This disbursement voucher is to reimburse Clareth Anne Dangcil 2,000 pesos for expenses related to the Clean and Green Program. The budget officer, treasurer, and chairperson have certified that the funds are available and the claim is valid, proper, and legal. Dangcil will receive payment by check after signing to acknowledge receipt.
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Annex 7 - DV - Clean and Green
This disbursement voucher is to reimburse Clareth Anne Dangcil 2,000 pesos for expenses related to the Clean and Green Program. The budget officer, treasurer, and chairperson have certified that the funds are available and the claim is valid, proper, and legal. Dangcil will receive payment by check after signing to acknowledge receipt.
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DISBURSEMENT VOUCHER
SK of Barangay: SABANGAN DV No.:
City/Municipality: SINAIT Date : Province: ILOCOS SUR Payee: CLARETH ANNE DANGCIL Address: TIN: Particulars Amount
To reimbursement for the Expenses on Clean and Green Program,
as per supporting papers hereto attached in the amount of…………………………. 2,000.00
2,000.00
A. Certified as to availability of the B. Certified as to availability of C. Certified as to necessity,
budget or funds received for specific cash, and completeness and validity, propriety, and legality purpose propriety of supporting of claim; and Approved for documents payment:
SHARMAINE AMIZOLA CLARETH ANNE DANGCIL ROSE GAYE YAGUI
(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name) Budget Monitoring Officer SK Treasurer SK Chairperson
Date : ____________ Date : _____________ Date : ______________
D. Received Payment: Check No.: Date: CLARETH ANNE DANGCIL Bank Name: Signature Over Printed Name of Payee/ Bank Branch: Authorized Representative ___________________ OR No.: Date Date: