DV No.

: 2024 – 83-B-_____
DISBURSEMENT VOUCHER Date : FEB. __, 2024

Barangay: 83-B Cogon San Jose City/Municipality: TACLOBAN CITY

Tel. No. NONE Province: LEYTE

Fund:
Payee/Office: Josephine C. Martin Employee No.______
Address: TACLOBAN CITY TIN: CY 2024

Particulars Amount

To payment for the Barangay Official, Secretary and Treasurer Monetization of Leave
Php. 220,546.25
Credits for the month of February 2023, in the amount of >>>>>>>>>>

A. Certified B. Certified C. Certified as to validity,

Existence of available appropriations for Funds (Cash) Available propriety, and legality
the charges/expenses indicated above Approved:
For payment

Signature: _________________________
Printed Name: DYREEN JOYCE O. FABI
Position: Committee on Finance and
Appropriation
Date: _______________________
D. Received Payment:
Signature: ________________________ Signature: _______________
Printed Name: JOSEPHINE C. MARTIN Printed Name: MARILYN C. GO
Position: Barangay Treasurer Position: Punong Barangay
Date: ________________ Date: ________________

___________________________ Check No.: ___________ Date: ________

(Signature Over Printed Name) Bank Name: DBP
OR No.: ______________