Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 7

CHECKLIST OF CHECKLIST OF CHECKLIST OF

DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Officials) (Barangay Officials) (Barangay Officials)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll __________ - Payroll __________ - Payroll
__________ - DILG Certification __________ - DILG Certification __________ - DILG Certification
__________ - Minutes of Session __________ - Minutes of Session __________ - Minutes of Session
__________ - DTR of BT & BS __________ - DTR of BT & BS __________ - DTR of BT & BS

CHECKLIST OF CHECKLIST OF CHECKLIST OF


DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Officials) (Barangay Officials) (Barangay Officials)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll __________ - Payroll __________ - Payroll
__________ - DILG Certification __________ - DILG Certification __________ - DILG Certification
__________ - Minutes of Session __________ - Minutes of Session __________ - Minutes of Session
__________ - DTR of BT & BS __________ - DTR of BT & BS __________ - DTR of BT & BS

CHECKLIST OF CHECKLIST OF CHECKLIST OF


DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Officials) (Barangay Officials) (Barangay Officials)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll __________ - Payroll __________ - Payroll
__________ - DILG Certification __________ - DILG Certification __________ - DILG Certification
__________ - Minutes of Session __________ - Minutes of Session __________ - Minutes of Session
__________ - DTR of BT & BS __________ - DTR of BT & BS __________ - DTR of BT & BS

CHECKLIST OF CHECKLIST OF CHECKLIST OF


DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Officials) (Barangay Officials) (Barangay Officials)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll __________ - Payroll __________ - Payroll
__________ - DILG Certification __________ - DILG Certification __________ - DILG Certification
__________ - Minutes of Session __________ - Minutes of Session __________ - Minutes of Session
__________ - DTR of BT & BS __________ - DTR of BT & BS __________ - DTR of BT & BS
CHECKLIST OF CHECKLIST OF CHECKLIST OF
DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Employees) (Barangay Employees) (Barangay Employees)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll with CTC info. __________ - Payroll with CTC info. __________ - Payroll with CTC info.
__________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN)
__________ - Oath of Office __________ - Oath of Office __________ - Oath of Office
__________ - Assumption of Office __________ - Assumption of Office __________ - Assumption of Office
__________ - Appointment __________ - Appointment __________ - Appointment
__________ - DTR __________ - DTR __________ - DTR

CHECKLIST OF CHECKLIST OF CHECKLIST OF


DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Employees) (Barangay Employees) (Barangay Employees)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll with CTC info. __________ - Payroll with CTC info. __________ - Payroll with CTC info.
__________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN)
__________ - Oath of Office __________ - Oath of Office __________ - Oath of Office
__________ - Assumption of Office __________ - Assumption of Office __________ - Assumption of Office
__________ - Appointment __________ - Appointment __________ - Appointment
__________ - DTR __________ - DTR __________ - DTR

CHECKLIST OF CHECKLIST OF CHECKLIST OF


DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Employees) (Barangay Employees) (Barangay Employees)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll with CTC info. __________ - Payroll with CTC info. __________ - Payroll with CTC info.
__________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN)
__________ - Oath of Office __________ - Oath of Office __________ - Oath of Office
__________ - Assumption of Office __________ - Assumption of Office __________ - Assumption of Office
__________ - Appointment __________ - Appointment __________ - Appointment
__________ - DTR __________ - DTR __________ - DTR

CHECKLIST OF CHECKLIST OF CHECKLIST OF


DISBURSEMENT: DISBURSEMENT: DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT: ATTACHMENT:
HONORARIUM HONORARIUM HONORARIUM
(Barangay Employees) (Barangay Employees) (Barangay Employees)

__________ - Disbursement Voucher __________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report __________ - Liquidation Report
__________ - Payroll with CTC info. __________ - Payroll with CTC info. __________ - Payroll with CTC info.
__________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN) __________ - Assets & Liabilities(SALN)
__________ - Oath of Office __________ - Oath of Office __________ - Oath of Office
__________ - Assumption of Office __________ - Assumption of Office __________ - Assumption of Office
__________ - Appointment __________ - Appointment __________ - Appointment
__________ - DTR __________ - DTR __________ - DTR
CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
TRAINING / SEMINAR / PER DIEM TRAINING / SEMINAR / PER DIEM

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Invitation from Sponsoring Agency w/ __________ - Invitation from Sponsoring Agency w/
accreditation from governing agency accreditation from governing agency
__________ - Travel Order/Office Memorandum __________ - Travel Order/Office Memorandum
__________ - Certificate of Appearance __________ - Certificate of Appearance
__________ - Itinerary of Travel (Appendix A) __________ - Itinerary of Travel (Appendix A)
__________ - Certificate of Travel Complete __________ - Certificate of Travel Complete
(Appendix B) (Appendix B)
__________ - Bus Ticket __________ - Bus Ticket
__________ - Picture for Documentation __________ - Picture for Documentation
__________ - Official Receipt __________ - Official Receipt

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
TRAINING / SEMINAR / PER DIEM TRAINING / SEMINAR / PER DIEM

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Invitation from Sponsoring Agency w/ __________ - Invitation from Sponsoring Agency w/
accreditation from governing agency accreditation from governing agency
__________ - Travel Order/Office Memorandum __________ - Travel Order/Office Memorandum
__________ - Certificate of Appearance __________ - Certificate of Appearance
__________ - Itinerary of Travel (Appendix A) __________ - Itinerary of Travel (Appendix A)
__________ - Certificate of Travel Complete __________ - Certificate of Travel Complete
(Appendix B) (Appendix B)
__________ - Bus Ticket __________ - Bus Ticket
__________ - Picture for Documentation __________ - Picture for Documentation
__________ - Official Receipt __________ - Official Receipt

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
TRAINING / SEMINAR / PER DIEM TRAINING / SEMINAR / PER DIEM

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Invitation from Sponsoring Agency w/ __________ - Invitation from Sponsoring Agency w/
accreditation from governing agency accreditation from governing agency
__________ - Travel Order/Office Memorandum __________ - Travel Order/Office Memorandum
__________ - Certificate of Appearance __________ - Certificate of Appearance
__________ - Itinerary of Travel (Appendix A) __________ - Itinerary of Travel (Appendix A)
__________ - Certificate of Travel Complete __________ - Certificate of Travel Complete
(Appendix B) (Appendix B)
__________ - Bus Ticket __________ - Bus Ticket
__________ - Picture for Documentation __________ - Picture for Documentation
__________ - Official Receipt __________ - Official Receipt
CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
PURCHASES OF SUPPLIES OR MATERIALS PURCHASES OF SUPPLIES OR MATERIALS

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Purchase Request __________ - Purchase Request
__________ - Request for Quotation (atleast 3 suppliers) __________ - Request for Quotation (atleast 3 suppliers)
__________ - Bidding for Materials above P50,000.00 __________ - Bidding for Materials above P50,000.00
__________ - Abstract of Canvass __________ - Abstract of Canvass
__________ - Purchase Order __________ - Purchase Order
__________ - Delivery Receipt __________ - Delivery Receipt
__________ - Official Receipt __________ - Official Receipt
__________ - Certificate of Inspection & Acceptance __________ - Certificate of Inspection & Acceptance
__________ - Picture for Documentation __________ - Picture for Documentation
__________ - Project Design __________ - Project Design
__________ - BAC Resolution for Alternative Methods of __________ - BAC Resolution for Alternative Methods of
Procurement Procurement
__________ - Approved Budget for the Contract __________ - Approved Budget for the Contract
__________ - Annual Procurement Plan __________ - Annual Procurement Plan
__________ - BIR / Withholding Tax Remittance __________ - BIR / Withholding Tax Remittance
__________ - Summary of Expenses (if more than 3 receipts) __________ - Summary of Expenses (if more than 3 receipts)

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
PURCHASES OF SUPPLIES OR MATERIALS PURCHASES OF SUPPLIES OR MATERIALS

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Purchase Request __________ - Purchase Request
__________ - Request for Quotation (atleast 3 suppliers) __________ - Request for Quotation (atleast 3 suppliers)
__________ - Bidding for Materials above P50,000.00 __________ - Bidding for Materials above P50,000.00
__________ - Abstract of Canvass __________ - Abstract of Canvass
__________ - Purchase Order __________ - Purchase Order
__________ - Delivery Receipt __________ - Delivery Receipt
__________ - Official Receipt __________ - Official Receipt
__________ - Certificate of Inspection & Acceptance __________ - Certificate of Inspection & Acceptance
__________ - Picture for Documentation __________ - Picture for Documentation
__________ - Project Design __________ - Project Design
__________ - BAC Resolution for Alternative Methods of __________ - BAC Resolution for Alternative Methods of
Procurement Procurement
__________ - Approved Budget for the Contract __________ - Approved Budget for the Contract
__________ - Annual Procurement Plan __________ - Annual Procurement Plan
__________ - BIR / Withholding Tax Remittance __________ - BIR / Withholding Tax Remittance
__________ - Summary of Expenses (if more than 3 receipts) __________ - Summary of Expenses (if more than 3 receipts)
CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
ACTIVITY ACTIVITY

