Appendix 32

KATIDTUAN CENTRAL ELEMENTARY SCHOOL Fund Cluster :

Entity Name GENERAL FUND
Date :

DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JGZ HARDWARE
920-547-438-004
Address MATALAM, COTABATO
Responsibility
Particulars MFO/PAP Amount
Center

12,570.00
Incurred Payment for the REPAIR & MAINTENANCE
Less 1% 112.23
Less 5% 561.16
Amount Due 11,896.61
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

________EVELYN E. BAREZ__________
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name JAYZEL C. BALUCOS EVELYN E. BAREZ
Book Keeper Principal I
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : Evelyn E. Barez
Date : Printed Name: Date
Signature :
GLENDA P. TELIN
Official Receipt No. & Date/Other Documents

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