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02 - DV

Teaching Position: Teacher I Salary Grade: 11 Step Increment: 1 Monthly Salary: P22,500.00 Particulars: Payment of salary for the month of September 2019 Fund Cluster: 101101 MFO/PAP: 09-00-1000-102-01-01-01 Amount: P22,500.00 Withholding Tax: GSIS: P1,125.00 Philhealth: P225.00 Pag-ibig: P225.00 Net Amount: P20,925.00 Certified Funds Available: Jane Doe School Bookkeeper Approved: Bernie Lub
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0% found this document useful (0 votes)
215 views283 pages

02 - DV

Teaching Position: Teacher I Salary Grade: 11 Step Increment: 1 Monthly Salary: P22,500.00 Particulars: Payment of salary for the month of September 2019 Fund Cluster: 101101 MFO/PAP: 09-00-1000-102-01-01-01 Amount: P22,500.00 Withholding Tax: GSIS: P1,125.00 Philhealth: P225.00 Pag-ibig: P225.00 Net Amount: P20,925.00 Certified Funds Available: Jane Doe School Bookkeeper Approved: Bernie Lub
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 283

Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee REUH DEEN B. MASCARIÑAS TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center
Payment for the Labor cost of Mr. Reu Deen B. Mascariñas for
Repair & Improvement of Administration Bilding Roof, Stock
Room & Gr.9-10 Building roof paper for the month of July, 2021,
2021 as per supporting papers hereto attached. In the amount
of………… 09-00-1000 5021601000 7,344.00
Less: Witholding Tax: Php 7,344.00
Php 7,344.00
7,344.00

Amount Due 7,344.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repair & Maintenance-School Buildings 5021304002 7,344.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 7,344.00


7,344.00 7,344.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,344.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ERNIDA A. LUCAGBO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for hauling of office furnitures as per supporting


papers hereto attached. In the amount of…………
09-00-1000 310400100003000 700.00
Witholding Tax: Php
Php 700.00
700.00

Amount Due 700.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 5029904000 700.00 700.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

700.00 700.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 700.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
DATA SHEET
West II District
Sgt. Miguel Canoy Memorial Central Scool
SGT. MIGUEL CANOY MEMORIAL CENTRAL SCHOOL
Buru-un, Iligan City

DV #: 2019-09-0120
Date: Friday, September 13, 2019
Payee: NORYLIE P. POTOT
TIN:
Address: Iligan City
Amount in Words : 1,486.00
ONE THOUSAND FOUR HUNDRED EIGHTY-SIX PESOS ONLY 2306 / 2307
FOR THE PERIOD FROM
0 8 0 1
TO
0 8 3 1
DV SIGNATORIES

MERCEDES S. TEDOR
Principal III
TIN 171-969-378-000

NORYLIE P. POTOT
Disbursing Officer II

2306 / 2307
HE PERIOD FROM
1 9

1 9
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0001

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee FELAND MAE B. ZALSOS TIN/Employee No.: ORS/BURS No.:


4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement of Ms. Feland Mae B. Zalsos


for the purchased of other supplies and materials as per
supporting papers hereto attached. In the amount of………… 310400100003000 1,190.00
Less: Witholding Tax: Php x1%= -
Php - x5%= -

Amount Due 1,190.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES AND MATERIALS INVENTORY 1040499000 1,190.00 1,190.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,190.00 1,190.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,190.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0001
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0002

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee FELAND MAE B. ZALSOS TIN/Employee No.: ORS/BURS No.:


4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement of Ms. Feland Mae B. Zalsos


for paying the notarial fee as per supporting papers hereto
attached. In the amount of………… 310400100003000 400.00
Less: Witholding Tax: Php x1%= -
Php - x5%= -

Amount Due 400.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LEGAL SERVICES 5021101000 400.00 400.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
400.00 400.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 400.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0002
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0003

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

ILIGAN CITY WATERWORKS SYSTEM / CITY TIN/Employee No.: ORS/BURS No.:


Payee
TREASURER'S OFFICE 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the water expenses as per supporting papers


hereto attached. In the amount of…………
310400100003000 3,111.69
Less: Witholding Tax: Php x1%= -
Php - x5%= -

Amount Due 3,111.69


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
WATER EXPENSES 5020401000 3,111.69 3,111.69
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
3,111.69 3,111.69
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,111.69
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0003
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0004