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report
__________ - Purchase Request __________ - Purchase Request
__________ - Request for Quotation(atleast 3 supplier) __________ - Request for Quotation(atleast 3 supplier)
__________ - Abstract of Canvass __________ - Abstract of Canvass
__________ - Purchase Order __________ - Purchase Order
__________ - Delivery Receipt __________ - Delivery Receipt
__________ - Official Receipt __________ - Official Receipt
__________ - Certificate of Inspection & Acceptance __________ - Certificate of Inspection & Acceptance
__________ - Picture for Documentation __________ - Picture for Documentation
__________ - Project Design __________ - Project Design
__________ - Program of Activity __________ - Program of Activity
__________ - List of Recipients / Attendance __________ - List of Recipients / Attendance
__________ - SB Resolution __________ - SB Resolution
__________ - BAC Resolution for Alternative Methods of __________ - BAC Resolution for Alternative Methods of
Procurement Procurement
__________ - Approved Budget for the Contract __________ - Approved Budget for the Contract
__________ - Annual Procurement Plan __________ - Annual Procurement Plan
__________ - BIR / Withholding Tax Remittance __________ - BIR / Withholding Tax Remittance
__________ - Menu (for food) __________ - Menu (for food)
__________ - Summary of Expenses (if more than 3 receipts) __________ - Summary of Expenses (if more than 3 receipts)

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
ACTIVITY ACTIVITY

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report
__________ - Purchase Request __________ - Purchase Request
__________ - Request for Quotation(atleast 3 supplier) __________ - Request for Quotation(atleast 3 supplier)
__________ - Abstract of Canvass __________ - Abstract of Canvass
__________ - Purchase Order __________ - Purchase Order
__________ - Delivery Receipt __________ - Delivery Receipt
__________ - Official Receipt __________ - Official Receipt
__________ - Certificate of Inspection & Acceptance __________ - Certificate of Inspection & Acceptance
__________ - Picture for Documentation __________ - Picture for Documentation
__________ - Project Design __________ - Project Design
__________ - Program of Activity __________ - Program of Activity
__________ - List of Recipients / Attendance __________ - List of Recipients / Attendance
__________ - SB Resolution __________ - SB Resolution
__________ - BAC Resolution for Alternative Methods of __________ - BAC Resolution for Alternative Methods of
Procurement Procurement
__________ - Approved Budget for the Contract __________ - Approved Budget for the Contract
__________ - Annual Procurement Plan __________ - Annual Procurement Plan
__________ - BIR / Withholding Tax Remittance __________ - BIR / Withholding Tax Remittance
__________ - Menu (for food) __________ - Menu (for food)
__________ - Summary of Expenses (if more than 3 receipts) __________ - Summary of Expenses (if more than 3 receipts)
CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
LABOR PAYROLL LABOR PAYROLL

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report
__________ - Contract of Service __________ - Contract of Service
__________ - Job Request __________ - Job Request
__________ - Job Order __________ - Job Order
__________ - BAC Recommendation __________ - BAC Recommendation
__________ - Appointment __________ - Appointment
__________ - Acceptance Certification __________ - Acceptance Certification
__________ - Inspection Report __________ - Inspection Report
__________ - DTR __________ - DTR
__________ - Approved Budget for the Contract __________ - Approved Budget for the Contract
__________ - Annual Procurement Plan __________ - Annual Procurement Plan
__________ - Daily Wage Payroll w/ CTC Info. __________ - Daily Wage Payroll w/ CTC Info.
__________ - Summary of Payrolls __________ - Summary of Payrolls
__________ - Pictures (before, during & after) for __________ - Pictures (before, during & after) for
documentation documentation

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
LABOR PAYROLL LABOR PAYROLL

