S/BUS No.:
er
AMOUNT
89,761.67
89,761.67

Municipal Mayor
D Journal Entry Voucher
101-10-27-06-114
ate:
MODE OF PAYMENT No:

JENNIFER P. MANUEL Date:
Address:Binmaley, Pangasinan Title: Code:
PARTICULARS AMOUNT
Refund of Landbank deducted in municipal payroll-June 16-30, 2010 in

the amount of EIGHT THOUSAND FIVE HUNDRED FIFTY PESOS ONLY P 8,550.00
Cash Available

ERLINDA C. ERGUIZA
Municipal Treasurer
Date: June 29, 2010 Date: June 29, 2010
Date: _______________ Date: ______________________

No.: 101-10-26-06-67
Signature: Bank Name: ________________
Date: June 29, 2010
Printed Name: BY: O.R. No./Other relevant document
issued: ____________________
JENNIFER P. MANUEL

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Republic of the Philippines

To transfer Municipal deposit from LBP to PNB

Amount Due P 1,502,975.00

C APPROVED FOR PAYMENT D Received Payment

JOURNAL ENTRY VOUCHER No.:

Prepared by: Approved by:

MARIA CRISTINA N. MAMORNO GERTRUDES C. REYES, CPA

To withdrawal for the payment of salaries

Amount Due P 172,708.79

C APPROVED FOR PAYMENT D Received Payment

JOURNAL ENTRY VOUCHER No.:

Prepared by: Approved by:

MARIA CRISTINA N. MAMORNO GERTRUDES C. REYES, CPA

To withdraw for the payment of year-end bonus and cash gift,

Amount Due P 1,088,609.50

C APPROVED FOR PAYMENT D Received Payment

JOURNAL ENTRY VOUCHER No.:

Prepared by: Approved by:

MARIA CRISTINA N. MAMORNO GERTRUDES C. REYES, CPA

To cash advance the Registration Fee for the 2024 Interactive

Amount Due P 9,000.00

C APPROVED FOR PAYMENT D Received Payment

JOURNAL ENTRY VOUCHER No.:

Prepared by: Approved by:

FERNANDO L. FERNANDEZ TEGGIE V. DE GUZMAN, CPA

MODE OF PAYMENT No:

Payment for monthly remittance of Employees Withholding

Amount Due 101,428.49

A Certified Supporting Documents complete abd proper B Approved for Payment

Subject to ADA (where applicable)

C Received Payment: Check/ADA No.: D Journal Entry Voucher

MODE OF PAYMENT No:

Payment for the renewal of Fire Insurance premium of

Amount Due 130,547.43

A Certified Supporting Documents complete abd proper B Approved for Payment

Subject to ADA (where applicable)

C Received Payment: Check/ADA No.: D Journal Entry Voucher

MODE OF PAYMENT No:

Payment of telephone bill No. 540-0593 for the period

Amount Due P 712.72

A Certified Supporting Documents complete abd proper B Approved for Payment

Subject to ADA (where applicable)

Date: Feb. 19, 2010 Date: Feb. 19, 2010

C Received Payment: Check/ADA No.: D Journal Entry Voucher

MODE OF PAYMENT No:

Reimbursement of traveling expenses in going to HDMF, Dagupan

Amount Due P 2,572.00

ACertified Supporting Documents complete and proper B Approved for Payment

Subject to ADA (where applicable)

Date: 5/24/2010 Date: May 24, 2010

CReceived Payment: Check/ADA No.: ____________ D Journal Entry Voucher

Date: _______________ Date: ______________________

Payment of repair of printer/Installation of computer and

A Certified Supporting Documents complete abd proper B Approved for Payment

Subject to ADA (where applicable)

C Received Payment: Check/ADA No.: ____________ D Journal Entry Voucher

Date: _______________ Date: ______________________

Payment of loyalty payable for every 5 years in service

Amount Due 5,000.00

A Certified Supporting Documents complete abd proper B Approved for Payment

Subject to ADA (where applicable)

C Received Payment: Check/ADA No.: ____________ D Journal Entry Voucher

Date: _______________ Date: ______________________

Date: _ Date: ________

Date: _ Date: ________

Date: _ Date: ________

Date: _ Date: ________

Date: _ Date: ________

Date: _ Date: ________

Date: _ Date: ________

Date: _ Date: ________

Date: _ Date: ________