Appendix 32

DENR PENRO MASBATE Fund Cluster :

Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BENITO B. SALAZAR
Airport Road, Masbate
Address City
Responsibility
Particulars MFO/PAP Amount
Center
To Payment TEV for the Period of February
23-26,2016. To coordinate with MSF Administrator
regarding unliquidated cash of RIC project.
and to conduct inspection/validation of
accomplished activities of contractortor under
Arboretum project. And to monitor/coordinate w/
LGU-Cataingan regarding BUB implementation,
in the amount of. 1,760.00

Amount Due 1,760.00

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

BENITO B. SALAZAR
DMO - V

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name SARAH B. CABUG TITO R. MIGO
Accountant III OIC, PENR Officer
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents

92
 Appendix 32

DENR CENRO MOBO, MASBATE Fund Cluster :

Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee NENITA L. MARCOS

Address Airport Road, Masbate City

Responsibility
Particulars MFO/PAP Amount
Center
To Payment my Travel Expences for the period
of June 21-24,2016, in the amount of 3,310.00

Amount Due 3,310.00

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

JERRY R. ARENA
OIC, CENR Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name SARAH B. CABUG TITO R. MIGO
Accountant III OIC, PENR Officer
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents

92