Appendix 32

Name of School Fund Cluster :

Address
Entity Name 01
Date: date DV is made
DISBURSEMENT VOUCHER DV No. : yyyy-mm-00000

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee Name of Supplier/External Creditors

Address Address of Supplier/External Creditors

Responsibility
Particulars MFO/PAP Amount
Center

what expense is paid? period covered in case of services 310400100002000 Amount in Numbers
(water/electricity/internet)?
state P.O # for materials & labor payment

Amount Due Amount in Numbers

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

Signature above Printed Name of School Head/Principal

Position Title of the School Head

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)
Amount in Words
/ Sup
proper

Signature of School Head/Principal/Admin

Signature Signature Signature of School Head/Principal
Officer/ADAS III
Printed Name of School Head/Principal/Admin Officer/ADAS
Printed Name Name of School Head/Principal
Name III

Position School Head/Principal/OIC/Admin Officer/ADAS III Position School Head/Principal/OIC

Date Date signed Date Date signed

E. Receipt of Payment JEV No.

Check/ Date : check date Bank Name & Account Number:
check number
ADA No. :

Signature : signature of payee Date : date claimed Printed Name: printed name of payee Date

Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KJL Computer Enterprise

Address Sangi , Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment of EPSON L360 printers purchase per 310400100002000 7,000.00

P.O # 2022.05.001 dated May 10,2022

Amount Due 7,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Semi-Expendable ICT Equipment 5020321003 7,000.00
Cash in Bank - Local Currency, Current Account 1010202016 7,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Seven Thousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015643
ADA No. :
Date : 06/05/2022 Printed Name: KJL Computer Date
Signature :
Enterprise
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee COPIER SOURCE ENTERPRISES

Address N. Bacalso Ave., Duljo Fatima, Cebu City

Responsibility
Particulars MFO/PAP Amount
Center

payment for Five (5) pieces of Fujixerox Toner and Two (2)
310400100002000 3,500.00
Units Drum Assembly Kit purchased per
P.O # 2022.05.001 dated May 10,2022

Amount Due 3,500.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expense - ICT Supplies 5020301001 3,500.00
Cash in Bank - Local Currency, Current Account 1010202016 3,500.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Three Thousand Five Hundred Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015643
ADA No. :
Date : 06/05/2022 Printed Name: KJL Computer Date
Signature :
Enterprise
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KJL Computer Enterprise

Address Sangi , Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment of 50 reams A4 Bondpaper purchase per 310400100002000 7,000.00

P.O # 2022.05.001 dated May 10,2022

Amount Due 7,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expense - Office Supplies 5020301002 7,000.00
Cash in Bank - Local Currency, Current Account 1010202016 7,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Seven Thousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015643
ADA No. :
Date : 06/05/2022 Printed Name: KJL Computer Date
Signature :
Enterprise
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee People's Educational Supply

Address Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment of medals,ribbons,certificate holders purchased 310400100002000 7,000.00

per P.O # 2022.05.001 dated May 10,2022

Amount Due 7,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expense 5020399000 7,000.00
Cash in Bank - Local Currency, Current Account 1010202016 7,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Seven Thousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015643
ADA No. :
Date : 06/05/2022 Printed Name: People's Educational Date
Signature :
Supply
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee AYDS Educational Supply

Address Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment of reproduction of Grade III-V modules in Science 310400100002000 7,000.00

per P.O # 2022.05.001 dated May 6, 2022

Amount Due 7,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Printing and Publication Expenses 5029902000 7,000.00
Cash in Bank - Local Currency, Current Account 1010202016 7,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Seven Thousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015643
ADA No. :
Date : 06/05/2022 Printed Name: AYDS Educational Date
Signature :
Supply
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KJL Computer Enterprise

Address Sangi , Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment for repair of One (1) Unit Laptop (Acer 650 Model) 310400100002000 7,000.00
and Two (2) Units Epson L3110 Printer (SN 123456
and SN 78901) dated May 20, 2022

Amount Due 7,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance - Semi Expendable ICT Equipment 5021321003 7,000.00
Cash in Bank - Local Currency, Current Account 1010202016 7,000.00

C. Certified D. Approved for Payment

/ Cash available

Subject to Authority to Debit Account (when applicable)

Seven Thousand Pesos Only

/ Sup
proper

Signature Signature
Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name
Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015643
ADA No. :
Date : 06/05/2022 Printed Name: KJL Computer Date
Signature :
Enterprise
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

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

Address Poblacion, Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment of labor for repair of school comfort rooms 310400100002000 2,000.00

(attached from the school building)

Amount Due 2,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-School Building 5021304002 2,000.00
Cash in Bank - Local Currency, Current Account 1010202016 2,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Two Thousand Pesos Only*
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015644
ADA No. :
Date : 06/05/2022 Printed Name: Henry Sy Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