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee ILIGAN LIGHT AND POWER, INC. TIN/Employee No.: ORS/BURS No.:
000-555-133-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the eletricity expenses as per supporting papers


hereto attached. In the amount of…………
310400100003000 22,287.62
Less: Witholding Tax: Php 22,287.62 x 2% = 397.99 -1,392.97
Php 22,287.62 x5%= 994.98

Amount Due 20,894.65


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
ELECTRICITY EXPENSES 5020402000 22,287.62
Due to BIR 2020101000 1,392.97
Cash in Bank, Local Currency, Current Account 1010202000 20,894.65
22,287.62 22,287.62
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 20,894.65
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0004
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0005

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee PLDT INC TIN/Employee No.: ORS/BURS No.:


000-488-793-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the TELEPHONE expenses as per supporting


papers hereto attached. In the amount of…………
310400100003000 582.12
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 582.12


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
TELEPHONE EXPENSES 5020502000 582.12 582.12
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
582.12 582.12
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 582.12
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0005
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0006

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee PLDT INC TIN/Employee No.: ORS/BURS No.:


000-488-793-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the INTERNET expenses as per supporting


papers hereto attached. In the amount of…………
310400100003000 3,582.11
Less: Witholding Tax: Php 3,582.11 x 2% = 63.97 -223.89
Php 3,582.11 x5%= 159.92

Amount Due 3,358.22


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
INTERNET EXPENSES 5020503000 3,582.11
Due to BIR 2020101000 223.89
Cash in Bank, Local Currency, Current Account 1010202000 3,358.22
3,582.11 3,582.11
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,358.22
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0006
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0007

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee CHERRY ANN B. VISTAL TIN/Employee No.: ORS/BURS No.:


406-579-460-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for services rendered by Ms. Cherry Ann B. Vistal


for the month of August 2020 as per supporting papers
hereto attached. In the amount of………… 310400100003000 5,760.00
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 5,760.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LABOR AND WAGES 5021601000 5,760.00 5,760.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
5,760.00 5,760.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,760.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0007
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0008

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee CENON G. BERNIDO JR. / FELAND MAE B. ZALSOS TIN/Employee No.: ORS/BURS No.:
4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement of payment for the services rendered by Mr.


Cenon Bernido Jr. for the month of August 2020 as per
supporting papers hereto attached. In the amount of………… 310400100003000 5,760.00
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 5,760.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LABOR AND WAGES 5021601000 5,760.00 5,760.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
5,760.00 5,760.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,760.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0008
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0009

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee EXEQUIL HONCULADA / FELAND MAE B. ZALSOS TIN/Employee No.: ORS/BURS No.:
4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement of payment for the services rendered by Mr.


Exequil Honculada for the month of August 2020 as per
supporting papers hereto attached. In the amount of………… 310400100003000 5,760.00
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 5,760.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LABOR AND WAGES 5021601000 5,760.00 5,760.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
5,760.00 5,760.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,760.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0009
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0010

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee ACMAD UTI / FELAND MAE B. ZALSOS TIN/Employee No.: ORS/BURS No.:
4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement of payment for the services rendered by Mr.


Acmad Uti for the month of August 2020 as per supporting
papers hereto attached. In the amount of………… 310400100003000 5,760.00
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 5,760.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LABOR AND WAGES 5021601000 5,760.00 5,760.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
5,760.00 5,760.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,760.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0010
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0011

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

XD WONDERTECH COMPUTER SALES AND TIN/Employee No.: ORS/BURS No.:


Payee
SERVICES 922-886-800-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the charged/delivered items procured from XD


Wondertech Computer Sales and Services as per supporting
papers hereto attached. In the amount of………… 310400100003000 39,000.00
Less: Witholding Tax: Php 39,000.00 x 2% = 696.43 -2,437.50
Php 39,000.00 x5%= 1,741.07

Amount Due 36,562.50


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 39,000.00
Due to BIR 2020101000 2,437.50
Cash in Bank, Local Currency, Current Account 1010202000 36,562.50
39,000.00 39,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 36,562.50
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0011
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0012

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee GEONMOR PRINTING AND GEN. MDSE. TIN/Employee No.: ORS/BURS No.:
914-000-806-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the charged/delivered items procured from


Geonmor Printing and Gen. Mdse. as per supporting papers
hereto attached. In the amount of………… 310400100003000 90,000.00
Less: Witholding Tax: Php 90,000.00 x 2% = 1,607.14 -5,625.00
Php 90,000.00 x5%= 4,017.86

Amount Due 84,375.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES INVENTORY 1040401000 90,000.00
Due to BIR 2020101000 5,625.00
Cash in Bank, Local Currency, Current Account 1010202000 84,375.00
90,000.00 90,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 84,375.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0012
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/07/2020
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA * Others (Please specify)


Payment

Payee U-CONNECT LOADING CENTER TIN/Employee No.: ORS/BURS No.:


009-945-740-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Cash payment of purchased cell card, as per supporting


papers hereto attached. In the amount of…………
310400100003000 1,000.00
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 1,000.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 1,000.00 1,000.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/09/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0015

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee COPYLANDIA OFFICE SYSTEMS CORPORATION TIN/Employee No.: ORS/BURS No.:


002-332-000-022 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of purchased spare parts for the riso machine from


Copylandia the only sole distributor of consumables and
spareparts of riso and photocopier , as per supporting papers
hereto attached. In the amount of…………
310400100003000 3,883.00
Less: Witholding Tax: Php 3,883.00 x 1% = 34.67 -208.02
Php 3,883.00 x5%= 173.35

Amount Due 3,674.98


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 3,883.00
Due to BIR 2020101000 208.02
Cash in Bank, Local Currency, Current Account 1010202000 3,674.98
3,883.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,674.98
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0015
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 9, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/11/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0015

Mode of * MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee COPYLANDIA OFFICE SYSTEMS CORPORATION TIN/Employee No.: ORS/BURS No.:


002-332-000-022 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of purchased consumables for the riso machine from


Copylandia the only sole distributor of consumables and
spareparts of riso and photocopier , as per supporting papers
hereto attached. In the amount of…………
310400100003000 12,180.00
Less: Witholding Tax: Php 12,180.00 x 1% = 108.75 -652.50
Php 12,180.00 x5%= 543.75

Amount Due 11,527.50


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 12,180.00
Due to BIR 2020101000 652.50
Cash in Bank, Local Currency, Current Account 1010202000 11,527.50
12,180.00 12,180.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 11,527.50
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0015
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 11, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/11/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0017

Mode of MDS Check Commercial Check ADA Others (Please specify)


Payment

Payee DEVELOPMENT BANK OF THE PHILIPPINNES TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment to request for new checkbook charge to our


Account: Hinaplanon National High School with Account
No. 0-06084-820-6 , as per supporting papers hereto attached.
In the amount of…………
310400100003000 1,020.00
Less: Witholding Tax: Php x 1% = - -
Php - x5%= -

Amount Due 1,020.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
ACCOUNTABLE FORMS EXPENSES 5020303000 1,020.00 1,020.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,020.00 1,020.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,020.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0017
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 11, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/22/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0041

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee GEONMOR PRINTING AND GEN. MDSE. TIN/Employee No.: ORS/BURS No.:
914-000-806-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the printing of tarpaulin for the purpose of BE


Commitment Wall as per supporting papers hereto attached.
In the amount of…………
310400100003000 624.00
Less: Witholding Tax: Php x 1% = - -
Php - x5%= -

Amount Due 624.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPLLIES AND MATERIALS INVENTORY 1040499000 624.00 624.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
624.00 624.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 624.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0041
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 22, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/22/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0042

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee GEONMOR PRINTING AND GEN. MDSE. TIN/Employee No.: ORS/BURS No.:
914-000-806-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Office Supplies Inventory intended for office


consumptions as per supporting papers hereto attached. In the
amount of…………
310400100003000 12,350.00
Less: Witholding Tax: Php 12,350.00 x 1% = 110.27 -661.61
Php 12,350.00 x5%= 551.34

Amount Due 11,688.39


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES INVENTORY 1040401000 12,350.00
Due to BIR 2020101000 661.61
Cash in Bank, Local Currency, Current Account 1010202000 11,688.39
12,350.00 12,350.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 11,688.39
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0042
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 22, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/23/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0043

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee COPYLANDIA OFFICE SYSTEMS CORPORATION TIN/Employee No.: ORS/BURS No.:


002-332-000-022 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Other Supplies and Materials Inventory


intended for printing of modules as per supporting papers
hereto attached. In the amount of…………
310400100003000 20,100.00
Less: Witholding Tax: Php 20,100.00 x 1% = 179.46 -1,076.78
Php 20,100.00 x5%= 897.32

Amount Due 19,023.22


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIASL INVENTORY 1040499000 20,100.00
Due to BIR 2020101000 1,076.78
Cash in Bank, Local Currency, Current Account 1010202000 19,023.22
20,100.00 20,100.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 19,023.22
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0043
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 23, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/23/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0044

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee CHERRY ANN B. VISTAL TIN/Employee No.: ORS/BURS No.:


406-579-460-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement of transporation and hauling


as per supporting papers hereto attached. In the amount
of…………
310400100003000 2,176.00
Less: Witholding Tax: Php x 1% = - -
Php - x5%= -

Amount Due 2,176.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
TRANSPORTATION AND DELIVERY 5029904000 2,176.00 2,176.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
2,176.00 2,176.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,176.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0044
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 23, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/25/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0046

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

KIM GUAN EDUCATIONAL AND SPORTSMASTER TIN/Employee No.: ORS/BURS No.:


Payee
INC. 421-433-276-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the office supplies inventory as per supporting


papers hereto attached. In the amount of…………
310400100003000 5,587.50
Less: Witholding Tax: Php 5,587.50 x 1% = 49.89 -299.33
Php 5,587.50 x5%= 249.44

Amount Due 5,288.17


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICE SUPPLIES INVENTORY 1040401000 5,587.50
Due to BIR 2020101000 299.33
Cash in Bank, Local Currency, Current Account 1010202000 5,288.17
5,587.50 5,587.50
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,288.17
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0046
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 25, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/28/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0047

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee GOLDEN STAR GENERAL MERCHANDISE TIN/Employee No.: ORS/BURS No.:


935-429-633-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the other supplies and materials inventory for


COVID-19 purposes as per supporting papers hereto
attached. In the amount of…………
310400100003000 6,503.10
Less: Witholding Tax: Php 6,503.10 x 1% = 58.06 -348.38
Php 6,503.10 x5%= 290.32

Amount Due 6,154.72


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 6,503.10
Due to BIR 2020101000 348.38
Cash in Bank, Local Currency, Current Account 1010202000 6,154.72
6,503.10 6,503.10
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,154.72
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0047
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 28, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/28/2020
DISBURSEMENT VOUCHER DV No. :
2020-09-0048

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee ILIGAN LIGHT AND POWER, INC. TIN/Employee No.: ORS/BURS No.:
000-555-133-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Electricity Bill for the period August 28 to


September 27, 2020 as per supporting papers hereto attached.
In the amount of…………
310400100003000 18,761.40
Less: Witholding Tax: Php 18,761.40 x 2% = 335.03 -1,172.59
Php 18,761.40 x5%= 837.56

Amount Due 17,588.81


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
ELECTRICITY EXPENSES 5020402000 18,761.40
Due to BIR 2020101000 1,172.59
Cash in Bank, Local Currency, Current Account 1010202000 17,588.81
18,761.40 18,761.40
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 17,588.81
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-09-0048
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 28, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/12020
DISBURSEMENT VOUCHER DV No. :
2020-10-0049

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

FELAND MAE B. ZALSOS / WATSONS / ADL TIN/Employee No.: ORS/BURS No.:


Payee
RIVSON COMMERCIAL 4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of reimbursement for Ms. Feland Mae B. Zalsos to


repay her purchases of COVID-19 essentials as per
supporting papers hereto attached. In the amount of…………
310400100003000 985.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 985.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 985.00 985.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
985.00 985.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 985.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0049
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 1, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/6/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0050

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee ROBINSONS APPLIANCES CORPORATION TIN/Employee No.: ORS/BURS No.:


207-540-656-098 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of mobile phones for school's used as per


supporting papers hereto attached. In the amount of…………
310400100003000 11,980.00
Less: Witholding Tax: Php 11,980.00 x 2% = 106.96 -641.78
Php 11,980.00 x5%= 534.82

Amount Due 11,338.22


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 11,980.00
Due to BIR 2020101000 641.78
Cash in Bank, Local Currency, Current Account 1010202000 11,338.22
11,980.00 11,980.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 11,338.22
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0050
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 6, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/6/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0051

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee KAJ TINSMITH AND MARKETING TIN/Employee No.: ORS/BURS No.:


406-146-277-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of kitchen tools for TLE laboratory as per


supporting papers hereto attached. In the amount of…………
310400100003000 45,510.00
Less: Witholding Tax: Php 45,510.00 x 1% = 406.34 -2,438.04
Php 45,510.00 x5%= 2,031.70

Amount Due 43,071.96


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 45,510.00
Due to BIR 2020101000 2,438.04
Cash in Bank, Local Currency, Current Account 1010202000 43,071.96
45,510.00 45,510.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 43,071.96
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0051
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 6, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/6/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0052

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee KAJ TINSMITH AND MARKETING TIN/Employee No.: ORS/BURS No.:


406-146-277-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of kitchen equipment for TLE laboratory as per


supporting papers hereto attached. In the amount of…………
310400100003000 8,500.00
Less: Witholding Tax: Php 8,500.00 x 1% = 75.89 -455.35
Php 8,500.00 x5%= 379.46

Amount Due 8,044.65


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 8,500.00
Due to BIR 2020101000 455.35
Cash in Bank, Local Currency, Current Account 1010202000 8,044.65
8,500.00 8,500.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 8,044.65
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0052
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 6, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/6/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0053

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee MANDAUE FOAM INDUSTRIES INC. TIN/Employee No.: ORS/BURS No.:


000-069-873-016 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of curtains with hole for TLE laboratory as per


supporting papers hereto attached. In the amount of…………
310400100003000 2,723.00
Less: Witholding Tax: Php 2,723.00 x 1% = 24.31 -145.87
Php 2,723.00 x5%= 121.56

Amount Due 2,577.13


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 2,723.00
Due to BIR 2020101000 145.87
Cash in Bank, Local Currency, Current Account 1010202000 2,577.13
2,723.00 2,723.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,577.13
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0053
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 6, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/6/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0054

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee PLDT INC. TIN/Employee No.: ORS/BURS No.:


000-488-793-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of internet expenses as per supporting papers hereto


attached. In the amount of…………
310400100003000 7,444.11
Less: Witholding Tax: Php 7,444.11 x 2% = 132.93 -465.26
Php 7,444.11 x5%= 332.33

Amount Due 6,978.85


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
INTERNET EXPENSE 5020503000 7,444.11
Due to BIR 2020101000 465.26
Cash in Bank, Local Currency, Current Account 1010202000 6,978.85
7,444.11 7,444.11
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,978.85
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0054
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 6, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/6/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0055

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee PLDT INC. TIN/Employee No.: ORS/BURS No.:


000-488-793-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of telephone expenses as per supporting papers


hereto attached. In the amount of…………
310400100003000 1,164.24
Less: Witholding Tax: Php 1,164.24 x 2% = 20.79 -72.77
Php 1,164.24 x5%= 51.98

Amount Due 1,091.47


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
TELEPHONE EXPENSES 5020502000 1,164.24
Due to BIR 2020101000 72.77
Cash in Bank, Local Currency, Current Account 1010202000 1,091.47
1,164.24 1,164.24
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,091.47
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0055
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 6, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/7/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0056

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

ILIGAN CITY WATERWORKS SYSTEM / CITY TIN/Employee No.: ORS/BURS No.:


Payee
TREASURER'S OFFICE 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of water expenses as per supporting papers hereto


attached. In the amount of…………
310400100003000 1,249.44
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 1,249.44


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
WATER EXPENSES 5020401000 1,249.44 1,249.44
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,249.44 1,249.44
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,249.44
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0056
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/7/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0058

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

FELAND MAE B. ZALSOS / HEAVIN'S TIN/Employee No.: ORS/BURS No.:


Payee
COMMUNICATION SERVICES 4987886 / 182-406-541-011 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursment of payment for Ms. Feland Mae B. Zalsos to


procure cell cards as per supporting papers hereto attached. In
the amount of…………
310400100003000 1,000.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 1,000.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 1,000.00 1,000.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0058
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/7/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0048

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee CHERRY ANN B. VISTAL / FELAND MAE B. ZALSOS TIN/Employee No.: ORS/BURS No.:
4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursment of payment for Ms. Feland Mae B. Zalsos for


transportation and delivery expenses as per supporting papers
hereto attached. In the amount of…………
310400100003000 1,000.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 1,000.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
TRANSPORTATION AND DELIVERY EXPENSES 5029904000 1,000.00 1,000.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0057
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/19/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0058

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

ATTY. YUSSIF JUSTIN F. MARTIL / MELANIE R. TIN/Employee No.: ORS/BURS No.:


Payee
FIGUEROA 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement of payment for Ms. Melanie R. FIgueroa for


paying the legal services transaction rendered by Atty. Martil
as per supporting papers hereto attached. In the amount
of…………
310400100003000 1,400.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 1,400.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LEGAL SERVICES 5021101000 1,400.00 1,400.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,400.00 1,400.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,400.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0058
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 19, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/19/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0059

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

IVORY PRINTING AND PUBLISHING HOUSE / TIN/Employee No.: ORS/BURS No.:


Payee
MELANIE R. FIGUEROA 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement of payment for Ms. Melanie R. FIgueroa for


paying the Brigada Eskwela Report in hardbound as per
supporting papers hereto attached. In the amount of…………
310400100003000 4,000.00
Less: Witholding Tax: Php 4,000.00 x 2% = 71.43 -250.00
Php 4,000.00 x5%= 178.57

