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Petty Cash Voucher: Department of Education

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Annex G-1

PETTY CASH VOUCHER No. :


Department of Education Date :

Payee/Office : Responsibility Center


Address :

Particulars: Amount

Paid by: Payment received by:

Disbursing Officer Signature over Printed Name


Date:

Annex G-1

PETTY CASH VOUCHER No. :


Department of Education Date :

Payee/Office : Responsibility Center


Address :

Particulars: Amount

Paid by: Payment received by:

Disbursing Officer Signature over Printed Name


Date:
Annex G-2
DISBURSEMENT VOUCHER No.:
Department of Education Date:

CLASSIFICATION OF DISBURSEMENT

Cash Advance Reimbursement Other Payment


Name of Claimant: ID No./TIN:

Address: Responsibility Center:

Particulars Amount

Amount in Words:
Amount Due ª P -

A Certified: Expenses/Cash Advance necessary, lawful and B Completeness and propriety of supporting C Cash available:
incurred under my direct supervision documents:

Signature Over Printed Name/Position Signature Over Printed Name/Position Signature Over Printed Name/Position

Date Date Date

D Approved For Payment: P - E Payment: F Received Payment:


Check No.
Æ Bank Name:
Signature Over Printed Name/Position Signature Over Printed Name/Position

Date Date Date

Annex G-2
DISBURSEMENT VOUCHER No.:
Department of Education Date:

CLASSIFICATION OF DISBURSEMENT

Cash Advance Reimbursement Other Payment


Name of Claimant: ID No./TIN:

Address: Responsibility Center:

Particulars Amount

Amount in Words:
Amount Due ª P -

A Certified: Expenses/Cash Advance necessary, lawful and B Completeness and propriety of supporting C Cash available:
incurred under my direct supervision documents:

Signature Over Printed Name/Position Signature Over Printed Name/Position Signature Over Printed Name/Position

Date Date Date

D Approved For Payment: P - E Payment: F Received Payment:


Check No.
Æ Bank Name:
Signature Over Printed Name/Position Signature Over Printed Name/Position

Date Date Date


Annex G-3
JOURNAL ENTRY VOUCHER
Department of Education No.
Date

Collection Check Disbursement Cash Disbursement Others

Responsibility
ACCOUNTING ENTRIES
Center Amount
Accounts and Explanation Account Code Ref.
Debit Credit

TOTAL - -
Prepared by: Approved by:
Annex G-4

ALLOTMENT AND OBLIGATION SLIP (ALOBS) No.

Department of Education
Date

Payee/Office Responsibility
Center
Address

Allotment Account
Particulars P.P.A. Amount
Class Code

TOTAL P -

Certified as to availability of Certified as to Obligation of Appropriation/ Posted to ROA by:


Appropriation/Allotment: Allotment:

Budget Officer Date Accountant Date In-Charge Date

Annex G-4

ALLOTMENT AND OBLIGATION SLIP (ALOBS) No.

Department of Education
Date

Payee/Office Responsibility
Center
Address

Allotment Account
Particulars P.P.A. Amount
Class Code

TOTAL P -

Certified as to availability of Certified as to Obligation of Posted to ROA by:


Appropriation/Allotment: Appropriation/Allotment:

Budget Officer Date Accountant Date In-Charge Date


Annex G-5

PURCHASE ORDER
Department of Education

Supplier : P.O. No.


Address : Date
Mode of Procurement

Gentlemen:

Please furnish this office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Delivery Term:


Date of Delivery: Payment Term:

Item No. Unit Quantity Description Unit cost Amount

P P

(Total Amount in Words)


P -

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for
every day of delay shall be imposed.

Very truly yours,


Conforme:

(Authorized Official)
(Signature over printed name)

(Date)

Requisitioning Office/Department: Funds Available:


Amount:

Authorized Official Chief Accountant ALOBS No.:


Annex G-6

PURCHASE REQUEST
Department of Education

Department PR No.: Date:


Section SAI No.: Date:
ALOBS No.: Date:

Quantity Unit of Issue Item Description Stock No. Estimated Unit Cost Estimated Cost

Purpose:

Requested by: Approved by:

Signature:
Printed Name:
Designation:
Annex G-7

INSPECTION AND ACCEPTANCE REPORT


Department of Education

Supplier AR No.
PO No. Date Invoice No. Date:
Requisitioning Office/Dept.

Item No. Unit Description Quantity

INSPECTION ACCEPTANCE

Date Inspected: Date Received:

Inspected, verified and found OK Complete


as to quantity and specifications Partial

Inspection Officer Property Officer


For Property Office Use
REQUISITION AND ISSUE SLIP REQUISITION AND ISSUE SLIP
ISUGOD NATIONAL HIGH SCHOOL ISUGOD NATIONAL HIGH SCHOOL
Agency Agency

Division Palawan Responsible Center RIS No. Date Division Palawan Responsible Center RIS No. Date

Office Dep Ed Code SAI No. Date Office Dep Ed C SAI No. Date

REQUISITION ISSUANCE REQUISITION ISSUANCE


Stock No Unit Description Quantity Quantity REMARKS Stock No Unit Description Quantity Quantity REMARKS

Purpose: Purpose:

Requested by: Approved by: Issued by: Received by: Requested by: Approved by: Issued by: Received by:

Signature Signature

Name HANZEL L. RABOY MARLON A. LUZONG Name HANZEL L. RABOY MARLON A. LUZONG

Designation School Head SST III/Property Custodian Designation School Head SST III/Property Custodian

Date Date

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