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MAYAG NATIONAL HIGH SCHOOL Fund Cluster :

Entity Name
Date :
DISBURSEMENT VOUCHER
DV No. :
Mode of
Payment MDS C ADA Others (Please specify)
Payee ROLLY L. ALAPAG TIN/Employee No.: ORS/BURS No.:
MAYAG NHS
Address
SISON DISTRICT
Responsibility
Particulars
Center
MFO/PAP Amount
To cash advance MOOE for April-June 2017 .
in the amount of . .
THIS IS TO CERTIFY THAT ROLLY L. ALAPAG HAS NO UNLIQUIDATED
CASH ADVANCE IN THIS OFFICE.

72,437.00
THIS CERTIFICATION IS BEING ISSUED TO SUPPORT THE SAID
EMPLOYEE'S REQUEST FOR CAHSH ADVANCE FOR THE PURPOSE
STATED ABOVE.

JULIET M. DUMAGUIT
ACCOUNT III

Amount Due 72,437.00


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

CRESENCIA T. MANTILLA,Ph.D.
District Supervisor
B. Accounting Entry:
Account Title UACS Code Debit Credit
Advances for Operating Expenses 19901010 00 72,437.00
Cash Modified Disbursement System (MDS)-regular 10104040 00 72,437.00
C. Certified: D. Approved for Payment
Cash Available
Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed proper


`
Signature Signature:
Printed Printed
Name JULIETA M. DUMAGUIT Name: FIDELA M. ROSAS
Accountant III Schools Division Superintendent
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 : ROLLY L. ALAPAG
Official Receipt No. & Date/Other Documents
MAYAG NATIONAL HIGH SCHOOL
Entity Name
DISBURSEMENT VOUCHER
Mode of
Payment MDS C ADA Others (Please specify)
Payee ROLLY L. ALAPAG TIN/Employee No.:
MAYAG NHS
Address
SISON DISTRICT
Responsibility
Particulars MFO/PAP
Center

To cash advance MOOE for July-Sept. 2017


in the amount of . .
THIS IS TO CERTIFY THAT ROLLY L. ALAPAG HAS NO UNLIQUIDATED
CASH ADVANCE IN THIS OFFICE.

THIS CERTIFICATION IS BEING ISSUED TO SUPPORT THE SAID


EMPLOYEE'S REQUEST FOR CAHSH ADVANCE FOR THE PURPOSE
STATED ABOVE.

JULIET M. DUMAGUIT
ACCOUNT III

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

CRESENCIA T. MANTILLA,Ph.D.
District Supervisor
B. Accounting Entry:
Account Title UACS Code Debit
Advances for Operating Expenses 19901010 00 72,437.00
Cash Modified Disbursement System (MDS)-regular 10104040 00
C. Certified: D. Approved for Payment
Cash Available
Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed proper


`
Signature Signature:
Printed Printed
Name JULIETA M. DUMAGUIT Name: FIDELA M. ROSAS
Accountant III Schools Division Superintendent
Position Position:
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date:
E. Receipt of Payment
Check/ Date: Bank Name & Account Number:
ADA No. :
Date: Printed Name:
Signature : ROLLY L. ALAPAG
Official Receipt No. & Date/Other Documents
Fund Cluster :

Date :
DV No. :

hers (Please specify)


ORS/BURS No.:

Amount

72,437.00

72,437.00
my direct supervision.

Credit

72,437.00
ved for Payment

LA M. ROSAS
vision Superintendent
Authorized Representative
JEV No.

Date
MAYAG NATIONAL HIGH SCHOOL
Entity Name
DISBURSEMENT VOUCHER
Mode of
Payment MDS C ADA Others (Please specify)
Payee ROLLY L. ALAPAG TIN/Employee No.:
MAYAG NHS
Address
SISON DISTRICT
Responsibility
Particulars MFO/PAP
Center

To cash advance of JHS MOOE for the period


January-March 2018 in the amount of . . .
THIS IS TO CERTIFY THAT ROLLY L. ALAPAG HAS NO UNLIQUIDATED
CASH ADVANCE IN THIS OFFICE.

THIS CERTIFICATION IS BEING ISSUED TO SUPPORT THE SAID


EMPLOYEE'S REQUEST FOR CASH ADVANCE FOR THE PURPOSE STATED
ABOVE.

JULIET M. DUMAGUIT
ACCOUNT III

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

CRESENCIA T. MANTILLA,Ph.D.
District Supervisor
B. Accounting Entry:
Account Title UACS Code Debit
Advances for Operating Expenses 19901010 00 83,000.00
Cash Modified Disbursement System (MDS)-regular 10104040 00
C. Certified: D. Approved for Payment
Cash Available
Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed proper


`
Signature Signature:
Printed Printed
Name JULIETA M. DUMAGUIT Name: NELIA S. LOMOCSO, CESE
Accountant III Schools Division Superintendent
Position Position:
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date:
E. Receipt of Payment
Check/ Date: Bank Name & Account Number:
ADA No. :
Date: Printed Name:
Signature : ROLLY L. ALAPAG
Official Receipt No. & Date/Other Documents
Fund Cluster :

Date :
DV No. :

thers (Please specify)


ORS/BURS No.:

Amount

83,000.00

83,000.00
r my direct supervision.

Credit

83,000.00
proved for Payment

S. LOMOCSO, CESE
s Division Superintendent
ead/Authorized Representative

JEV No.
JEV No.

Date