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DV Template

The document contains 3 disbursement vouchers. The first is for payment of Val Azuelo's November 2023 salary of PHP 9,700. The second is for payment of Val Azuelo's December 1-15, 2023 salary of PHP 4,850. The third is for payment of Chrisman Olivera's November 2023 salary of PHP 20,000. Each voucher includes certifications for expenses and approvals for payment.

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chrisman olivera
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0% found this document useful (0 votes)
28 views4 pages

DV Template

The document contains 3 disbursement vouchers. The first is for payment of Val Azuelo's November 2023 salary of PHP 9,700. The second is for payment of Val Azuelo's December 1-15, 2023 salary of PHP 4,850. The third is for payment of Chrisman Olivera's November 2023 salary of PHP 20,000. Each voucher includes certifications for expenses and approvals for payment.

Uploaded by

chrisman olivera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Fund Cluster :

DENR - PALAWAN
Entitry Name
Date :
DV No. :
DISBURSEMENT VOUCHER
Mode of Others (Please Specify)
MDS CHECK Commercial Check ADA
Payment
TIN/Employee No.: ORS/BURS No.:
Payee VAL F. AZUELO

Address Bgy. III, Roxas, Palawan


Particulars Responsibility MFO/FAP Amount

Payment of Salary for the contract of service for the


month of November, 2023 with a total amount of...
PHP 9,700.00

A. Certified: Expense/Cash Advance necessary, lawful and incurred under my direct supervision.

PABLO L. CRUZ
NAME
CENRO
(Printed Name, Designation and Signature of Supervisor)

B. Accounting Entry: UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper

Signature Signature
Printed ANNY CLOVERIES M. GABAYAN Printed FELIZARDO B. CAYATOC
Name Accountant I/In-Charge-Accounting Unit Name PENRO
Position Head, Accounting Unit/Authorized Representative Position Agency Head/Authorized Representative
Date Date
E. Received Payment JEV No.
Check/ Date: Bank Name & Account Number:
ADA No.:
Date: Printed Name: Date:
Signature:
VAL F. AZUELO
Official Receipt No. & Date/Other Documents
Fund Cluster :
DENR - PALAWAN
Entitry Name
Date :
DV No. :
DISBURSEMENT VOUCHER
Mode of Others (Please Specify)
MDS CHECK Commercial Check ADA
Payment
TIN/Employee No.: ORS/BURS No.:
Payee VAL F. AZUELO

Address Bgy. III, Roxas, Palawan


Particulars Responsibility MFO/FAP Amount

Payment of Salary for the contract of service for the


month of December 1-15, 2023 with a total amount of...
PHP 4,850.00

A. Certified: Expense/Cash Advance necessary, lawful and incurred under my direct supervision.

PABLO L. CRUZ
NAME
CENRO
(Printed Name, Designation and Signature of Supervisor)

B. Accounting Entry: UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper

Signature Signature
Printed ANNY CLOVERIES M. GABAYAN Printed FELIZARDO B. CAYATOC
Name Accountant I/In-Charge-Accounting Unit Name PENRO
Position Head, Accounting Unit/Authorized Representative Position Agency Head/Authorized Representative
Date Date
E. Received Payment JEV No.
Check/ Date: Bank Name & Account Number:
ADA No.:
Date: Printed Name: Date:
Signature:
VAL F. AZUELO
Official Receipt No. & Date/Other Documents
Fund Cluster :
DENR - PALAWAN
Entitry Name
Date :
DV No. :
DISBURSEMENT VOUCHER
Mode of Others (Please Specify)
MDS CHECK Commercial Check ADA
Payment
TIN/Employee No.: ORS/BURS No.:
Payee CHRISMAN JOY B. OLIVERA

Address Bgy. III, Roxas, Palawan


Particulars Responsibility MFO/FAP Amount

Payment of Salary for the contract of service for the


month of November, 2023 with a total amount of...
PHP 20,000.00

A. Certified: Expense/Cash Advance necessary, lawful and incurred under my direct supervision.

PABLO L. CRUZ
NAME
CENRO
(Printed Name, Designation and Signature of Supervisor)

B. Accounting Entry: UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper

Signature Signature
Printed ANNY CLOVERIES M. GABAYAN Printed FELIZARDO B. CAYATOC
Name Accountant I/In-Charge-Accounting Unit Name PENRO
Position Head, Accounting Unit/Authorized Representative Position Agency Head/Authorized Representative
Date Date
E. Received Payment JEV No.
Check/ Date: Bank Name & Account Number:
ADA No.:
Date: Printed Name: Date:
Signature:
CHRISMAN JOY B. OLIVERA
Official Receipt No. & Date/Other Documents
Fund Cluster :
DENR - PALAWAN
Entitry Name
Date :
DV No. :
DISBURSEMENT VOUCHER
Mode of Others (Please Specify)
MDS CHECK Commercial Check ADA
Payment
TIN/Employee No.: ORS/BURS No.:
Payee CHRISMAN JOY B. OLIVERA

Address Bgy. III, Roxas, Palawan


Particulars Responsibility MFO/FAP Amount

Payment of Salary for the contract of service for the


month of December 1-15, 2023 with a total amount of...
PHP 10,000.00

A. Certified: Expense/Cash Advance necessary, lawful and incurred under my direct supervision.

PABLO L. CRUZ
NAME
CENRO
(Printed Name, Designation and Signature of Supervisor)

B. Accounting Entry: UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper

Signature Signature
Printed ANNY CLOVERIES M. GABAYAN Printed FELIZARDO B. CAYATOC
Name Accountant I/In-Charge-Accounting Unit Name PENRO
Position Head, Accounting Unit/Authorized Representative Position Agency Head/Authorized Representative
Date Date
E. Received Payment JEV No.
Check/ Date: Bank Name & Account Number:
ADA No.:
Date: Printed Name: Date:
Signature:
CHRISMAN JOY B. OLIVERA
Official Receipt No. & Date/Other Documents

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