DISBURSEMENT VOUCHER No.

__________________
APAYAO SCIENCE HIGH SCHOOL
San Isidro Sur, Luna, Apayao Date __________________

MODE OF PAYMENT:
MDS Check Commercial Check ADA Others

Payee/Claimant: CAGELCO II ID No./TIN

Address: Libertad, Abulug, Cagayan Responsibility Center

Particulars

Payment of electric bill for Junior High School for the month of
June 2018.

Gross Amount: P 5,025.72

Less: TAX 330.16
Php 4,695.57
Net Amount : Php 4,695.57

Amount due Php 4,695.57

A. Certified expenses necessary B. Certified supporting documents C. Approved for payment

lawful and Cash available complete and proper

STACY L. SACOPASO JAQUELYN W. OREÑA MARY JANE T. DULDULAO

SDO Designate Administrative Aide III Head Teacher I

Date: __________________ Date: __________________ Date: __________________

A. Received Payment:
__________________________
Signature over Printed Name
Date: __________________
Check No: __________________
Date: __________________
Bank: Land Bank –Luna Branch
OR No/ other relevant document
Issued:
ALOBSNo: ___________________
Date:_______________________
JEV No. __________________
Date: __________________
 DISBURSEMENT VOUCHER No. __________________
APAYAO SCIENCE HIGH SCHOOL
San Isidro Sur, Luna, Apayao Date __________________

MODE OF PAYMENT:
MDS Check Commercial Check ADA Others

Payee/Claimant: CAGELCO II ID No./TIN

Address: Libertad, Abulug, Cagayan Responsibility Center

Particulars

Payment of electric bill for Senior High School for the month of
June 2018.

Gross Amount: P 4,304.15

Less: TAX 282.80
Php 4,021.35
Net Amount : Php 4,021.35

Amount due Php 4,021.35

D. Certified expenses necessary E. Certified supporting documents F. Approved for payment

lawful and Cash available complete and proper

STACY L. SACOPASO JAQUELYN W. OREÑA MARY JANE T. DULDULAO

SDO Designate Administrative Aide III Head Teacher I

Date: __________________ Date: __________________ Date: __________________

B. Received Payment:
__________________________
Signature over Printed Name
Date: __________________
Check No: __________________
Date: __________________
Bank: Land Bank –Luna Branch
OR No/ other relevant document
Issued:
ALOBSNo: ___________________
Date:_______________________
JEV No. __________________
Date: __________________