Appendix 32

Republic of the Philippines Fund Cluster :

Department of Education
Region V
DIVISION OF MASBATE
Masbate City
Date :
DISBURSEMENT VOUCHER DV No. :

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JUAN B. DE LARA, JR.

Address RODEO ROAD, MASBAATE CITY

Responsibility
Particulars MFO/PAP Amount
Center

2,000.00
TO REIMBURSEMENT OF TRAVEL EXPENSES
INCURRED WHILE ON OFFICIAL BUSINESS AS PER
SUPPORTING DOCUMENTS ATTACHED..

Amount Due 2,000.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

ROSELLER S. DELA PISA

ADMINISTRATIVE OFFICER V

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment:

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name MAUREEN M. MASANGKAY JOSE L. DONCILLO-CESO VI
Position ACCOUNTANT III Position SCHOOLS DIVISION SUPERINTENDENT

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 32
Fund Cluster :

Date :
DISBURSEMENT VOUCHER DV No. :

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOVELYN F. SESE
5825729
Address Cataingan, Masbate
Responsibility
Particulars MFO/PAP Amount
Center

TO REIMBURSEMENT OF TRAVEL EXPENSES

INCURRED WHILE ON OFFICIAL BUSINESS AS
PER SUPPORTING DOCUMENTS ATTACHED
Php 1,880.00
AMOUNTING TO ...

One Thousand and 00/ 100 pesos only. Php 1,880.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

JESUS P. DELA PEÑA

Principal IV

B. Accounting Entry:
Account Title UACS Code Debit Credit

Travel 5020101000 Php 1,880.00

Cash - MDS, Regular - SHS 10104040-02 Php 1,880.00

C. Certified: D. Approved for Payment:

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Name DESIREE T. LIM Printed Name JESUS P. DELA PEÑA

Position Senior Bookkeeper Position Principal IV

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Date
Signature : JOVELYN F. SESE
Official Receipt No. & Date/Other Documents
 Appendix 32
Republic of the Philippines Fund Cluster :
Department of Education
Region V
DIVISION OF MASBATE
Masbate City
Date :
DISBURSEMENT VOUCHER DV No. :

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JOBERT A. BONITA

Address Airport Rd., Brgy. Centro, Masbate City

Responsibility
Particulars MFO/PAP Amount
Center

To payment monetization of accrued leave credits of Php 14,587.21

15 days as per supporting documents attached in the
amount of

Amount Due Php 14,587.21

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

MELCHIZEDEK C. TONGCO
Assistant Schools Division Superintendent
B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment:

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Name MARLON EMMANUEL B. MANLAPAZ Printed Name BEBIANO I. SENTILLAS, CESO V

Position Officer - In - Charge Position Schools Division Superintendent

Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 32
Republic of the Philippines Fund Cluster :
Department of Education
Region V
DIVISION OF MASBATE
Masbate City
Date :
DISBURSEMENT VOUCHER DV No. :

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee

Address

Responsibility
Particulars MFO/PAP Amount
Center

Amount Due
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

ROSELLER S. DELA PISA

ADMINISTRATIVE OFFICER V

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment:

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name MAUREEN M. MASANGKAY JOSE L. DONCILLO
SCHOOLS DIVISION
Position ACCOUNTANT III Position
SUPERINTENDENT

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents