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Disbursement Voucher - New

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DISBURSEMENT VOUCHER Fund

MAHAYAG DV No:
LGU Date:

Payee: NILDA B. MAJORENOS ID NO./TIN:


CAFOA No.:
Address : Mahayag, Zambo. Sur Responsibility Center
Particulars

Reimbursement of travelling expenses while on official business


in Pagadian City (attend the Service Delivery Baseline Data Collection)
as per supporting papers hereto attached in the amount of…………………. 1,090.00

Amount Due 1,090.00


A Certified: B Certified Certified:
Expenses/Cash Advance necessary, Completeness and propriety of supporting Funds available for the
valid, proper, lawful and incurred documents/previous cash advance purpose.
under my direct supervisions. liquidation/existence of funds held in
trust.

MARY GRACE C. DAROY TRILBE LOREIGN E. ABELLANA, CPA MARY GRACE C. DAROY
Signature Over Printed Name/Position Signature Over Printed Name/Position Sign Over Printed Name/Position
Head of the Department or Office Head of Accounting Department/Office Head of Treasury Department/Office

D Approved For Payment: Received Payment:


Payment:

MANUEL T. SALADAGA, CE Check No. NILDA B. MAJORENOS


Signature Over Printed Name/Position Bank Name: Signature Over Printed Name/Position
Local Chief Executive Date: Date : __________________________

F Accounting Entries
Particulars Account Code Debit Credit

Prepared by: Certified Correct:

___________________ ____________________________
Accounting Personnel Head, Accounting Division/ Unit
Appendix 28

Local Government Unit


CERTIFICATION ON APPROPRIATIONS, FUNDS AND OBLIGATION
OF ALLOTMENT

Request: Reimbursement of travel Obligation No.:


Approved Amount: One Thousand
Payee: NILDA B. MAJORENOS Ninety Pesos (1,090.00) Only

Function Allotment Expenses Amount Certification:


class Code
I hereby certify as to the existence of
appropriations for the expenditures in the
amount specified herein:

EDITH P. MUTIA
Budget Officer Date

Total amount requested 1090.00 Certification:

Amount in words: One Thousand I hereby certify as to the availability of


Ninety Pesos (1,090.00) Only funds for the expenditures in the amount
specified herein:
Requesting Official :

MARY GRACE C. DAROY MARY GRACE C. DAROY _________


OIC- Municipal Treasurer Date OIC Municipal Treasurer Date
Name and Signature

Certification:
I hereby certify that the allotments are
available for obligation in the amount
specified herein:

TRILBE LOREIGN E. ABELLANA, CPA


Municipal Accountant Date

Subsidiary Ledger

Date Particulars/Reference Liquidations Obligation Increase Balance


(Decrease)

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