Disbursement Voucher(Autorecovered)

Appendix __
Fund :
LGU
Date :
DISBURSEMENT VOUCHER DV No. :
Classification of Disbursement
Cash Advance Reimbursement Other Payments
TIN/Employee No. CAFOA No.

Payee
Address
Responsibility
Particulars MFO/PAP Amount
Center
Amount Due:
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
Printed Name, Designation and Signature

Head of the Department or Office
B. Accounting Entry:
Account Title Account Code Debit Credit
C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Su
proper
Signature Signature
Printed
Printed Name
Name
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
90
Appendix 31
DISBURSEMENT VOUCHER Fund:

MUNICIPALITY OF KAPATAGAN
Province of Lanao del Norte DV No.:
Date:
Obligation Request No.

Payee: ZENY F. ZARATE
Responsibility Center:
Address: MTO, KAPATAGAN, LDN.
PARTICULARS AMOUNT
To payment for 74 days (50%) Monetization of Earned Leave Credits Php 63,946.60
in the total amount of SIXTY-THREE THOUSAND NINE HUNDRED
FORTY-SIX pesos & 60/100 only.
MARYLILIBETH B. LAGUNSAD
Human Resource Management Officer
Date: _____________
Amount Due Php 63,946.60

A Certified: B Certified: C Certified:
Expenses/Cash Advances necessary, Completeness and propriety of supporting Funds available for the purpose.
valid, proper, lawful and incurred documents/previous cash advance
under my direct supervision. liquidated/existence of funds held in
trust.
ALEXIS MAE A. ALBOROTO, CPA ALEXIS MAE A. ALBOROTO, CPA ALEXANDER D. ABABA, CPA
Signature Over Printed Name/Position Signature Over Printed Name/Position Signature Over Printed Name/Position
Head of the Department or Office Head of Accounting Department/Office Head of Treasury Department/ Office
D Approved For Payment: P 63,946.60 E Received Payment:

D Payment:
D
Check No. _______________
Bank Name: _____________ ZENY F. ZARATE
BARRY Y. BAGUIO Date: ___________________ Municipal Treasurer
Signature Over Printed Name/Position Signature Over Printed Name/Position
Local Chief Executive Date________
F
Particulars Account Code Debit Credit
Refer to Journal Entry Voucher

Appendix 31

Date:

Payee: FEDELINA M. CUARESMA
Address: MAO KAPATAGAN, LDN.
PARTICULARS AMOUNT
To payment for 75 days Monetization of Earned Leave Credits Php 302,670.64

in the total amount of Three Hundred Two Thousand Six Hundred
Seventy pesos & 64/100 only.
Date: _____________

trust.

D Payment:
D
Check No. _______________
Bank Name: _____________ FEDELINA M. CUARESMA
BARRY Y. BAGUIO Date: ___________________ Municipal Agriculturist
F

Appendix 31

Date:

Payee: CRISTY C. SANCHEZ
Address: MSWDO KAPATAGAN, LDN.
PARTICULARS AMOUNT
in the total amount of Forty-Two Thousand Five Hundred
Twenty pesos & 90/100 only.
Date: _____________

trust.

D Payment:
D
Check No. _______________
Bank Name: _____________ CRISTY C. SANCHEZ
F
Appendix 31
Date:

Payee: MAYLIN GRACE V. DELA CRUZ
Address: MBO KAPATAGAN, LDN.
PARTICULARS AMOUNT
in the total amount of Seventy-Four Thousand Six Hundred
Forty-nine pesos & 48/100 only.
Date: _____________

trust.

D Payment:
D
Check No. _______________
Bank Name: _____________ MAYLIN GRACE V. DELA CRUZ
F

Appendix 31

Date:

Payee: IVY R. TONGCO
Address: MBO KAPATAGAN, LDN.
PARTICULARS AMOUNT
To payment for 30 days Monetization of Earned Leave Credits Php 121,068.26

in the total amount of One Hundred Twenty-one Thousand
Six-eight pesos & 26/100 only.
Date: _____________

trust.

