Appendix 32 - DV.xlsx - Google Sheets

	A	B	C	H	N	R	S	T	U	W	X	Y	AA	AB	AC
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5	DIVISION OF GENERAL TRIAS CITY													Fund Cluster :
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7	DISBURSEMENT VOUCHER													Date:
8														DV No. :
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10	Mode of Payment
11				MDS Check	Commercial Check				ADA			Others (Please specify)
12													_________________
13	Payee						TIN/Employee No.:							ORS/BURS No.:
14	Payee
15	Address
16	Address
17	Particulars					Responsibility Center				MFO/PAP				Amount
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27	Amount Due													-
28	A.	Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
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34	B.	Accounting Entry:
35	Account Title						UACS Code				Debit				Credit
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40	C.	Certified:					D. Approved for Payment	Approved for Payment
41		∕	Cash available
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43		∕	Subject to Authority to Debit Account (when applicable)
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45		∕	Supporting documents complete and amount claimed
46			proper
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48	Signature						Signature
49	Signature						Signature
50	Printed Name						Printed Name
51	Printed Name						Printed Name
52	Position						Position
53	Position						Position
54	Date						Date
55	Date						Date
56	E.	Receipt of Payment												JEV No.
57	Check/ ADA No. :				Date :		Bank Name & Account Number:
58	Check/ ADA No. :				Date :		Bank Name & Account Number:
59	Signature :				Date :		Printed Name:							Date
60	Signature :				Date :
61	Official Receipt No. & Date/Other Documents
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