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Is To Be Use When There Are Multiple Activities in One Cash Withdrawal

This payment approval form is for the Legian II – NIA Road Complex Consumers Cooperative. It outlines the process for approving and tracking payments, including cash advances. Funds will not be disbursed until the form is signed by the Treasurer and Chairman. For cash advances, the recipient must sign acknowledging receipt of funds and return any excess with receipts. The form provides fields to record payment details, approvals, amounts, and ensures proper accounting of cash advances.

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Ryan Pazon
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123 views2 pages

Is To Be Use When There Are Multiple Activities in One Cash Withdrawal

This payment approval form is for the Legian II – NIA Road Complex Consumers Cooperative. It outlines the process for approving and tracking payments, including cash advances. Funds will not be disbursed until the form is signed by the Treasurer and Chairman. For cash advances, the recipient must sign acknowledging receipt of funds and return any excess with receipts. The form provides fields to record payment details, approvals, amounts, and ensures proper accounting of cash advances.

Uploaded by

Ryan Pazon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PAYMENT APPROVAL FORM

THE LEGIAN II – NIA ROAD COMPLEX CONSUMERS COOPERATIVE


Money should not be disbursed until the Corporate Treasurer and Chairman have signed this form.
Block 2 Lots 5&7, Legian Imus II Subd. NIA Road Complex, Carsadang Bago I They should not sign this form until the upper section is filled out completely. If funds are advanced,
Imus City, Cavite CDA Reg No. 9520-1040000000037981 he or she signs the form, acknowledging receipt of the money, and also signs to show excess cash
were returned. Attach to this form; receipts, invoices, project proposal approval and Board Resolution.
Position of Requestor Date of Request Amount of Payment Requested

Name of Requestor of person to be paid Payment Category [ ] Cash Advance [ ] Reimbursement

[] Budget [] Other : __________________________


Payment purpose – detailed description
[] Supplies [] Infrastructure [] Bills Payment

[] Member’s Welfare Fund

Recipient : ____________________________________

Signature of Requestor Over Printed Name Attested by: Approved by:

JEREN VELASCO __________________________


______________________________________ Treasurer General Manager / Chairperson

Only fill out the rest of this form for a Cash Advance Liquidation

Signature of person receiving cash advance Date


Amount of cash received

Accounting for cash advance – to be filled out when person returns receipts and excess cash
Signature of person returning excess cash Date
Amount spent (must provide receipts) -

Disbursing Officer – excess cash was returned to me Date


Excess cash returned =

This portion is for Disbursement use only:


Reference Number corresponds to the petty cash batch or withdrawal date to - -
facilitate reconciliation Seq#
is to be use when there are multiple Y Y Y Y M M D D Amount Sequence

activities in one cash withdrawal

PAYMENT APPROVAL FORM


THE LEGIAN II – NIA ROAD COMPLEX CONSUMERS COOPERATIVE
Money should not be disbursed until the Corporate Treasurer and Chairman have signed this form.
Block 2 Lots 5&7, Legian Imus II Subd. NIA Road Complex, Carsadang Bago I They should not sign this form until the upper section is filled out completely. If funds are advanced,
Imus City, Cavite CDA Reg No. 9520-1040000000037981 he or she signs the form, acknowledging receipt of the money, and also signs to show excess cash
were returned. Attach to this form; receipts, invoices, project proposal approval and Board Resolution.
Position of Requestor Date of Request Amount of Payment Requested

Name of Requestor of person to be paid Payment Category [ ] Cash Advance [ ] Reimbursement

[] Budget [] Other : __________________________


Payment purpose – detailed description
[] Supplies [] Infrastructure [] Bills Payment

[] Member’s Welfare Fund

Recipient : ____________________________________

Signature of Requestor Over Printed Name Attested by: Approved by:

JEREN VELASCO __________________________


______________________________________ Treasurer General Manager / Chairperson

Only fill out the rest of this form for a Cash Advance Liquidation

Signature of person receiving cash advance Date


Amount of cash received

Accounting for cash advance – to be filled out when person returns receipts and excess cash
Signature of person returning excess cash Date
Amount spent (must provide receipts) -

Disbursing Officer – excess cash was returned to me Date


Excess cash returned =

This portion is for Disbursement use only:


Reference Number corresponds to the petty cash batch or withdrawal date to - -
facilitate reconciliation Seq#
is to be use when there are multiple Y Y Y Y M M D D Amount Sequence

activities in one cash withdrawal

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