DV Tev CF
DV Tev CF
DV Tev CF
Regional Office No V 01
Date :
DISBURSEMENT VOUCHER DV No. :
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee DAISY A. ABELLA
Address MASBATE PO
Responsibility
Particulars MFO/PAP Amount
Center
3,000.00
REIMBURSEMENT of travelling expenses incurred while
on official travel for the period December 25-26, 2024 as
per attached documents in the amount of …..
B. Accounting Entry:
Account Title UACS Code Debit Credit
b. 50214990 00 3,000.00
Travelling Expense-Local Travel
10104040 00
Cash NT MDS, Regular 3,000.00
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable) Three thousand Pesos Only
(P3,000.00)
Sup
proper
Signature Signature
Printed
ANGELICA JOY L. NAPOLIS Printed Name IMELDA E. ROMANILLOS, CESE
Name
Accountant III Assistant Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Total 3,000.00
A. Certified: Charges to appropriation/alloment are B. Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above
C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)