ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Appendix 48Republic of the Philippines
2
TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY
3
PETTY CASH VOUCHERNo. : __________________SOUTHERN ISABELA COLLEGE OF ARTS AND TRADES
4
Calaocan, Santiago City
5
SOUTHERN ISABELA COLLEGE OF ARTS AND TRADES
Date : _________________
6
Fund Cluster: 06CERTIFICATE OF EMERGENCY PURCHASE
7
8
Payee/Office : ____________________________Responsibility Center Code:
9
Address : ______________________________________________________(Date)
10
11
12
I. To be filled out upon request
II. To be filled out upon liquidation
1
This is to certify that the within purchase covereby by Invoice/O.R No. _____________
13
dated
in the amount of ___________________
is exceptionaly urgent
14
ParticularsAmount
of absolutely indispensable for the Southern Isabela College of Arts and Trades,
15
Total Amount Granted______________
Calaocan, Santiago City
16
17
Total Amount Paid per2
That there was no material time to acquire them thru shopping method of procurement
18
OR/Invoice No. _____________________
or thru the procurement office in the usual manner without detriment ot the public
19
service.
20
Amount Refunded/ (Reimbursed)
21
 3
That the price paid for the items were the lowest obtainable at the time of the purchase
22
in the locality
23
Requested by:
24
Received Refund4
That the purchase during the preceeding month do not exceed the allotment advice
25
__________________________
duly authorized for the agency.
26
 Signature over Printed NameReimbursement Paid
27
Name of Requestor5
That the items needed are not available from the stock of the supply office.
28
29
Approved by:
6
That the first day of succeeding month or as soon as possible the herein purchase and
30
____________________________________________________all other similar purchase during the current month will be summarized in the BSC Form No. 1 and submitted to the procurement office thru the usual manner.
31
 Signature over Printed Name Signature over Printed Name
32
Name of Immediate SupervisorPetty Cash Custodian
33
34
Paid by:
35
Liquidation Submitted
ENGR. DOMINADOR D. DIZON, PhD
36
__________________________
Acting Vocational School Superintendent
37
 Signature over Printed NameReimbursement Received by:
38
Petty Cash Custodian
39
Cash Received by:
40
41
____________________________________________________
42
 Signature over Printed Name Signature over Printed Name
43
PayeePayee
44
Date: _______________Date: _______________
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100