NO: __________________

PETTY CASH VOUCHER DATE: ________________

Barangay: TAPILON City / Municipality: DAANBANTAYAN

Payee: ___________________________ Province : CEBU
I.TO BE FILLED UP UPON REQUEST
PARTICULARS AMOUNT II.TO BE FILLED UP UPON LIQUIDATION
Total Amount Granted:
Total Amount Paid:
Amount Refunded/(Reimbursed):
A.Requisted by: C.
Received Refund
_____________________________
Name of Requestor Reimbursement Paid

Approved by:
__________________________________ ______________________________________
Punong Barangay Barangay Treasurer
B.Paid By: D.
Liquidation Submitted by:
__________________________________
Barangay Treasurer Reimbursement Received By:

Cash Received by:

________________________________ ____________________________________
Signature over Printed Name of Payee Signature over Printed Name of Payee

Date: _________________________________ Date: ______________________________

NO: __________________
PETTY CASH VOUCHER DATE: ________________

Barangay: TAPILON City / Municipality: DAANBANTAYAN

Payee: ___________________________ Province : CEBU
I.TO BE FILLED UP UPON REQUEST
PARTICULARS AMOUNT II.TO BE FILLED UP UPON LIQUIDATION
Total Amount Granted:
Total Amount Paid:
Amount Refunded/(Reimbursed):
A.Requisted by: C.
Received Refund
_____________________________
Name of Requestor Reimbursement Paid

Approved by:
__________________________________ ______________________________________
Punong Barangay Barangay Treasurer
B.Paid By: D.
Liquidation Submitted by:
__________________________________
Barangay Treasurer Reimbursement Received By:

Cash Received by:

________________________________ ____________________________________
Signature over Printed Name of Payee Signature over Printed Name of Payee

Date: _________________________________ Date: ______________________________