Appendix 32

Republic of the Philippines Fund Cluster :

Camp Olivas, City of San Fernando
Date : July 15, 2022
DISBURSEMENT VOUCHER DV No.:Mex-2022-SA-007

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PSSg Christian M Ocampo
Mexico MPS/Acct Nr. 3776-1003-30
Address

Responsibility
Particulars MFO/PAP Amount
Center

For reimbursement of Expenses of PUPCS of

Mexico Municipal Police Station for the month
of July 2022 in the amount of - - 6,472.00
OR : 003654

Amount Due Php 6,472.00

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

PLTCOL ELIAS L TAIT

Acting, Chief of Police
Printed Name, Designation and Signature of Supervisor

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
EMERLITA P OCTAVIANO Printed Name PBGEN CESAR R PASIWEN
Name
Regional Acountant, PRO3 Regional Director, PRO3
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : Landbank/3776-1003-30
Date : Printed Name: Date
Signature :
PSSg Christian M Ocampo
Official Receipt No. & Date/Other Documents
 Appendix 32
Republic of the Philippines Fund Cluster :
Camp Olivas, City of San Fernando
Date : August 15, 2022
DISBURSEMENT VOUCHER DV No.:Mex-2022-SA-008

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PSSg Christian M Ocampo
Mexico MPS/Acct Nr. 3776-1003-30
Address

Responsibility
Particulars MFO/PAP Amount
Center

For reimbursement of Expenses of PUPCS of

Mexico Municipal Police Station for the month
of August 2022 in the amount of - - 7,338.00
OR : 003665

Amount Due Php 7,338.00

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

PLTCOL ELIAS L TAIT

Acting, Chief of Police
Printed Name, Designation and Signature of Supervisor

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
EMERLITA P OCTAVIANO Printed Name PBGEN CESAR R PASIWEN
Name
Regional Acountant, PRO3 Regional Director, PRO3
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : Landbank/3776-1003-30
Date : Printed Name: Date
Signature :
PSSg Christian M Ocampo
Official Receipt No. & Date/Other Documents
 Appendix 32
Republic of the Philippines Fund Cluster :
Camp Olivas, City of San Fernando
Date:

DISBURSEMENT VOUCHER DV No.

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

Payment
_________________
Payee PHILHEALTH C TIN/Employee No.: 659-800-364 ORS/BURS No.:
Mexico MPS, Poblacion Brgy. Parian, Mexico, Pampanga
Address
Responsibility
Particulars MFO/PAP Amount
Center

To remit the amount deducted from Salary and

Allowances Claim of subject NUP covering the
period from 26 September to October 31, 2024 in 968.24
the period amount of ------------------------

Amount Due Php 968.24

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

PLTCOL PEARL JOY C GOLLAYAN

Chief of Police
Printed Name, Designation and Signature of Supervisor

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
NUP ALVIN A VINUYA, CPA, MBA Printed Name PBGEN JEAN S FAJARDO
Name

Chief Regional Acountant, PRO3 Regional Director, PRO3

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : LandBank/ 0087449548
Date : 01/20/2025 Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents