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Republic of the Philippines Department of DBP Regional Office No.

XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Establishment of petty cash fund P MDS Check Mrs. Ena Money Responsibility Center Office/Unit/Project Code: AMOUNT 20,000.00 No.: 08 -12 01 Date: December 04, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

20,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 04, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200101 12/04/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 04, 2008 JEV No. Bank Name: Printed Name: 004 Date: 12/04/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Comprehensive insurance of vehicle P MDS Check GSIS Responsibility Center Office/Unit/Project Code: AMOUNT 40,000.00 No.: 08 -12 02 Date: December 08, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

40,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 08, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200102 12/08/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 08, 2008 JEV No. Bank Name: Printed Name: 005 Date: 12/08/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Net salaries for December 1-15, 2008 P MDS Check Mrs. Ena Money Responsibility Center Office/Unit/Project Code: AMOUNT 180,300.00 No.: 08 -12 03 Date: December 11, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

180,300.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 11, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200103 12/11/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 11, 2008 JEV No. Bank Name: Printed Name: 005 Date: 12/11/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Net salaries for December 1-15, 2008 P MDS Check Mrs. Ena Money Responsibility Center Office/Unit/Project Code: AMOUNT 180,300.00 No.: 08 -12 03 Date: December 11, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

180,300.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 11, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200103 12/11/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 11, 2008 JEV No. Bank Name: Printed Name: 005 Date: 12/11/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Payment fuel, oil & lubricants P MDS Check No.: 08 -12 04 Date: December 13, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No. Leo Shell Service Center Responsibility Center Office/Unit/Project Code: AMOUNT 4,000.00

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

4,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 13, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200104 12/13/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 13, 2008 JEV No. Bank Name: Printed Name: 009 Date: 12/13/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Cash advance for travelling to Cebu City P MDS Check Mr. Lito Freeman Responsibility Center Office/Unit/Project Code: AMOUNT 15,600.00 No.: 08 -12 05 Date: December 17, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

15,600.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 17, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200105 12/17/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 17, 2008 JEV No. Bank Name: Printed Name: 010 Date: 12/17/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Payment for the purchase of computer & software P MDS Check ACER Philippines Responsibility Center Office/Unit/Project Code: AMOUNT 160,000.00 No.: 08 -12 06 Date: December 18, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

160,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 18, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200106 12/18/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 18, 2008 JEV No. Bank Name: Printed Name: 011 Date: 12/18/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Replacement of cancelled check issued for the purchase of office supplies P MDS Check National Bookstore Responsibility Center Office/Unit/Project Code: AMOUNT 11,000.00 No.: 08 -12 07 Date: December 20, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

P A CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 20, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200107 12/20/08 Signature: Date: Official Receipt/Other Documents: B

11,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 20, 2008 JEV No. Bank Name: Printed Name: 012 Date: 12/20/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Seminar fee of 2 personnel P MDS Check SAADO Responsibility Center Office/Unit/Project Code: AMOUNT 12,000.00 No.: 08 -12 08 Date: December 20, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

12,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 20, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200108 12/20/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 20, 2008 JEV No. Bank Name: Printed Name: 014 Date: 12/20/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Payment for the purchase of tires P MDS Check Best Auto Supply Responsibility Center Office/Unit/Project Code: AMOUNT 10,000.00 No.: 08 -12 09 Date: December 23, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

10,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 23, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200109 12/23/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 23, 2008 JEV No. Bank Name: Printed Name: 015 Date: 12/23/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Purchase of office supplies P MDS Check National Bookstore Responsibility Center Office/Unit/Project Code: AMOUNT 26,000.00 No.: 08 -12 10 Date: December 23, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

26,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 23, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200110 12/23/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 23, 2008 JEV No. Bank Name: Printed Name: 016 Date: 12/23/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Cash advance for salaries & wages ( Dec. 16-31, 2008) P MDS Check Mrs. Ena Money Responsibility Center Office/Unit/Project Code: AMOUNT 180,300.00 No.: 08 -12 11 Date: December 26, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

P A CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 26, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200111 12/26/08 Signature: Date: Official Receipt/Other Documents: B

180,300.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 26, 2008 JEV No. Bank Name: Printed Name: 018 Date: 12/26/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Payment for water bill P MDS Check LMWD Responsibility Center Office/Unit/Project Code: AMOUNT 20,900.00 No.: 08 -12 12 Date: December 26, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

20,900.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 26, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200112 12/26/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 26, 2008 JEV No. Bank Name: Printed Name: 020 Date: 12/26/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Payment for electric bill P MDS Check LEYECO Responsibility Center Office/Unit/Project Code: AMOUNT 51,510.00 No.: 08 -12 13 Date: December 27, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

51,510.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 27, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200113 12/27/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 27, 2008 JEV No. Bank Name: Printed Name: 021 Date: 12/27/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Payment for telephone bill P MDS Check EVTELCO Responsibility Center Office/Unit/Project Code: AMOUNT 30,460.00 No.: 08 -12 14 Date: December 27, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

30,460.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 27, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200114 12/27/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 27, 2008 JEV No. Bank Name: Printed Name: 022 Date: 12/27/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Remittance of withholding tax P MDS Check No.: 08 -12 15 Date: December 27, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No. Bureau of Internal Revenue Responsibility Center Office/Unit/Project Code: AMOUNT 17,400.00

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

17,400.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 27, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200115 12/27/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 27, 2008 JEV No. Bank Name: Printed Name: 023 Date: 12/27/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Employee & loan remittance P MDS Check GSIS Responsibility Center Office/Unit/Project Code: AMOUNT 115,000.00 No.: 08 -12 16 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

115,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200116 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 024 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Government contribution P MDS Check GSIS Responsibility Center Office/Unit/Project Code: AMOUNT 60,000.00 No.: 08 -12 17 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

60,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200117 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 025 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Employee & loan remittance P MDS Check PHILHEALTH Responsibility Center Office/Unit/Project Code: AMOUNT 3,000.00 No.: 08 -12 18 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

3,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200118 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 026 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Government contribution P MDS Check PHILHEALTH Responsibility Center Office/Unit/Project Code: AMOUNT 3,000.00 No.: 08 -12 19 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

3,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200119 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 027 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Employee & loan remittance P MDS Check PAG - IBIG Responsibility Center Office/Unit/Project Code: AMOUNT 4,000.00 No.: 08 -12 20 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

4,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200120 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 028 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Government contribution P MDS Check PAG - IBIG Responsibility Center Office/Unit/Project Code: AMOUNT 4,000.00 No.: 08 -12 21 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

4,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200121 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 029 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Replenishment of petty cash fund P MDS Check Mrs. Ena Money Responsibility Center Office/Unit/Project Code: AMOUNT 13,530.00 No.: 08 -12 22 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

13,530.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200122 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 030 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Payyment for advance rental for 2 months P MDS Check DPWH Responsibility Center Office/Unit/Project Code: AMOUNT 40,000.00 No.: 08 -12 23 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No.

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

40,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200123 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 031 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Retirement gratuity P MDS Check No.: 08 -12 24 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No. Mr. Marcelo N. Anagap Responsibility Center Office/Unit/Project Code: AMOUNT 500,000.00

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

500,000.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200124 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 032 Date: 12/30/08

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City DISBURSEMENT VOUCHER Mode of Payment: Payee: Address: EXPLANATION Bank charges P MDS Check No.: 08 -12 25 Date: December 30, 2008 ADA Others

Commercial Check

TIN/Employee No. OR/BUR No. Land Bank of the Philippines Responsibility Center Office/Unit/Project Code: AMOUNT 1,500.00

CERTIFIED Cash available Subject to Authority to Debit Account Supporting documents complete

P B

1,500.00 APPROVED FOR PAYMENT

Signature: ______(Sgd.)_______ Printed Name: Ms. Joy Masipag Position: Chief Accountant Date: December 30, 2008 C RECEIVED PAYMENT CHECK/ADA Date: No. 3200125 12/30/08 Signature: Date: Official Receipt/Other Documents:

Signature: ______(Sgd.)_______ Printed Name: Mr. Doroteo Model Position: Regional Director Date: December 30, 2008 JEV No. Bank Name: Printed Name: 033 Date: 12/30/08

CHECK DISBURSEMENT RECORD CASH DISBURSEMENT RECORD

ITINERARY OF TRAVEL

PETTY CASH VOUCHER

PETTY CASH REPLENISHMENT REPORT

CHECK DISBUSEMENT JOURNAL & CASH DISBUSEMENT JOURNAL

CHECK DISBURSEMENT RECORD Department of DBP Regional Office NO. XVI, Marunong City Period Covered: Dec. 1-30, 2008 Mrs. Ena Money_ Accountable Officer Check Date Dec 3 4 8 11 13 17 18 19 20 20 20 23 23 26 26 27 27 27 30 30 30 30 30 30 30 30 30 30 Number Date Released 12-04-08 12-08-08 12-11-08 12-13-08 12-17-08 12-18-08 Name of Payee Nature of Payment Receipt of NCA 176-01 Petty Cash Fund Comprehensive Insurance of Vehicle Salaries and Wages for Dec 31 Purchase of Fuel Cash Allowance for travel to Cebu Purchase of Computer software Receipt of SARO- NCA No.176-02 Receipt of SARO- NCA No. 176-03 Replacement of cancelled check Seminar fee Purchase of tires Purchase of office supplies Net Salaries & Wages-Dec.16-31,2008 Payment of Water Bill Payment of Electric Bill Payment of Telephone-Landline Withholding tax Employee and Loan remittance Govt. Contribution Employee Share Govt Contribution Employee Share Govt Contribution Replenishment of Petty Cash Fund Advance rental for 2 months Retirement Gratuity Bank Charges CERTIFICATION NCA Received/Deposit made 1,700,000.00 20,000.00 40,000.00 180,300.00 4,000.00 15,600.00 160,000.00 500,000.00 11,000.00 11,000.00 12,000.00 10,000.00 26,000.00 180,300.00 20,900.00 51,510.00 30,460.00 17,400.00 115,000.00 60,000.00 3,000.00 3,000.00 4,000.00 4,000.00 13,530.00 40,000.00 500,000.00 1,500.00 Check Issued Bank/ NCA Balance 1,700,000.00 1,680,000.00 1,640,000.00 1,454,000.00 1,455,700.00 1,440,100.00 1,280,100.00 1,780,100.00 1,791,100.00 1,780,100.00 1,768,100.00 1,758,100.00 1,732,100.00 1,551,800.00 1,530,900.00 1,479,390.00 1,448,930.00 1,431,530.00 1,316,530.00 1,256,530.00 1,253,530.00 1250,530.00 1,246,530.00 1,242,530.00 1,229,000.00 1,189,000.00 689,000.00 687,500.00 __Disbursing Officer__ Official Designation Report No. 1 __________________ Station

3200101 3200102 3200103 3200104 3200105 3200106

Ena Money GSIS Ena Money Leo Shell Service Center Lito Freemen ACER Philippines

3200107 3200108 3200109 3200110 3200111 3200112 3200113 3200114 3200115 3200116 3200117 3200118 3200119 3200120 3200121 3200122 3200123 3200124 3200125

12-20-08 12-20-08 12-20-08 12-23-08 12-23-08 12-26-08 12-26-08 12-27-08 12-27-08 12-27-08 12-30-08 12-30-08 12-30-08 12-30-08 12-30-08 12-30-08 12-30-08 12-30-08 12-30-08

National Bookstore SAADO Best Auto Supply National Bookstore Ena Money LMWD LEYECO EVTELCO Bureau Of Internal Revenue GSIS GSIS PHILHEALTH PHILHEALTH PAG-IBIG PAG-IBIG Ena Money DPWH Marcelo N. Anagap Land Bank of the Philippines

I hereby certify that the foregoing is a correct and complete record of all Check issued made by me in my capacity as ___collecting & disbursing officer__ of Department of DBP Regional Office No. XVI During the period from __Dec. 1, 2008__to __Dec.30, 2008__inclusive, as indicated in the corresponding columns. Mrs. Ena Money___ Name & Signature December 30,2008_ Date

CASH DISBURSEMENT RECORD Department of DBP Regional Office No. XVI, Marunong City Mrs. Ena Money_ Accountable Officer Date Reference/ Payroll No./ DV No. 08-12-03 Name of Payee __Disbursing Officer__ Official Designation Nature of Payment Cash Advance Received P 180,300 0 0 180,300 08-12-11 Mrs. Ena Money Cash - Payroll Fund 180,300 0 0 180,300 0 0 0 0 __________________ Station Disbursement Cash Advance Balance P 180,300 -0180,300 -000 00

12-11-08 12-15-08 12-26-08 12-30-08

Mrs. Ena Money

Cash Payroll Fund

CERTIFICATION I hereby certify that the foregoing is a correct and complete record of all cash advances for received and disbursements made made by me in my capacity as _collecting & disbursing officer__ of Department of DBP Regional Office No. XVI During the period from __Dec. 1, 2008__to __Dec.30, 2008__inclusive, as indicated in the corresponding columns. Mrs. Ena Money___ Name & Signature December 30,2008_ Date

REPORT OF CHECK ISSUED Department of DBP Regional Office No. XVI, Marunong City Period Covered: December 1-30, 2008 Bank Name/Account No. Check DV No./ Payroll Date No. Dec . 4 3200101 08-12-01 8 3200102 08-12-02 11 3200103 08-12-03 13 3200104 08-12-04 17 3200105 08-12-05 18 3200106 08-12-06 20 3200107 08-12-07 20 3200108 08-12-08 23 3200109 08-12-09 23 3200110 08-12-10 26 3200111 08-12-11 26 3200112 08-12-12 27 3200113 08-12-13 27 3200114 08-12-14 27 3200115 08-12-15 30 3200116 08-12-16 30 3200117 08-12-17 30 3200118 08-12-18 30 3200119 08-12-19 30 3200120 18-12-20 30 3200121 08-12-21 30 3200122 08-12-22 30 3200123 08-12-23 30 3200124 08-12-24 30 3200125 08-12-25 Responsibility Center Code Payee Mrs. Ena Money GSIS MRS. Ena Money LEO Shell Service Center Lito Freemen ACER Philippines National Bookstore SAADO Best Auto Supply National Bookstore Ena Money LMWD LEYECO EVTELCO Bureau Of Internal Revenue GSIS GSIS PHILHEALTH PHILHEALTH PAG-IBIG PAG-IBIG Ena Money DPWH Marcelo N. Anagap Land Bank of the Philippines Report No. 1 Sheet No. 1 Nature of Payment Establishment of petty cash fund Comprehensive insurance of vehicle Net salaries & wages, Dec. 1-15, 2008 Fuel, Oil & Lubricants Cash advance for travel to Cebu Purchase of computer & software Replacement of cancelled check Seminar fee Purchase of tires Purchase of office supplies Net Salaries & Wages-Dec.16-31,2008 Payment of Water Bill Payment of Electric Bill Payment of Telephone-Landline Withholding tax Employee and Loan remittance Govt. Contribution Employee Share Govt Contribution Employee Share Govt Contribution Replenishment of Petty Cash Fund Advance rental for 2 months Retirement Gratuity Bank Charges P Amount 20,000 40,000 180,300 4,000 15,600 160,000 11,000 12,000 10,000 26,000 180,300 20,900 51,510 30,460 17,400 115,000 60,000 3,000 3,000 4,000 4,000 13,530 40,000 500,000.00 1,500.00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00

CERTIFICATION I hereby certify that this Report of Checks Issued in _2_ sheet(s) is a Full,true and correct statement of all checks released by me in my payment for obligations for the period stated and shown in the attached disbursement voucher. (Sgd.) Mrs. Ena Money Disbursing Officer December 30,2008 Date

Republic of the Philippines Department of DBP Regional Office No. XVI, Marunong City Date: December 16, 2008 ITINERARY OF TRAVEL Name: Mr. Lito Freeman Position: Employee_ Official Station: Department of DBP, Regional Office No. XVI Purpose of Travel: Seminar DATE PLACES TO BE TIME VISITED DEPARTURE ARRIVAL 12-18-08 Departure to Cebu 7:00 A.M. 8:00 A.M. 12-19-08 Still in Cebu 12-20-08 Still in Cebu 12-21-08 Still in Cebu 12-22-08 Arrival in Marunong 1:00 P.M. 2:00 P. M.

Monthly Salary: ______ MEANS OF TRANSPORTATION Airplane Taxi Taxi Taxi Airplane ALLOWABLE EXPENSES TRANSPO PER DIEMS P 5,200.00 P 800.00 400.00 800.00 400.00 800.00 400.00 800.00 5,200 800.00 TOTAL TOTAL AMOUNT P 6,000.00 1,200.00 1,200.00 1,200.00 6,000.00 P 15,600.00

I CERTIFY THAT: (a) I have reviewed the foregoing necessary to the services, (c) the period covered is reasonable, (d) the expenses Claimed are proper. (Sgd.) Mrs. Ena Money______ Supervisor

Prepared by: Itinerary, (b) the travel is Mr. Lito Freeman Approved by: Mr. Doroteo Model

PETTY CASH VOUCHER Department of DBP Regional Office No. XVI, Marunong City Payee/Office: GOODWILL________ _______ Address : Marunong City_____________ I. To be filled up upon request Particulars Amount Emergency purchase of office supplies P 4,700.00

No.: 08 - 12 - 01 Date: December 09, 2008 Responsibility Center Code: II. To be filled up upon liquidation

Total Amount Granted: _P 4,700.00___ Total Amount Paid Per OR No.: ___4,700.00__ Amount Refunded/(Reimbursed):____- 0 -_____ C Received Refund Reimbursement Paid

A Requested by: _____Mr. Arjay Freeman_____ Name of Requestor Approved by: ______ Winda Makadiyos______ Immediate Supervisor B Paid by: _____Mrs. Ena Money_____ Petty Cash Custodian Cash Received by: __________Goodwill____________ Signature over Printed Name of Payee Date: _December 09,2008________

____Mrs.Ena Money____ Petty Cash Custodian D Liquidation Submitted Reimbursement Received By _____Goodwill_____ Signature of Payee Date: _December 09, 2008________

PETTY CASH VOUCHER Department of DBP Regional Office No. XVI, Marunong City Payee/Office: Best Auto Supply________ ___ Address : Marunong City_____________ I. To be filled up upon request Particulars Amount Purchase of spare parts P 3,280.00

No.: 08 - 12 - 02 Date: December 11, 2008 Responsibility Center Code: II. To be filled up upon liquidation

Total Amount Granted: _P 3,280.00___ Total Amount Paid Per OR No.: ___3,280.00___ Amount Refunded/(Reimbursed): _____- 0 -_____ C Received Refund Reimbursement Paid

A Requested by: _____Mr. Arjay Freeman_____ Name of Requestor Approved by: ______ Winda Makadiyos______ Immediate Supervisor B Paid by: _____Mrs. Ena Money_____ Petty Cash Custodian Cash Received by: ________Mr. Arjay Freeman_______ Signature over Printed Name of Payee Date: _December 11,2008________

____Mrs.Ena Money____ Petty Cash Custodian D Liquidation Submitted Reimbursement Received By _____Best Auto Supply_____ Signature of Payee Date: _December 11, 2008________

PETTY CASH VOUCHER Department of DBP Regional Office No. XVI, Marunong City Payee/Office: RDL Auto Repair Shop_______ Address : Marunong City_____________ I. To be filled up upon request Particulars Amount Repair of office vehicle P 3,750.00

No.: 08 - 12 - 03 Date: December 16, 2008 Responsibility Center Code: II. To be filled up upon liquidation

Total Amount Granted: ___P 3,750.00___ Total Amount Paid Per OR No.: _____3,750.00___ Amount Refunded/(Reimbursed): ______- 0 -______

A Requested by: _____Mr. Arjay Freeman_____ Name of Requestor Approved by: ______ Winda Makadiyos______ Immediate Supervisor B Paid by: _____Mrs. Ena Money_____ Petty Cash Custodian Cash Received by: ________Mr. Arjay Freeman_______ Signature over Printed Name of Payee Date: _December 16,2008________

C Received Refund Reimbursement Paid

____Mrs.Ena Money____ Petty Cash Custodian D Liquidation Submitted Reimbursement Received By _____RDL Auto Repair Shop_____ Signature of Payee Date: _December 16, 2008________

PETTY CASH VOUCHER Department of DBP Regional Office No. XVI, Marunong City Payee/Office: Larrys News Stand________ __ Address : Marunong City_____________ I. To be filled up upon request Particulars Amount Payment of newspaper P 1,800.00

No.: 08 - 12 - 04 Date: December 30, 2008 Responsibility Center Code: II. To be filled up upon liquidation

Total Amount Granted: ___P 1,800.00___ Total Amount Paid Per OR No.: _____1,800.00___ Amount Refunded/(Reimbursed): ______- 0 -______

A Requested by: _____Mr. Arjay Freeman_____ Name of Requestor Approved by: ______ Winda Makadiyos______ Immediate Supervisor B Paid by: _____Mrs. Ena Money_____ Petty Cash Custodian Cash Received by: ________Mr. Arjay Freeman_______ Signature over Printed Name of Payee Date: _December 30,2008________

C Received Refund Reimbursement Paid

____Mrs.Ena Money____ Petty Cash Custodian D Liquidation Submitted Reimbursement Received By ____Larry News Stand____ Signature of Payee Date: _December 30, 2008________

PETTY CASH REPLENISHMENT REPORT Department of DBP Regional Office No. XVI, Marunong City

Period Covered: December 1- 30, 2008 __ Date 12-09-08 12-11-08 12-16-08 12-30-08 Petty Cash Voucher No. 08-12-01 08-12-02 08-12-03 08-12-04

Report No.: _08-12-01__ Sheet No.: _____1_____ Particulars Amount P 4,700 3,280 3,750 1,800 00 00 00 00

Emergency purchase of office supplies Purchase of spare parts Repair of office vehicles Payment of newspaper

CERTIFICATION I hereby certify to the correctness of the above information.

__(Sgd.) Mrs. Ena Money__ Petty Cash Custodian

__December 31, 2008__ Date

CHECK DISBUSEMENT JOURNAL Department of DBP- Regional Office NO. XVI December 2008
Date JEV No. RCI/DV No. Serial No. of Checks From
Dec. 4 002 08-12-01 3200101

Sheet No. ________________


DEBIT

CREDIT Name of the Disbursing Officer Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money Ena Money SUNDRY 106 20,000.00 40,000.00 180,300.00 4,000.00 15,600.00 160,000.00 11,000.00 12,000.00 10,000.00 26,000.00 180,300.00 20,900.00 51,510.00 30,460.00 17,400.00 115,000.00 60,000.00 3,000.00 3,000.00 4,000.00 4,000.00 13,530.00 40,000.00 500,000.00 1,500.00 1,523,500.00 Acct. Code P Amount 104 20,000.00 412

SUNDRY 413 Acct. Code 172 423 157 766 207 401 767 167 151 423 768 769 773 17,400.00 115,000.00 721 3,000.00 723 4,000.00 722 751 814 989 991 20,000.00 17,400.00 122,000.00 4,000.00 13,530.00 40,000.00 500,000.00 1,500.00 1,364,000.00 3,000.00 60,000.00 P Amount

To

8 11 13 17 18 20 20 23 23 26 26 27 27 27 30 30 30 30 30 30 30 30 30 30

003 004 006 008 009 012 013 014 015 016 018 019 020 021 022 023 024 025 026 027 028 029 030 031

08-12-02 08-12-03 08-12-04 08-12-05 08-12-06 08-12-07 08-12-08 08-12-09 08-12-10 08-12-11 08-12-12 08-12-13 08-12-14 08-12-15 08-12-16 08-12-17 08-12-18 08-12-19 18-12-20 08-12-21 08-12-22 08-12-23 08-12-24 08-12-25

3200102 3200103 3200104 3200105 3200106 3200107 3200108 3200109 3200110 3200111 3200112 3200113 3200114 3200115 3200116 3200117 3200118 3200119 3200120 3200121 3200122 3200123 3200124 3200125

40,000.00 180,300.00 4,000.00 15,600.00 160,000.00 11,000.00 12,000.00 10,000.00 26,000.00 180,300.00 20,900.00 51,510.00 30,460.00

CASH DISBUSEMENT JOURNAL

Department of DBP- Regional Office NO. XVI December 2008


Date JEV No. RD No. Name of the Disbursing Officer 106
Dec 11 26

Sheet No. _______


DEBIT

CREDIT SUNDRY Acct. Code P Amount 423 180,300.00 180,300.00

SUNDRY Acct. Code P Amount

005

017

Ena Money Ena Money

180,300.00 180,300.00

360,000.00

360,000.00

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