Annex 7

DISBURSEMENT VOUCHER
Barangay: SAMPALOC DV No.: 2022 - 12-__
City/Municipality: CABATUAN Date : 12/05/2022
Province: ISABELA
Payee: DIANARA S. LAPUEBLA
Address: Cabatuan, ISABELA
TIN:
Particulars Amount

ca labor for clean up drive

AMOUNTING TO….. 9,000.00

TOTAL 9,000.00
A. Certified as to availability of B. Certified as to availability of C. Certified as to necessity, validity,
the budget or funds received for cash, and completeness and propriety, and legality of claim; and
specific purpose propriety of supporting documents Approved for payment:

RHODA S. MONTE DIANARA S. LAPUEBLA MICAH D. IGNACIO

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Budget Monitoring Officer Sk Treasurer Sk Chairman

Date : Date : Date :

D. Received Payment: Check No.: 1910694
Date: 5/12/2022
DIANARA S. LAPUEBLA Bank Name: LBP
Signature Over Printed Name of Payee/
Bank Branch: CAUAYAN
Authorized Representative
OR No.:
Date Date:
 Province of Isabela
Municipality of CABATUAN
Cabatuan, Isabela

OBLIGATION REQUEST 2022-__-__

PAYEE: DIANARA S. LAPUEBLA

OFFICE:
ADDRESS: CABATUAN, ISABELA

Responsibility PARTICULARS F.P.P ACCOUNT AMOUNT

Center CODE

TO ACCOUNT;

ca labor for clean up drive

9,000.00

TOTAL 9,000.00

A.) Certiied: B.) Certified

Charges to above approriation. Allotment necessary
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and legal

Signature Signature
Printed Name MICAH D. IGNACIO RHODA S. MONTE
Position Sk Chairman BUDGET MONITORING OFFICER
(Head Budget Unit/Authorized Representative)
Date
 Annex 7

DISBURSEMENT VOUCHER
Barangay: SAMPALOC DV No.: 2023 - __- __
City/Municipality: CABATUAN Date : 8/9/2023
Province: ISABELA
Payee: BARANGAY SAMPALOC CABATUAN SK
Address: CABATUAN, ISABELA
TIN:
Particulars Amount

TO TRANSFER SK FUND FOR THE MONTH OF AUGUST 2023

AMOUNTING TO….. 34,755.05

TOTAL 34,755.05
A. Certified as to availability of B. Certified as to availability of C. Certified as to necessity, validity,
the budget or funds received for cash, and completeness and propriety, and legality of claim; and
specific purpose propriety of supporting documents Approved for payment:

LUISITO D. ALIPIO TAJ MAHAL A. VEA ERNESTA S. BORROMEO

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Budget Monitoring Officer Brgy. Treasurer Punong Barangay

Date : Date : Date :

D. Received Payment: Check No.: O1928045
Date: 9/20/2021
RICHARD D. GILLE Bank Name: LBP
Signature Over Printed Name of Payee/
Bank Branch: CAUAYAN
Authorized Representative
OR No.:
Date Date:
 Annex 7

DISBURSEMENT VOUCHER
Barangay: SAMPALOC DV No.: 2023 - __-__
City/Municipality: CABATUAN Date : 9/20/2023
Province: ISABELA
Payee: BARANGAY SAMPALOC CABATUAN SK
Address: SAMPALOC, CABATUAN, ISABELA
TIN:
Particulars Amount

TO TRANSFER SK FUND- TRUST LIABILITIES 2022

AMOUNTING TO….. 40,560.10

TOTAL 40,560.10
A. Certified as to availability of B. Certified as to availability of C. Certified as to necessity, validity,
the budget or funds received for cash, and completeness and propriety, and legality of claim; and
specific purpose propriety of supporting documents Approved for payment:

ROLLY R. ASUNCION TAJ MAHAL A. VEA ERNESTA S. BORROMEO

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Budget Monitoring Officer Brgy. Treasurer Punong Barangay

Date : Date : Date :

D. Received Payment: Check No.: O2187127
Date: 9/20/2023
BARANGAY SAMPALOC CABATUAN SK Bank Name: LBP
Signature Over Printed Name of Payee/
Bank Branch: CAUAYAN
Authorized Representative
OR No.:
Date Date:
 Province of Isabela
Municipality of CABATUAN
Cabatuan, Isabela

OBLIGATION REQUEST 2023-__-__

PAYEE: BARANGAY SAMPALOC CABATUAN SK

OFFICE:
ADDRESS: SAMPALOC, CABATUAN, ISABELA

Responsibility PARTICULARS F.P.P ACCOUNT AMOUNT

Center CODE

TO ACCOUNT;

TO TRANSFER SK FUND- TRUST LIABILITIES 2022 40,560.10

TOTAL 40,560.10

A.) Certiied: B.) Certified

Charges to above approriation. Allotment necessary
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and legal

Signature Signature
Printed Name ERNESTA S. BORROMEO ROLLY R. ASUNCION
Position Punong Barangay BUDGET MONITORING OFFICER
(Head Budget Unit/Authorized Representative)
Date
 Province of Isabela
Province of Isabela
Municipality of CABATUAN
Cabatuan, Isabela

OBLIGATION REQUEST 2021-01-030

PAYEE: RICHARD D. GILLE

OFFICE:
ADDRESS: SAMPALOC, CABATUAN, ISABELA

Responsibility PARTICULARS F.P.P ACCOUNT AMOUNT

Center CODE

TO ACCOUNT;

Goods for 48 family heads for the granular lockdown 5,529.60

TOTAL 5,529.60

A.) Certiied: B.) Certified

Charges to above approriation. Allotment necessary
lawful and under my direct supervision Existence of available appropriation
Supporting documents valid, proper and legal

Signature Signature
Printed Name ERNESTA S. BORROMEO ROLLY R. ASUNCION
Position Punong Barangay BUDGET MONITORING OFFICER
(Head Budget Unit/Authorized Representative)
Date