Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 09/28/2022
DISBURSEMENT VOUCHER DV No. :22-46-09-001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CIANA'S MEAT SHOP
949-077-554-000
Address PUERTO BELLO MERIDA, LAEYTE

Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchase of other supplies for

SBFP of Puerto Bello Elementary School with OR
number 020474 as per attached supporting documents in 1,408.00
the amount of …………………………..

Amount Due 1,408.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

Food Expenses 5-02-03-05-0-00 P 1,408.00 P 1,408.00

CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
ROWENA M. TABON / BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 09/28/2022

09/28/2022
E. Receipt of Payment JEV No.
Check/ 22-09- Date : Bank Name & Account Number:
ADA No. : 095M
September
Date : 12, Printed Name: Date
Signature : 2022
September 28,2022 CIANA'S MEAT SHOP
Official Receipt No. & Date/Other Documents 020474 September 28, 2022
 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 10/10//2022
DISBURSEMENT VOUCHER DV No. :22-46-10-003

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CIANA'S MEAT SHOP
949-077-554-000
Address PUERTO BELLO MERIDA, LAEYTE

Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchase of other supplies for

SBFP of Puerto Bello Elementary School with OR
number 020494as per attached supporting documents in 1,544.00
the amount of …………………………..

Amount Due 1,544.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

Food Expenses 5-02-03-05-0-00 P 1,544..00 P 1,544.00

CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
ROWENA M. TABON / BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 10/10/2022

10/10/2022
E. Receipt of Payment JEV No.
Check/ Date :October 18,2022 Bank Name & Account Number:
ADA No. : 22-09-095M
Date : Printed Name: Date
Signature :
October CIANA'S MEAT SHOP
10,2022
Official Receipt No. & Date/Other Documents 020494 Otober 10, 2022
 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 09/30/2022
DISBURSEMENT VOUCHER DV No. :22-46-09-002

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee WJ'S NATIVE PRODUCT STORE
432-639-387-000
Address ORMOC CITY

Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchase of other supplies for

SBFP of Puerto Bello Elementary School with OR
number 011650 as per attached supporting documents in 650.00
the amount of …………………………..

Amount Due 650.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

Food Expenses 5-02-03-05-0-00 P 650.00 P650.00

CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
ROWENA M. TABON/ BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 09/30/2022

09/30/2022
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. : 22-09-095M September 12,
2022
Date : Printed Name: WJ'S Date
Signature :
September 30,2022 NATIVE PRODUCT STORE
Official Receipt No. & Date/Other Documents 011650 Septemer 30, 2022
 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 11/03/2022
DISBURSEMENT VOUCHER DV No. :22-46-09-006

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee THA WAN DEPARTMENT STORE
431-051-648-00000
Address ORMOC CITY

Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchase of other supplies for

SBFP of Puerto Bello Elementary School with OR
number 00532as per attached supporting documents in 1,278.00
the amount of …………………………..

Amount Due 1,278.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

Food Expenses 5-02-03-05-0-00 P 1,278.00 P 1,278.00

CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
ROWENA M. TABON/ BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 3/11/2022

3/11/2022
E. Receipt of Payment JEV No.
Check/ 22- Date : Bank Name & Account Number:
ADA No. : 09-095M September 12,
2022
Date: Printed Name: Date
Signature : THE WAN DEPARTMENT STORE
November 3,2022
Official Receipt No. & Date/Other Documents 00532 November 3, 2022
 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 10/24/2022
DISBURSEMENT VOUCHER DV No. :22-46-10-005

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MARITES S. AROPO

Address MERIDA, LEYTE

Responsibility
Particulars MFO/PAP Amount
Center

Payment for cooking champorado and aroscaldo

nutripacks for the SBFP recipients of Puerto Bello
Elementary School …………………………..
1,000.00

Amount Due 1,000.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

Food Expenses 5-02-03-05-0-00 P 1000.00 P 1,000.00

CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
ROWENA M. TABON/ BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 10/24/2022

