REQUISITION AND ISSUE VOUCHER Number

Office/Agency
Date:
Municipality of Abucay ISSUANCE
Balance Requisition Stock Unit Total
on Number Value Value
Hand Qty. Unit Article Purpose Qty.

200 PADS AF51

TOTAL
CERTIFIED: Supplies requisitioned are necessary and RECEIVED BY:
will be used solely purposes stated

VIVIAN Q. BENAMIR
Acting Municipal Treasurer
Name/Designation & Signature/Req.Officer
APPROVED BY: Date Received: ____________________

Filled by : _____________________
VIVIAN Q. BENAMIR
Acting Municipal Treasurer Packed by : _____________________
Name/Designation & Signature/Req.Officer Property Officer/Clerk:
DATE APPROVED:
 Amount
Charged

__________

____________

____________
 General Form NO. 33 (A)
(Revised September, 1947)
INVOICE AND RECEIPT OF ACCOUNTABLE FORMS
requisition
invoice
Officer's Requisition No. _______________ Accountable Forms
receive
Issuing Officer's Invoice No. ____________
Receiving Officer's Receipt No. _________ (Cross out words which do not apply)

M. T. O. ABUCAY BATAAN _________________________

(Bureau of Office) (Municipality) (Province or City) (Date)

To MR./MS. __ ALICIA R. MAGPANTAY____

__ Provincial Treasurer_, _____ P T O________, __ ___, ___ BATAAN_________

(Office Title) (Bureau or Office) (Municipality) (Province or City)
SERIAL NUMBERS
QUANTITY DESIGNATION OF FORMS DENOMINATIVE VALUE OF FORM VALUE
FROM TO

200 PADS AF51

TOTAL VALUE_________ P _____________

requisition
invoice
I hereby the accountable forms above specified Requisition filled/received in the
receive

presence of ________________________________________________________________________________________

Prepared by:

VIVIAN Q. BENAMIR
Acting Municipal Treasurer
(Official Title)