Amount Due 3,750.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
other supplies and materials inventory 1040499000 4,000.00
Due to BIR 2020101000 250.00
Cash in Bank, Local Currency, Current Account 1010202000 3,750.00
4,000.00 4,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,750.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0059
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 19, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 9/25/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0046

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

EXEQUIL HONCULADA AND 3 OTHERS / FELAND TIN/Employee No.: ORS/BURS No.:


Payee
MAE B. ZALSOS 4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement of payment for Ms. Feland Mae B. Zalsos to


pay the Labor and Wages of the Job Order Workers for the
Month of Septemberas per supporting papers hereto attached.
In the amount of…………
310400100003000 25,600.00
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 25,600.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LABOR AND WAGES 5021601000 25,600.00 25,600.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
25,600.00 25,600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 25,600.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0046
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
SEPTEMBER 25, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/12/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0059

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

EXEQUIL HONCULADA AND 3 OTHERS / FELAND TIN/Employee No.: ORS/BURS No.:


Payee
MAE B. ZALSOS 4987886 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement of payment for Ms. Feland Mae B. Zalsos to


pay the Labor and Wages of the Job Order Workers for the
Month of Septemberas per supporting papers hereto attached.
In the amount of…………
310400100003000 25,600.00
Less: Witholding Tax: Php x 2% = - -
Php - x5%= -

Amount Due 25,600.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
LABOR AND WAGES 5021601000 25,600.00 25,600.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
25,600.00 25,600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 25,600.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0059
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 12, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/7/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0058

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

FELAND MAE B. ZALSOS / HEAVIN'S TIN/Employee No.: ORS/BURS No.:


Payee
COMMUNICATION SERVICES 4987886 / 182-406-541-011 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursment of payment for Ms. Feland Mae B. Zalsos to


procure cell cards as per supporting papers hereto attached. In
the amount of…………
310400100003000 1,000.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 1,000.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 1,000.00 1,000.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0058
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 10/7/2020
DISBURSEMENT VOUCHER DV No. :
2020-10-0061

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee FULL GLASS EVENT CATERING SERVICES TIN/Employee No.: ORS/BURS No.:
937-711-776-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center
Payment for the catering services rendered by Full Glass
Event Catering Services during the LD Course 1 for School
Heads and the conduct of Physical Exam for both Teaching
and Non Teaching Personnel as per supporting papers hereto
attached. In the amount of………… 310400100003000 18,000.00
Less: Witholding Tax: Php 18,000.00 x 1% = 160.71 -364.28
Php 18,000.00 x5%= 203.57

Amount Due 17,635.72


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 18,000.00
Due to BIR 2020101000 364.28
Cash in Bank, Local Currency, Current Account 1010202000 17,635.72
18,000.00 18,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 17,635.72
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-10-0061
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
OCTOBER 7, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/9/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0062

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee ILIGAN LIGHT AND POWER, INC. TIN/Employee No.: ORS/BURS No.:
000-555-133-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment of Electricity Expenses for the period covered


September 27 to October 27 as per supporting papers hereto
attached. In the amount of…………
310400100003000 28,142.25
Less: Witholding Tax: Php 28,142.25 x 2% = 502.54
Php 28,142.25 x5%= 1,256.35 (1,758.89)

Amount Due 26,383.36


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
ELECTRICITY EXPENSES 5020402000 28,142.25
Due to BIR 2020101000 1,758.89
Cash in Bank, Local Currency, Current Account 1010202000 26,383.36
28,142.25 28,142.25
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 26,383.36
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0062
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 9, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/9/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0063

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

FULLHOUSE HALUHALO AND SNACKS / MIGUELA TIN/Employee No.: ORS/BURS No.:


Payee
M. TAMULA 276-759-358-002 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement of Ms. Miguela M. Tamula


for paying in cash the snacks during their LAC Maating as
per supporting papers hereto attached. In the amount
of…………
310400100003000 1,396.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 1,396.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 1,396.00 1,396.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,396.00 1,396.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,396.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0063
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 9, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/9/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0064

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

NORTH ILIGAN FOOD SERV. INC. / GERELYN H. TIN/Employee No.: ORS/BURS No.:
Payee
TUPAC 005-889-804-395 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement of Ms. Gerelyn H. Tupac for


paying in cash the snacks during the BAC Meeting as per
supporting papers hereto attached. In the amount of…………
310400100003000 1,615.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 1,615.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 1,615.00 1,615.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
1,615.00 1,615.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,615.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0064
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 9, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/9/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0065

