Appendix 32 - DV.xlsx - Google Sheets

	A	B	C	D	E	H	M	N	Q	S	T	U	V	W
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11	DEPED NATIONAL EMPLOYEES UNION ALAMINOS CITY DIVISION CHAPTER DISBURSEMENT VOUCHER
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13														Date :
14														DV No. :
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16	Mode of Payment
17						MDS Check	Cash		ADA				Others:____________
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19	Payee				JUANA A. DELA CRUZ					TIN/Employee No.:				ORS/BURS No.:
20	Payee				JUANA A. DELA CRUZ
21	Address				Purok 1, Sitio Bato, Brgy. San Roque, Mabini, Bohol
22	Address
23	Particulars													Amount
24														2,576.00
25			To payment for GROCERY ITEMS AND OTHER COMMODITIES
26			per supporting papers hereto attached amounting to...
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29	Amount Due													2,576.00
30	A.	Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
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32		ZENAIDA A. BOYLES
33		Printed Name, Designation and Signature of Supervisor
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36	B.
37	C.	Certified:								D.	Approved for Payment
38		/	Cash available
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40			Subject to Authority to Debit Account (when applicable)									₱		2,576.00
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42			Supporting documents complete and amount claimed	Supporting documents complete and amount claimed
43			proper
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45	Signature									Signature
46	Signature									Signature
47	Printed Name									Printed Name				ANNE E. CURTIS
48	Printed Name									Printed Name				ANNE E. CURTIS
49	Position				DISBURSING OFFICER					Position				ESP-I
50	Position				Head, Accounting Unit/Authorized Representative					Position
51	Date									Date
52	Date									Date
53	E.	Receipt of Payment												JEV No.
54	Printed Name:				JUANA A. DELA CRUZ			Date :		Signature:				Date
55	Printed Name:				JUANA A. DELA CRUZ			Date :		Signature:
56	Official Receipt No. & Date/Other Documents
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