6/7/24, 7:09 AM mooe.deped.gov.ph/forms/dv/dv.html?

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Appendix 32

Man-ai Elementary School Fund Cluster :

Entity Name Regular MOOE - Elementary
2024-06-07
DISBURSEMENT VOUCHER DV No.: 2024-06-025

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment _________________

Payee RONALD L. OMRISO TIN/Employee No.: ORS/BURS No.:

000000000 2024-06-025

Address

Responsibility
Particulars MFO/PAP Amount
Center
Payment to Travel Expenses Reimbursement to NMRAA (May 11-18, 2024) 8,117.50
Other Transactions
VAT/NONVAT NONVAT
Net VAT 0.00
Less 0.00 BIR Form 2306
0.00 BIR Form 2307 0.00
Amount Due 8,117.50
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

KRIZAIDA ALLEYA ESPINOSA

Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 8,117.50
Cash In Bank - LCCA 1010202000 8,117.50
8,117.50 8,117.50
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable) EIGHT THOUSAND ONE HUNDRED SEVENTEEN PESOS
AND FIFTY CENTAVOS
Sup
proper

Signature Signature

Printed
Printed Name
Name KAREN BERNADETTE B. BORRES KRIZAIDA ALLEYA ESPINOSA
ADAS III School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Development Bank of the
ADA No. : 0093213408 Date : 2024-06-07 Philippines:0-01607-810-2
Signature : Date
Date : Printed Name:
Official Receipt No. & Date/Other Documents

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