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee GEONMOR PRINTING AND GENERA MDSE. TIN/Employee No.: ORS/BURS No.:
914-000-806-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the printing of tarpaulin as per supporting papers


hereto attached. In the amount of…………
310400100003000 624.00
Less: Witholding Tax: Php x 2% = -
Php - x5%= -

Amount Due 624.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 624.00 624.00
Due to BIR 2020101000
Cash in Bank, Local Currency, Current Account 1010202000
624.00 624.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 624.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0065
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 9, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/12/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0066

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee TECHNOMART TIN/Employee No.: ORS/BURS No.:


196-353-469-019 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the printers procured as per supporting papers


hereto attached. In the amount of…………
310400100003000 44,725.00
Less: Witholding Tax: Php 44,725.00 x 1% = 399.33 -2,395.98
Php 44,725.00 x5%= 1,996.65

Amount Due 42,329.02


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 44,725.00
Due to BIR 2020101000 2,395.98
Cash in Bank, Local Currency, Current Account 1010202000 42,329.02
44,725.00 44,725.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 42,329.02
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0066
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 12, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/12/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0067

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee IS EELCTRICAL REPAIR SERVICES TIN/Employee No.: ORS/BURS No.:


733-182-553-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the repair of floor polisher as per supporting


papers hereto attached. In the amount of…………
310400100003000 4,600.00
Less: Witholding Tax: Php 4,600.00 x 2% = 82.14 -287.50
Php 4,600.00 x5%= 205.36

Amount Due 4,312.50


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 4,600.00
Due to BIR 2020101000 287.50
Cash in Bank, Local Currency, Current Account 1010202000 4,312.50
4,600.00 4,600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 4,312.50
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0067
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 12, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/12/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0068

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee ULTRA-HI ENTERPRISES TIN/Employee No.: ORS/BURS No.:


102-727-364-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of msgnetic contactor for water


system as per supporting papers hereto attached. In the
amount of…………
310400100003000 4,560.00
Less: Witholding Tax: Php 4,560.00 x 1% = 40.71 -244.28
Php 4,560.00 x5%= 203.57

Amount Due 4,315.72


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 4,600.00
Due to BIR 2020101000 287.50
Cash in Bank, Local Currency, Current Account 1010202000 4,312.50
4,600.00 4,600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 4,315.72
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0068
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 12, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/12/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0069

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee NEMA ELECTRICAL & INDUSTRIAL SALES, INC. TIN/Employee No.: ORS/BURS No.:
000-274-290-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of welding and electrical


supplies per supporting papers hereto attached. In the amount
of…………
310400100003000 19,763.75
Less: Witholding Tax: Php 19,763.75 x 1% = 176.46 -1,058.77
Php 19,763.75 x5%= 882.31

Amount Due 18,704.98


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 19,763.75
Due to BIR 2020101000 1,058.77
Cash in Bank, Local Currency, Current Account 1010202000 18,704.98
19,763.75 19,763.75
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 18,704.98
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0069
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 12, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/12/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0070

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee KRISLAND COMMERCIAL CORPORATION TIN/Employee No.: ORS/BURS No.:


000-273-014-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of welding and electrical


supplies per supporting papers hereto attached. In the amount
of…………
310400100003000 14,725.00
Less: Witholding Tax: Php 14,725.00 x 1% = 131.47 -788.84
Php 14,725.00 x5%= 657.37

Amount Due 13,936.16


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 14,725.00
Due to BIR 2020101000 788.84
Cash in Bank, Local Currency, Current Account 1010202000 13,936.16
14,725.00 14,725.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 13,936.16
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0070
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 12, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/17/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0072

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee MANDAUE FOAM INDUSTRIES INC. TIN/Employee No.: ORS/BURS No.:


000-069-873-016 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of curtains per supporting


papers hereto attached. In the amount of…………
310400100003000 2,800.00
Less: Witholding Tax: Php 2,800.00 x 1% = 25.00 -150.00
Php 2,800.00 x5%= 125.00

Amount Due 2,650.00


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 2,800.00
Due to BIR 2020101000 150.00
Cash in Bank, Local Currency, Current Account 1010202000 2,650.00
2,800.00 2,800.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,650.00
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0072
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 17, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/17/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0073

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

XD WONDERTECH COMPUTER SALES AND TIN/Employee No.: ORS/BURS No.:


