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  • Disbursement Voucher

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    Jay-r Rbar
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    This document is a disbursement voucher from the Department of Agrarian Reform in the Philippines approving payment of 3,500 pesos to Casser B. Amerol for travel expenses incurred in December. It is signed by the accountant and provincial agrarian reform officer to authorize the payment.

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    jh

    Original Title

    DISBURSEMENT VOUCHER

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    This document is a disbursement voucher from the Department of Agrarian Reform in the Philippines approving payment of 3,500 pesos to Casser B. Amerol for travel expenses incurred in December. It is signed by the accountant and provincial agrarian reform officer to authorize the payment.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    267 views3 pages

    Disbursement Voucher

    Uploaded by

    Jay-r Rbar
    This document is a disbursement voucher from the Department of Agrarian Reform in the Philippines approving payment of 3,500 pesos to Casser B. Amerol for travel expenses incurred in December. It is signed by the accountant and provincial agrarian reform officer to authorize the payment.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 3

    Repuplic of the Philippines

    DEPARTMENT of AGRARIAN REFORM


    Provincial Agrarian Reform Office, Misamis Oriental

    DISBURSMENT VOUCHER

    MODE OF PAYMENT
    No:

    MDS CHECK Commercial Check ADA Others Date:

    Payee/Office: TIN/Emplyee No.: OS/BUS No.


    CASSER B. AMEROL
    Date:

    Address: Responsibility Center:


    Max Suniel St., Carmen, Cagayan de Oro City
    Title: Code:

    PARTICULARS AMOUNT

    TO PAYMENT OF TRAVELLING EXPENSES AND PER DIEM INCURED WHILE ON OFFICIAL TRAVEL FOR THE MONTH OF
    DECEMBER IN THE AMOUNT OF…. 3,500.00

    A. Certified Supporting documents complete and proper B. Approved for Payment

    Cash available

    Subject to ADA (Where applicable)

    Signature: Signature:

    Printed Name: CHAREL C. ACTA Printed Name: ZORAIDA OMAR-MACADINDANG, Al-Hadja

    Position: Accountant II Position: Provincial Agrarian Reform Officer II

    (Head, Accounting Unit/Authorized Representative) (Agency Head/Authorized Representative)

    Date: Date:

    C. Received Payment Check/ADA No.: D. Journal Entry Voucher

    Date:

    Signature: Date: Bank Name: No.

    Printed Name: CASSER B. AMEROL OR No. /Other relevant document issued Date:
    GAAM Vol. II Appendix 18 GAAM Vol. II Appendix 18
    Revised 1992 Revised 1992

    REIMBURSEMENT EXPENSES RECEIPT REIMBURSEMENT EXPENSES RECEIPT


    Date No. Date No.

    RECEIVED from RECEIVED


    ( Name ) ( Name )

    the amount of the amount of


    (Official Designation) (Official Designation)
    (P ) (P )
    ( In words ) ( in Figure ) ( In words ) ( in Figure )

    in payment for in payment


    ( Payment for subsistence, services, ( Payment for subsistence, services,

    rental or transaction should show inclusive dates, rental or transaction should show inclusive dates,

    ( purpose, distance, inclusive points of travel, ect. ) ( purpose, distance, inclusive points of travel, ect. )

    PAYEE PAYEE
    Name & Signature: Name & Signature:
    Address: Address:
    Residence Cert. No. : Residence Cert. No. :
    Date of Issue: Date of Issue:
    Place of Issue: Place of Issue:

    WITNESS WITNESS
    Name & Signature: Name & Signature:
    Address: Address:
    Residence Cert. No. : Residence Cert. No. :
    Date of Issue: Date of Issue:
    Place of Issue: Place of Issue:

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