DV No.

001-01-2020
DISBURSEMENT VOUCHER
BARANGAY : CANAWAY City/Municipality : KITCHARAO Date : 001-03-2020

Payee : JHEMELA MAE PLAZA Province : AGUSAN DEL NORTE Fund : SK FUND

Address: P-2 Brgy. Canaway, TIN : 749-153-797-000

Kitcharao, ADN
PARTICULARS AMOUNT
Purpose:

Payment to the Expenses for the Christmas league in the month of December,
2020 in the Gross amount of............................................................... Php 5,00.00

Php 5,000.00

A Certified B Certified C Certified

As to existence of appropriations As to availability of funds for the As to validity, propriety, and
for obligation. purpose, and completeness and legality of claim and approved for
propriety of supporting documents. payment.

JHEMELA MAE PLAZA

ASMAR A. MAISOG (Signature over Printed Name) JEAN MARIE G. BINABAE
(Signature over Printed Name) SK Treasurer (Signature over Printed Name)
SK Chairman, Committee on SK Chairperson
Appropriation
Date: 01-03-2020
Date: 01-03-2020 Date: 01-03-2020

D. Received Payment:
Check No.: 0000873408
Bank Name: Land Bank Cabadbaran City Date: ___________
O.R. __________________

JHEMELA MAE PLAZA

(Signature over Printed Name)

E. Accounting Entries
Account Account Code Debit Credit

Prepared by:

__________________________________ ________________
Barangay Bookkeeper Date

Approved by:

__________________________ ___________
City/Municipal Accountant Date

Sample Check:
RAAF (from Exercise 6.3):

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS

For the Month of January, 2016

Barangay: Talon City/Municipality: Mataas City RAAF No. 2016-01-001

Barangay Treasurer: Karen D. Madale Province: Sumibol

Beginning Balance Receipt Issued Ending Balance

Inclusive Serial Inclusive Serial Inclusive Serial
Name of Form Inclusive Serial Nos.
QTY Nos. QTY Nos. QTY Nos. QTY
From To From To From To From To
A. With Money Value
Cash Tickets

B. Without Money
ValueOfficial Receipts 1,000 0000001 0001000 2 000000 0000002 998 0000003 0001000
500 1 500 1
Checks

CERTIFICATION:
I hereby certify that the foregoing is a true statement of all accountable forms received, issued and
transferred by me during the above-stated period and the correctness of the beginning balances.

__________Karen D. Madale___________ ____01-31-2016____

(Name and Signature) Date
Barangay Treasurer
RAO (from Exercise 5.3):

RECORD OF APPROPRIATIONS AND OBLIGATIONS

Barangay: Talon City/Municipality: Mataas City Page No.: 1
Chairman: Susana A. Noba Province: Province of Sumibol
REGULAR APPROPRIATIONS
Reference Personal Service Maintenance & Other Operating Expenses Financial Capital Outlay
Salaries &
Total Salaries & Fuel, Oil Land and Building
Wages – Year-end Office Accountable Bank
Date Reference No. Wages - Cash Gift Travelling and Water Electricity Land and Equipment
Casual/ Bonus Supplies Forms Charges
Regular Lubricant Improve. Structure
Contractual

A. Appropriations
10/05/2015 SB Ord. No. 17,470,658 5,080,224 81,168 725,955 254,611 7,200 1,150,000 50,000 1,500,000 1,000,000 1,300,000 25,000 3,970,442 2,000,000 1,000,000
02 S. 2015
06/06/2016 App. Ord. No. 2,210,000 725,955 482,500 391,545 300,000 310,000
01 S. 2016

10/05/2016 SB Ord. No. 0 (100,000)

06 S. 2016
Total 19,680,658 5,080,224 81,168 1,451,910 737,111 7,200 1,441,545 50,000 1,800,000 1,000,000 1,300,000 25,000 3,970,442 2,000,000 1,310,000

B. Obligations
RSTF (from Exercise 5.3):

REGISTRY OF SPECIAL TRUST FUND

Barangay: Talon City/Municipality: Mataas City Page No.: ____________
Chairman on Committee on Appropriations: Susana A. Noba Province: Province of Sumibol
Purpose: 5% LDRRM Fund
Details of Appropriations Details of Charges
Date Particulars Ref. Amount Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) ( 10 ) ( 11 )
1/1/2016 Unspent DRRMF - CY 2015 SB Ordinance 215,850 2015
No. xxx