'YOU-FIRST' MEDICAL AND DIAGNOSTICS CENTER, INC.

PAYEE VOUCHER
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Date
Particulars Amount

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Distribution of Amount
Account Title Debit Credit Amount in
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FORM OF PAYMENT:
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CHECK NO.: DATE: AMOUNT:

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'YOU-FIRST' MEDICAL AND DIAGNOSTICS CENTER, INC.

PAYEE VOUCHER
No.
Date
Particulars Amount

Total -

Distribution of Amount
Account Title Debit Credit Amount in
Words

FORM OF PAYMENT:
CASH
CHECK NO.: DATE: AMOUNT:

Received by:

Signature over Printed Name/Date

Prepared by: Approved by: