Eagle Scouts Organization of the Philippines

VISAYAS REGIONAL OFFICE

City of Tagbilaran

DISBURSEMENT VOUCHER
Mode of Check Cash Other
Payment
TIN/Employee No. Obligation Request No.

Payee
Responsibility Center
Address Office/Unit/Project Code

EXPLANATION / REMARKS AMOUNT

Supporting Papers:

AA Certified B Certified
___ Allotment Obligation for the purpose as indicated above ___ Funds Availability
___ Supporting Documents Complete

Signature Signature
Printed Date Printed ES Karl Pete Francis Date
Name ES John Carlo Pareñas Name Carayo
Position Regional Executive Secretary Position Regional Treasurer

CA Approved Payment DA Received Payment

Signature Signature
Printed Date Printed Date
Name ES SANIE JOEL V. CAGOCO Name
Position Regional Chairman OR, Other Documents Date