D Payment:
D
Check No. _______________
Bank Name: _____________ IVY R. TONGCO
F

Appendix 31

Date:

Payee: MARIFI V. CAMARIN
Address: MCR KAPATAGAN, LDN.
PARTICULARS AMOUNT
in the total amount of Sixty-one Thousand
Six Hundred Fifty-one pesos & 86/100 only.
Date: _____________

trust.
IVY R. TONGCO ALEXIS MAE A. ALBOROTO, CPA ALEXANDER D. ABABA, CPA


D Payment:
D
Check No. _______________
Bank Name: _____________
BARRY Y. BAGUIO Date: ___________________ MARIFI V. CAMARIN
F

Appendix 31

Date:

Payee: MIGUELA BATOON
Address: MHO KAPATAGAN, LDN.
PARTICULARS AMOUNT
in the total amount of Three Hundred Seventy-six Thousand
Nine Hundred Twenty-three pesos & 53/100 only.
Date: _____________

trust.
DR. RAJEMELLE D. BONACHITA ALEXIS MAE A. ALBOROTO, CPA ALEXANDER D. ABABA, CPA

D Payment:
D
Check No. _______________
Bank Name: _____________
BARRY Y. BAGUIO Date: ___________________ MIGUELA BATOON
F

Appendix 31

Date:
Payee:
Address:
PARTICULARS AMOUNT
State description here Php -
Less:
If VAT-registered, services:
VAT 2-02-01-010 5% gross/1.12*5% - -
EWT 2% 2-02-01-010 2% gross/1.12*2% - -
If VAT-registered, goods:
VAT 2-02-01-010 5% gross/1.12*5% - -
EWT 1% 2-02-01-010 1% gross/1.12*1% - -
If NON-VAT-registered, services:
OPT 2-02-01-010 1% gross*1% - -
EWT 2% 2-02-01-010 2% gross*2% - -
If NON-VAT-registered, goods:
OPT 2-02-01-010 1% gross*1% - -
EWT 1% 2-02-01-010 1% gross*1% - -
Total - -
Amount Due Php -

trust.
ALEXIS MAE A. ALBOROTO, CPA ALEXANDER D. ABABA, CPA

D Approved For Payment: P - E Received Payment:

D Payment:
D
Check No. _______________
Bank Name: _____________
HON. BARRY Y. BAGUIO Date: ___________________
F Accounting Entries

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Appendix __

TIN/Employee No. CAFOA No.

Printed Name, Designation and Signature

C. Certified: D. Approved for Payment

Subject to Authority to Debit Account (when applicable)

DISBURSEMENT VOUCHER Fund:

Obligation Request No.

Amount Due Php 63,946.60

D Approved For Payment: P 63,946.60 E Received Payment:

Refer to Journal Entry Voucher

DISBURSEMENT VOUCHER Fund:

Obligation Request No.

To payment for 75 days Monetization of Earned Leave Credits Php 302,670.64

Amount Due Php 302,670.64

D Approved For Payment: P 302,670.64 E Received Payment:

Refer to Journal Entry Voucher

DISBURSEMENT VOUCHER Fund:

Obligation Request No.

Amount Due Php 42,520.90

D Approved For Payment: P 42,520.90 E Received Payment:

Refer to Journal Entry Voucher

Obligation Request No.

Amount Due Php 74,649.48

D Approved For Payment: P 74,649.48 E Received Payment:

Refer to Journal Entry Voucher

DISBURSEMENT VOUCHER Fund:

Obligation Request No.

To payment for 30 days Monetization of Earned Leave Credits Php 121,068.26

Amount Due Php 121,068.26

D Approved For Payment: P 121,068.26 E Received Payment:

Refer to Journal Entry Voucher

DISBURSEMENT VOUCHER Fund:

Obligation Request No.

Amount Due Php 61,651.86

IVY R. TONGCO ALEXIS MAE A. ALBOROTO, CPA ALEXANDER D. ABABA, CPA

D Approved For Payment: P 61,651.86 E Received Payment:

Refer to Journal Entry Voucher

DISBURSEMENT VOUCHER Fund:

Obligation Request No.

Amount Due Php 376,923.54

D Approved For Payment: P 376,923.54 E Received Payment:

Refer to Journal Entry Voucher

DISBURSEMENT VOUCHER Fund:

State description here Php -

Amount Due Php -

ALEXIS MAE A. ALBOROTO, CPA ALEXANDER D. ABABA, CPA

D Approved For Payment: P - E Received Payment:

Refer to Journal Entry Voucher

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