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

Address Poblacion, Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment of labor for repair of school comfort rooms 310400100002000 2,000.00

(detached from the school building)

Amount Due 2,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Other Structures 5021304099 2,000.00
Cash in Bank - Local Currency, Current Account 1010202016 2,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Two Thousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015644
ADA No. :
Date : 06/05/2022 Printed Name: Henry Sy Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00005

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

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

Address Poblacion, Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

payment of hauling for the goods purchased from Toledo 310400100002000 500.00
Public Market to the school's vicinity
(see attached copy of the Purchase Order & O.R of the goods)

Amount Due 500.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 500.00
Cash in Bank - Local Currency, Current Account 1010202016 500.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Five Hundred Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015645
ADA No. :
Date : 06/05/2022 Printed Name: Henry Sy Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 31, 2022

DISBURSEMENT VOUCHER DV No.: 2022-05-00001

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

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

Address Poblacion, Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of honorarium for janitorial services rendered 310400100002000 3,000.00

for the month of May 2022.

Amount Due 3,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other General Services 5021299000 3,000.00
Cash in Bank - Local Currency, Current Account 1010202016 3,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
ThreeThousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 31, 2022 Date May 31, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/31/2022 Bank Name & Account Number:
11015645
ADA No. :
Date : 06/05/2022 Printed Name: Henry Sy Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 31, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

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

Address Poblacion, Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of honorarium for security services rendered 310400100002000 3,000.00

for the month of May 2022.

Amount Due 3,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Security Services 5021203000 3,000.00
Cash in Bank - Local Currency, Current Account 1010202016 3,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Three Thousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 31, 2022 Date May 31, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/31/2022 Bank Name & Account Number:
11015645
ADA No. :
Date : 06/05/2022 Printed Name: Henry Sy Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 31, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee Perseus Safety & Security Services

Address Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for security services rendered for the month 310400100002000 3,000.00
for the month of May 2022.

Amount Due 3,000.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Security Services 5021203000 3,000.00
Cash in Bank - Local Currency, Current Account 1010202016 3,000.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Three Thousand Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 31, 2022 Date May 31, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/31/2022 Bank Name & Account Number:
11015645
ADA No. :
Date : 06/05/2022 Printed Name: Henry Sy Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 31, 2022
DISBURSEMENT VOUCHER DV No.: 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CEBU III ELECTRIC COOPERATIVE, INC.

Address Toledo City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for Electricity Bill # 20370079 and 20370106 from 310400100002000 2,589.55
January 26, 2022 to February 25, 2022.

Amount Due 2,589.55

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Electricity Expense 5020402000 2,589.55
Cash in Bank - Local Currency, Current Account 1010202016 2,589.55

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable) Two Thousand Five Hundred Eighty-Nine Pesos and 55/100
/ Sup Only*
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 31, 2022 Date May 31, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/31/2022 Bank Name & Account Number:
11015650
ADA No. :
Date : 06/05/2022 Printed Name: CEBU III ELECTRIC Date
Signature :
COOPERATIVE, INC.
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No.:2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee TOLEDO CITY WATER DISTRICT

Address 2/F TERMINAL BLDG., BAYBAY I, TOLEDO CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment of water bill for the period February 02, 2022 310400100002000 1,302.25
to March 01, 2022. Acct #0921200443

Amount Due 1,302.25

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Water Expense 5020401000 1,302.25
Cash in Bank - Local Currency, Current Account 1010202016 1,302.25

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
One Thousand Three Hundred Two Pesos and 25/100 Only*
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015655
ADA No. :
Date : 06/05/2022 Printed Name: TOLEDO CITY Date
Signature :
WATER DISTRICT
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 31, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee INNOVE COMMUNICATIONS INC

Address CEBU CITY

Responsibility
Particulars MFO/PAP Amount
Center

payment of internet bill for the period January 16, 2022 310400100002000 2,500.00
to February 15, 2022 . Acct#867765040

Amount Due 2,500.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Subscription Services 5020503000 2,500.00
Cash in Bank - Local Currency, Current Account 1010202016 2,500.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Two Thousand Five Hundred Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 31, 2022 Date May 31, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/31/2022 Bank Name & Account Number:
11015655
ADA No. :
Date : 06/05/2022 Printed Name: INNOVE Date
Signature :
COMMUNICATIONS INC
Official Receipt No. & Date/Other Documents

92
 Appendix 32

DON ANDRES SORIANO ELEMENTARY SCHOOL Fund Cluster :

DAS, Toledo City
Entity Name 01
Date: June 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-06-00003

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MELCHOR B. SAMPER JR.

Address LANDAHAN, TOLEDO CITY

Responsibility
Particulars MFO/PAP Amount
Center
Payment for reimbursement on communication
1 Payment for watchman services of Rogelio Gabrillo for the month of June 2022 4,500.00
2 Payment for utility services of Elizabeth Ybañez for the month of June 2022 4,500.00
3 Payment for utility services of Lucia Bontuyan for the month of June 2022 4,500.00
Payment for labor on the repair of electrical wiring of Grade IV SSC Room at DASES of
4 Lucrecio Patalinghug dated June 30, 2022 1,800.00
5 CEBECO Electric Bill Payment for June 2022 D064099P (CN 9414402 dated 6/20/2022) 10,289.09
6 CEBECO Electric Bill Payment for June 2022 D064099P (CN 9414403 dated 6/20/2022) 310400100002000 1,181.56
7 TCWD Water Bill Payment for June 2022 Acct2711200177 (OR 1420486 dated 6/21/2022) 1,950.34
8 Triple L Accent and Accessories Load Payment for June 2022 (SI 7013 dated 6/23/22) 1,000.00
Cebuana Lhuillier Internet Bill Payment for June 2022 1115262890 (BP402100623220005
9 dated 6/23/2022) 2,499.00
Cebuana Lhuillier Internet Bill Payment for June 2022 1115262912 (BP402100623220006
10 dated 6/23/2022) 2,499.00

Payment for labor on the repair of Celing of the FFCCCII and DepEd Building occupied by
Grade 6 and Kindergarten at DASES of Enrilou C. Bontuyan (June 27, 28 and 30) dated
11 June 30, 2022 1,800.00

SEE ATTACHED FILE

Amount Due 36,518.99

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

MELCHOR B. SAMPER JR.

Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Security Services 5020502001 4,500.00
Other General Services 5021299000 9,000.00
Repairs and Maintenance - School Building 5021304002 3,600.00
Electricity Expenses 5020402000 11,470.65
Water Expenses 5020401000 1,950.34
Telephone Expenses (Mobile) 5020502001 1,000.00
Internet Subscription Expenses 5020503000 4,998.00
Cash in Bank - Local Currency, Current Account 1010202016 36,518.99

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable) THIRTY SIX THOUSAND FIVE HUNDRED EIGHTEEN
/ Sup PESOS AND NINETY NINE CENTAVOS ONLY
proper

Signature Signature

Printed Name MELCHOR B. SAMPER JR. Printed Name MELCHOR B. SAMPER JR.

Position Principal II Position Principal II

Date June 30, 2022 Date June 30, 2022

E. Receipt of Payment JEV No.

Check/ ADA Date : 06/30/2022 Bank Name & Account Number:
0073786103
No. :
Date : 06/30/2022 Printed Name: MELCHOR B. Date
Signature :
SAMPER JR.
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No.: 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JO-AN T. RANOLA

Address TOLEDO CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for travelling expenses incurred while in Cebu City 310400100002000 900.00
to canvass/purchase office supplies on April 02, 2022.

Amount Due 900.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Traveling Expenses - Local 5020201010 900.00
Cash in Bank - Local Currency, Current Account 1010202016 900.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Nine Hundred Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015665
ADA No. :
Date : 06/05/2022 Printed Name: JO-AN T. RANOLA Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No.: 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JO-AN T. RANOLA

Address TOLEDO CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for travelling expenses incurred while in Cebu City 310400100002000 1,660.00
to attend a seminar with registration fee on April 02, 2022.
(indicated in the memorandum that travel, registration fee &
other incidental expenses are chargeable to school MOOE)

Amount Due 1,660.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Traveling Expenses - Local 5020201010 660.00
Training Expenses - Training 5020201020 1,000.00
Cash in Bank - Local Currency, Current Account 1010202016 1,660.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
One Thousand Six Hundred and Sixty Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015665
ADA No. :
Date : 06/05/2022 Printed Name: JO-AN T. RANOLA Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

North City Central School Fund Cluster :

Luray 1 , Toledo City
Entity Name 01
Date: May 30, 2022
DISBURSEMENT VOUCHER DV No. : 2022-05-00001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BUREAU OF TREASURY

Address CEBU CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment of fidelity bond of JO-AN T. RANOLA, the 310400100002000 900.00

school principal, for CY 2022.

Amount Due 900.00

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

JO-AN T. RANOLA
Principal II

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fidelity Bond Premiums 900.00
Cash in Bank - Local Currency, Current Account 1010202016 900.00

C. Certified D. Approved for Payment

/ Cash available
Subject to Authority to Debit Account (when applicable)
Nine Hundred Pesos Only
/ Sup
proper

Signature Signature

Printed
JO-AN T. RANOLA Printed Name JO-AN T. RANOLA
Name

Position Principal II Position Principal II

Date May 30, 2022 Date May 30, 2022

E. Receipt of Payment JEV No.

Check/ Date : 05/30/2022 Bank Name & Account Number:
11015665
ADA No. :
Date : 06/05/2022 Printed Name: BUREAU OF Date
Signature :
TREASURY
Official Receipt No. & Date/Other Documents

92