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report
__________ - Contract of Service __________ - Contract of Service
__________ - Job Request __________ - Job Request
__________ - Job Order __________ - Job Order
__________ - BAC Recommendation __________ - BAC Recommendation
__________ - Appointment __________ - Appointment
__________ - Acceptance Certification __________ - Acceptance Certification
__________ - Inspection Report __________ - Inspection Report
__________ - DTR __________ - DTR
__________ - Approved Budget for the Contract __________ - Approved Budget for the Contract
__________ - Annual Procurement Plan __________ - Annual Procurement Plan
__________ - Daily Wage Payroll w/ CTC Info. __________ - Daily Wage Payroll w/ CTC Info.
__________ - Summary of Payrolls __________ - Summary of Payrolls
__________ - Pictures (before, during & after) for __________ - Pictures (before, during & after) for
documentation documentation

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
LABOR PAYROLL LABOR PAYROLL

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Liquidation Report __________ - Liquidation Report
__________ - Contract of Service __________ - Contract of Service
__________ - Job Request __________ - Job Request
__________ - Job Order __________ - Job Order
__________ - BAC Recommendation __________ - BAC Recommendation
__________ - Appointment __________ - Appointment
__________ - Acceptance Certification __________ - Acceptance Certification
__________ - Inspection Report __________ - Inspection Report
__________ - DTR __________ - DTR
__________ - Approved Budget for the Contract __________ - Approved Budget for the Contract
__________ - Annual Procurement Plan __________ - Annual Procurement Plan
__________ - Daily Wage Payroll w/ CTC Info. __________ - Daily Wage Payroll w/ CTC Info.
__________ - Summary of Payrolls __________ - Summary of Payrolls
__________ - Pictures (before, during & after) for __________ - Pictures (before, during & after) for
documentation documentation
CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:
Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
TERMINAL LEAVE / SALARY TERMINAL LEAVE / SALARY
DIFFERENTIAL DIFFERENTIAL

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Mayor Certification __________ - Mayor Certification
__________ - Certification for Barangay Council __________ - Certification for Barangay Council
__________ - Approved Application for Leave __________ - Approved Application for Leave
__________ - Computation of Leave __________ - Computation of Leave
__________ - DTR of BT & BS __________ - DTR of BT & BS
__________ - Legal Basis (salary diff.) __________ - Legal Basis (salary diff.)

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
TERMINAL LEAVE / SALARY TERMINAL LEAVE / SALARY
DIFFERENTIAL DIFFERENTIAL

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Mayor Certification __________ - Mayor Certification
__________ - Certification for Barangay Council __________ - Certification for Barangay Council
__________ - Approved Application for Leave __________ - Approved Application for Leave
__________ - Computation of Leave __________ - Computation of Leave
__________ - DTR of BT & BS __________ - DTR of BT & BS
__________ - Legal Basis (salary diff.) __________ - Legal Basis (salary diff.)

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
TERMINAL LEAVE / SALARY TERMINAL LEAVE / SALARY
DIFFERENTIAL DIFFERENTIAL

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Mayor Certification __________ - Mayor Certification
__________ - Certification for Barangay Council __________ - Certification for Barangay Council
__________ - Approved Application for Leave __________ - Approved Application for Leave
__________ - Computation of Leave __________ - Computation of Leave
__________ - DTR of BT & BS __________ - DTR of BT & BS
__________ - Legal Basis (salary diff.) __________ - Legal Basis (salary diff.)

CHECKLIST OF DISBURSEMENT: CHECKLIST OF DISBURSEMENT:


Check Date: _____________________ Check Date: _____________________
Check Number: __________________ Check Number: __________________
Check Amount: __________________ Check Amount: __________________
ATTACHMENT: ATTACHMENT:
TERMINAL LEAVE / SALARY TERMINAL LEAVE / SALARY
DIFFERENTIAL DIFFERENTIAL

__________ - Disbursement Voucher __________ - Disbursement Voucher


__________ - Mayor Certification __________ - Mayor Certification
__________ - Certification for Barangay Council __________ - Certification for Barangay Council
__________ - Approved Application for Leave __________ - Approved Application for Leave
__________ - Computation of Leave __________ - Computation of Leave
__________ - DTR of BT & BS __________ - DTR of BT & BS
__________ - Legal Basis (salary diff.) __________ - Legal Basis (salary diff.)

You might also like