Department of Education Fund Cluster :

Division of Surigao del Norte

Date:
DISBURSEMENT VOUCHER DV No. :

Mode of
Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED-DIVISION OF SURIGAO DEL NORTE
20-10-1630
Address Surigao City

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Annual Medical Allowance CY 2020 for San

Francisco NHS in the amount of….. 15,500.00

Amount Due 15,500.00

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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Professional Services 5021199000 15,500.00
Cash, MDS-Regular 1010404000 15,500.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Sup
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
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. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

 Department of Education Fund Cluster :
Division of Surigao del Norte
Date : 10/20/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-275

Mode of Payment MDS Check Commercial Check ADA Others (Please specify)
_________________
TIN/Employee No.: ORS/BURS No.:
Payee KERI SOFTWARE DEVELOPMENT SERVICES
20-10-263

Address 48 ABUTON, ENERIO ST., LAYAWAN, OROQUETA CITY, MIS. OCC.

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Software Development of Least Learned

Compentency System (LLCTS) - Network Academy Set Up
Augmentation Sub System in the amount of… 246,785.72

Gross Amount 250,000.00

3% 7,500.00
1% 2,500.00 0

Tax Adjustment Over-

withheld 6,785.72

Amount Due 246,785.72

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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Due to Other Funds 2030105000 250,000.00
Due to BIR 2020101000 3,214.28
Cash, Trust-LCCA 1010202016 246,785.72
C. Certified: D. AApproved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supportin
proper

Signature Signature

Printed Name Printed Name

JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ ADA No. Date : Bank Name & Account Number:
:
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents

 Department of Education Fund Cluster :
Division of Surigao del Norte
Date :
DISBURSEMENT VOUCHER DV No. :

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

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee CITI HARDWARE BACOLOD, INC.
20-10-1627
SURIGAO CITY
Address

Responsibility
Particulars MFO/PAP Amount
Center

To payment of 4 units shelving stack HD 4 layers (Supply Office)

in the amount of… 28,184.65

Gross Amount 29,780.00

5% 1,329.46
1% 265.89

Amount Due 28,184.65

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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 29,780.00
Due to BIR 2020101000 1,595.35
Cash, MDS- Regular 1010404000 28,184.65
C. Certified: D. AApproved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT-GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
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. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents

 Department of Education Fund Cluster :
Division of Surigao del Norte
Date : 12/27/2019
DISBURSEMENT VOUCHER DV No. :
2019-12-3306

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

Payment
_________________

Payee DEPED Division of Surigao Del Norte TIN/Employee No.: ORS/BURS No.:

Surigao City
Address

Responsibility
Particulars MFO/PAP Amount
Center

To Fund Transfer for 2019 Continuing Expenses in the amount

of…. 5,317,591.52

Amount Due 5,317,591.52

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

LAILA F. DANAQUE
Assistant Schools Division Superintendent

B. Accounting Entry:
Account Title UACS Code Debit Credit
Travelling Expenses 5020101000 7,000.00
Travelling Expenses 5020101000 10,812.00
Travelling Expenses 5020101000 6,064.00
Travelling Expenses 5020101000 58,055.32
Training Expenses 5020201000 21,138.67
Training Expenses 5020201000 103,733.29
Training Expenses 5020201000 112,266.71
Training Expenses 5020201000 257,291.17
Office Supplies Expenses 5020301000 332,500.24
Office Supplies Expenses 5020301000 213,287.76
Office Supplies Expenses 5020301000 220,000.00
Fuel, Oil and Lubricants Expenses 5020309000 208,742.17
Water Expenses 5020401000 44,223.19
Electricity Expenses 5020402000 47,593.76
FA-Subsidy to Operating Units 5021408000 36,269.68
FA-Subsidy to Operating Units 5021408000 2,528,820.00
FA-Subsidy to Operating Units 5021408000 56,880.00
FA-Subsidy to Operating Units 5021408000 72,971.36
FA-Subsidy to Operating Units 5021408000 6,195.00
FA-Subsidy to Operating Units 5021408000 134,186.20
FA-Subsidy to Operating Units 5021408000 26,183.14
School Buildings 5060404002 802,036.86
School Buildings 5060404002 671.00
Office Equipment 5060405002 3,598.00
ICT Equipment 5060405003 7,072.00
Cash - MDS, Regular 1010404000 5,317,591.52 5,317,591.52
C. Certified: D. AApproved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name JULIET M. DUMAGUIT - GO MA. TERESA M. REAL
Accountant III Schools Division Superintendent
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. :
Signature : Date : Printed Name: Date

Official Receipt No. & Date/Other Documents

 JOURNAL ENTRY VOUCHER JEV No.:________

Entity Name : DEPED Division of Surigao Del Norte Date :

______________
Fund Cluster : __________________________ October 2017
______________
______________
_____________
______________ ACCOUNTING ENTRIES
Responsibility
_____
Center UACS Object Amount
Accounts and Explanation
Code 5410 Credit
Trust Liability -SBFP 20401010 00 P 1,208.00
Due to BIR 20201010 00 -
Cash- MDS, Trust - SBFP 10104060 00 1,208.00

To payment for the various office supplies Basic Food Safety & Policy Healthy Food & Beverages

Check #
DV #
TOTAL 1,208.00 1,208.00

Prepared by: Certified Correct:

WEL FELUCHE E. ROSILLO JULIET M. DUMAGUIT

ADAS-II Accountant - III

JOURNAL ENTRY VOUCHER JEV No.:________

Entity Name : DEPED Division of Surigao Del Norte Date :

______________
Fund Cluster : __________________________ October 2017
______________
______________
_____________
______________ ACCOUNTING ENTRIES
Responsibility
_____
Center UACS Object Amount
Accounts and Explanation
Code Debit Credit
Trust Liability -SBFP 20401010 00 P 1,208.00
Due to BIR 20201010 00 -
Cash- MDS, Trust - SBFP 10104060 00 1,208.00

To payment for the various office supplies Basic Food Safety & Policy Healthy Food & Beverages

Check #
DV #
TOTAL 1,208.00 1,208.00
Prepared by: Certified Correct:

WEL FELUCHE E. ROSILLO JULIET M. DUMAGUIT

ADAS-II Accountant - III