REPUBLIKA NG PILIPINAS

(REPUBLIC OF THE PHILIPPINES)

KAGAWARAN NG EDUKASYNON
(DEPARTMENT OF EDUCATION)

Region VII Central Visayas

DIVISION OF CEBU

Cebu City

DISBURSEMENT VOUCHER
MODE OF PAYMENT

Commercial Check

MDS Check

ADA

Payee/Office

Others

No.
Date

Os/BUS No:

TIN/ Employee No.

ALBISO, DENNIS E.

Date:
Responsibility Center

Address

LANGTAD NATIONAL HIGH SCHOOL

Title:

Code:

Particulars

Amount

TO PAYMENT OF A REGULAR PERMANENT TEACHER FOR THE SERVICES

RENDERED FOR THE MONTH OF APRIL 1-30, 2013 AS TO PERTINENT PAPERS
HERETO ATTACHED.

JUSTINIANA L. LAPIZ
Teacher-in-Charge

Amount Due
A. Certified

B. Approved for Payment

Supporting documents complete and proper

Cash advance
Subject to ADA (where applicable)
Signature:
Printed Name:
Position:

GERVASIA F. SANCHEZ
Accountant II

Signature:
Printed Name:
Position:

(Head Accountant/ Authorized Representative)

ARDEN D. MONISIT, Ed.D.

Schools Division Superintendent
(Agency Head/ Authorized Representative)

Date:

Date:

C.Received Payment

Check/ADA No.

D.Journal Entry Voucher

Signature:
Printed Name:

Date: ___________

Date:

No.

Bank Name:

Date:

DR No./Other relevant document

Issued:

REPUBLIKA NG PILIPINAS
(REPUBLIC OF THE PHILIPPINES)

KAGAWARAN NG EDUKASYNON
(DEPARTMENT OF EDUCATION)

Region VII Central Visayas

DIVISION OF CEBU

Cebu City

DISBURSEMENT VOUCHER
MODE OF PAYMENT

MDS Check

Commercial Check

ADA

Payee/Office

Others

No.
Date

Os/BUS No:
Date:

TIN/ Employee No.

ADA G. DAYONDON

Responsibility Center

Address

PLACIDO L. SEOR NATIONAL HIGH SCHOOL

Title:

Code:

Particulars

Amount

To payment of a Regular Permanent Teacher of

Ms. Ada G. Dayondon for services rendered including PERA/
ACA for the Month of November 1 - 31, 2009

EDGAR J. GONZAGA
School Head
Amount Due
A. Certified

B. Approved for Payment

Supporting documents complete and proper

Cash advance
Subject to ADA (where applicable)
Signature:
Printed Name:
Position:

GERVASIA SANCHEZ
Accountant II

Signature:
Printed Name:
Position:

(Head Accountant/ Authorized Representative)

Date:

Printed Name:

(Agency Head/ Authorized Representative)

Date:

C.Received Payment
Signature:

ARDEN D. MONISIT, Ed. D.

Schools Division Superintendent

Date: ___________

Check/ADA No.

D.Journal Entry Voucher

Date:

No.

Bank Name:

Date:

DR No./Other relevant document

Issued: