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The document is a disbursement voucher for Theodore Magto for travel expenses from July 14 to August 1, 2008 totaling 1,600 pesos. It contains certifications from the claimant, approving officer, and receiving signature. A second disbursement voucher is presented for Laila Barrera for laundry services cleaning curtains at the Provincial Auditor's Office totaling 1,500 pesos. It also contains certifications of available funds, validity and legality of payment, and approval for payment. The document provides payment details for two individuals' reimbursements according to supporting documentation.

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Vince Earl P. Dueñas
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36 views2 pages

70 DV

The document is a disbursement voucher for Theodore Magto for travel expenses from July 14 to August 1, 2008 totaling 1,600 pesos. It contains certifications from the claimant, approving officer, and receiving signature. A second disbursement voucher is presented for Laila Barrera for laundry services cleaning curtains at the Provincial Auditor's Office totaling 1,500 pesos. It also contains certifications of available funds, validity and legality of payment, and approval for payment. The document provides payment details for two individuals' reimbursements according to supporting documentation.

Uploaded by

Vince Earl P. Dueñas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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No.

DISBURSEMENT VOUCHER

Date:
Agency Name

CLASSIFICATION OF DISBURSEMENT
Cash Advance

Reimbursement

Other Payments

Name of Claimant:

ID No./TIN:
THEODORE MAGTO

Address:

Responsibility
Center:
Particulars

Amount

TO PAYMENT OF TRAVELLING EXPENSES FOR THE PERIOD July 14, Aug. 19021,
2008 as per supporting documents

Amount Due
A

Certified:

Expenses / Cash Advances necessary,


lawful and incurred under my direct

BB

Approved For Payment:

1,600.00

Received Payment: P _____________________

P ____________________
THEODORE MAGTO

supervision.
- Correct and complete supporting
documents.

Signature Over Printed Name/Position

(amount in words)

Signature Over Printed Name/Position

1,600.00

Signature Over Printed Name/Position

Date

Check No. _______________________________


Date : ___________________________________
Bank Name: ______________________________

JEV No. _____________ Date __________

DV No.

DISBURSEMENT VOUCHER

Date:

Barangay:

City/Municipality:

Tel. No.

Province:

Payee/Office: LAILA J. BARRERA

Employee No. ___________

Address: Provincial Auditor's Office

TIN No. :

Fund :

Particulars

Amount

To payment for laundry services in cleaning the curtains of the Provincial

1,500.00

Auditor's Office as per supporting papers hereto attached in the total amount of

Certified:
Existence of available appropriations

for the charges/expenses indicated


above

Certified:
Funds (Cash) available

Certified:
As to validity, propriety, and legality
Approved:
For payment

propriety and legality


d as to validity, propriety and
legality for

Signature: _________________

Signature: _______________

Signature: _______________

Printed Name: ______________

Printed Name: _____________

Printed Name: ______________

Position: _

Position: Barangay Treasurer

Position:

Date: ____________

Date: ____________

Chairman, Committee on Appropriations

Date: ____________

Punong Barangay

D Received Payment:

_________________________________________

Check No.

Signature Over Printed Name/Date

Bank Name

Date:

OR Number

Date:
Date:___________________

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