10/242022
E. Receipt of Payment JEV No.
Check/ 22- Date : Bank Name & Account Number:
ADA No. : 09-095M September 12,
2022
Date: Printed Name: Date
Signature :
October 24,2022 MARITES S. AROPO
Official Receipt No. & Date/Other Documents October 24, 2022
 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 10/17/2022
DISBURSEMENT VOUCHER DV No. :22-46-10-004

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ROSWEL CAPIN
418-378-509
Address ORMOC CITY

Responsibility
Particulars MFO/PAP Amount
Center

To payment for transporting of feeding supplies

whis is nutribuns and nutripacks from Poblacion, Merida
Central School to Puerto Bello Elementary School, 1,200.00
Merida District, Merida, Leyte………………………..

Amount Due 1,200.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

Food Expenses 5-02-03-05-0-00 P 1,200.00 P 1,200.00

CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
ROWENA M. TABON/ BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 10/17/2022

10/17/2022
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. : 22-09-095M September 12,
2022
Date : Printed Name: Date
Signature :
ROSWEL CAPIN
October 17,2022
Official Receipt No. & Date/Other Documents October 17, 2022
 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 10/18/2022
DISBURSEMENT VOUCHER DV No. :22-46-10-001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EVELYN S. MATUGAS
901-113-205
Address MERIDA , LEYTE

Responsibility
Particulars MFO/PAP Amount
Center

To record reimursement for various expenses

incurred durig SBFP as per attached supporting
documents in the amout of ………………………..
3,258.00

Amount Due 3,258.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

5-02-03-05-0-00
Food Expenses 3,258.00 3,258.00
CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
ROWENA M. TABON/ BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 10/18/2022

10/18/2022
E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check/ 0077679554 October 18/2022
ADA No. : 22-09- September 12,
095M 2022 DBP / 0-05789765-7
Date : Printed Name: Date
Signature : EVELYN S. MATUGAS
October 18,2022
Official Receipt No. & Date/Other Documents October 18, 2022
 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 05/20/2023
DISBURSEMENT VOUCHER DV No. :23-46-05-00

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EVELYN S. MATUGAS
901-113-205
Address MERIDA , LEYTE

Responsibility
Particulars MFO/PAP Amount
Center

To record payment for the purchased of various

other supplies used for feeding purposes as per attached
supporting documents in the amout of 1,770.00
………………………..

Amount Due 1,770.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

5-02-03-05-0-00
Food Expenses 10-10-40-4000 1,770.00 1,770.00
CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
GRACELL JANE L. DURANO/ BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 05/20/2023

05/20/2023
E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check/ 0085722704
May 19 ,2023
ADA No. : 22-10-
109M October 27, 2022 DBP/ 0-05789-765-7
Printed Name: Date
Signature : EVELYN S. MATUGAS

Official Receipt No. & Date/Other Documents My 20, 2023

 Appendix 32

DEPARTMENT OF EDUCATION Fund Cluster :

DIVISION OF LEYTE
Entity Name School Based Feeding Prog.

Date : 11/29/2023
DISBURSEMENT VOUCHER DV No. :23-46-11-001

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee EVELYN S. MATUGAS
901-113-205
Address MERIDA , LEYTE

Responsibility
Particulars MFO/PAP Amount
Center

To payment for the purchase of other supplies for SBFP

of Puerto Bello Elementary School with OR number
02443 as per attached supporting documents in the 2,666.00
amount of …………………………..

Amount Due 2,666.00

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

EVELYN S. MATUGAS
Principal - II
Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

5-02-03-05-0-00
Food Expenses 2,666.00 2,666.00
CASH - MDS - REGULAR

C. Certified: D. Approved for Payment

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

Signature Signature

Printed
Name
GRACELL JANE L. DURANO/ BRENDA O. CORTON Printed Name EVELYN S. MATUGAS
Disbursing Officer / SENIOR BOOKKEEPER Principal - II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 11/29/2023

11/29/2023
E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check/ November 29 ,2023
0085722766
ADA No. :
23-10-124M October 23, 2023 DBP/ 0-05789-765-7
Printed Name: EVELYN Date
Signature : S. MATUGAS

Official Receipt No. & Date/Other Documents 11/29/2023