Appendix 31 - DV
Appendix 31 - DV
Appendix 31 - DV
Fund :
LGU
Date :
DISBURSEMENT VOUCHER DV No. :
Classification of Disbursement
Cash Advance Reimbursement Other Payments
Address
Responsibility
Particulars MFO/PAP Amount
Center
Amount Due:
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
B. Accounting Entry:
Account Title Account Code Debit Credit
Su
proper
Signature Signature
Printed
Printed Name
Name
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
90
Appendix 31
Fund:
DISBURSEMENT VOUCHER
DV No.:
LGU Date:
ID No./TIN:
Payee:
CAFOA No.:
Responsibility Center:
Address:
Particulars Amount
Amount Due
A Certified: B Certified: C Certified:
Expenses/Cash Advances necessary, Completeness and propriety of supporting Funds available for the purpose.
valid, proper, lawful and incurred documents/previous cash advance
under my direct supervision. liquidated/existence of funds held in
trust.
Signature Over Printed Name/Position Signature Over Printed Name/Position Signature Over Printed Name/Position
Head of the Department or Office Head of Accounting Department/Office Head of Treasury Department/ Office
F Accounting Entries
Particulars Account Code Debit Credit