DISBURSEMENT VOUCHER

Mode of
MDS Check Commercial Check ADA Others (Please spec
Payment
TIN/Employee No.:
Payee

Address
Responsibility Center MFO/PAP
Gross Amount

Gross Amount
Less:
2 % ET
3 % NON-VAT

Total Deductions
Amount Due
A Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

Division Chief, HRDD

Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit

Training Expenses 50202010 220,000.00

Due to BIR 20201010
Cash - MDS, Regular 10104040
 220,000.00

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed

proper

Signature Signature
Printed
Printed Name
Name
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Aut
Date Date
E. Receipt of Payment
Check/
ADA No. : Date : Bank Name & Account Number:
Printed Name:
Signature :
Date :
Official Receipt No. & Date/Other Documents
 Appendix 32

Date:

Others (Please specify)

_________________
ORS/BURS No.:
01-101-2020-12-0007

MFO/PAP Amount
P 220,000.00

220,000.00 196,428.57 if VAT Gross Amount should be divided by 1.12 to get the

4,400.00 3,928.57
6,600.00 9,821.43

11,000.00 Cash Paid over payment

P 209,000.00 215,600.00 6,600.00
rvision.

Debit Credit

220,000.00
11,000.00
209,000.00 -

Repairs and Maintenance - Building & Other Structures

 220,000.00 220,000.00

Agency Head/Authorized Representative

JEV No.

mber:
Date
ould be divided by 1.12 to get the taxable amount

20201010
50213040