Payee
SERVICES 000-886-800-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of computer desktop per


supporting papers hereto attached. In the amount of…………
310400100003000 14,995.00
Less: Witholding Tax: Php 14,995.00 x 1% = 133.88 -803.30
Php 14,995.00 x5%= 669.42

Amount Due 14,191.70


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 14,995.00
Due to BIR 2020101000 803.30
Cash in Bank, Local Currency, Current Account 1010202000 14,191.70
14,995.00 14,995.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 14,191.70
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0073
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 17, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/17/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-007

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

XD WONDERTECH COMPUTER SALES AND TIN/Employee No.: ORS/BURS No.:


Payee
SERVICES 000-886-800-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of power supply for the CPU


and CCTV camera as per supporting papers hereto attached.
In the amount of…………
310400100003000 9,650.00
Less: Witholding Tax: Php 9,650.00 x 1% = 86.16 -516.96
Php 9,650.00 x5%= 430.80

Amount Due 9,133.04


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS INVENTORY 1040499000 9,650.00
Due to BIR 2020101000 516.96
Cash in Bank, Local Currency, Current Account 1010202000 9,133.04
9,650.00 9,650.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 9,133.04
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0074
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 17, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/17/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0075

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

KIM GUAN EDUCATIONAL AND SPORTSMASTER TIN/Employee No.: ORS/BURS No.:


Payee
INC 421-433-276-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of office supplies as per


supporting papers hereto attached. In the amount of…………
310400100003000 15,529.50
Less: Witholding Tax: Php 15,529.50 x 1% = 138.66 -831.94
Php 15,529.50 x5%= 693.28

Amount Due 14,697.56


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICESUPPLIES EXPENSES 5020301000 15,529.50
Due to BIR 2020101000 831.94
Cash in Bank, Local Currency, Current Account 1010202000 14,697.56
15,529.50 15,529.50
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 14,697.56
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0075
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 17, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/17/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0076

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee CROWN PAPER AND STATIONER TIN/Employee No.: ORS/BURS No.:


184-723-355-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of office supplies as per


supporting papers hereto attached. In the amount of…………
310400100003000 8,391.00
Less: Witholding Tax: Php 8,391.00 x 1% = 74.92 -449.52
Php 8,391.00 x5%= 374.60

Amount Due 7,941.48


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OFFICESUPPLIES EXPENSES 5020301000 8,391.00
Due to BIR 2020101000 449.52
Cash in Bank, Local Currency, Current Account 1010202000 7,941.48
8,391.00 8,391.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,941.48
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0076
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 17, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/17/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0077

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee DECOARTS MARKETING INC. TIN/Employee No.: ORS/BURS No.:


000-075-283-038 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of working tables as per


supporting papers hereto attached. In the amount of…………
310400100003000 47,583.00
Less: Witholding Tax: Php 47,583.00 x 1% = 424.85 -2,549.09
Php 47,583.00 x5%= 2,124.24

Amount Due 45,033.91


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS EXPENSES 5020399000 47,583.00
Due to BIR 2020101000 2,549.09
Cash in Bank, Local Currency, Current Account 1010202000 45,033.91
47,583.00 47,583.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 45,033.91
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0077
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 17, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/20/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0078

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

KIM GUAN EDUCATIONAL AND SPORTSMASTER TIN/Employee No.: ORS/BURS No.:


Payee
INC. 421-433-276-000 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of calculators as per supporting


papers hereto attached. In the amount of…………
310400100003000 11,500.00
Less: Witholding Tax: Php 11,500.00 x 1% = 102.68 -616.07
Php 11,500.00 x5%= 513.39

Amount Due 10,883.93


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS EXPENSES 5020399000 11,500.00
Due to BIR 2020101000 616.07
Cash in Bank, Local Currency, Current Account 1010202000 10,883.93
11,500.00 11,500.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 10,883.93
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0078
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 20, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/24/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0079

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee TECHNOMART TIN/Employee No.: ORS/BURS No.:


196-353-469-019 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of usb 32gb as per supporting


papers hereto attached. In the amount of…………
310400100003000 19,000.00
Less: Witholding Tax: Php 19,000.00 x 1% = 169.64 -1,017.85
Php 19,000.00 x5%= 848.21

Amount Due 17,982.15


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS EXPENSES 5020399000 19,000.00
Due to BIR 2020101000 1,017.85
Cash in Bank, Local Currency, Current Account 1010202000 17,982.15
19,000.00 19,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 17,982.15
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0079
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 24, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/24/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0080

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee MANDAUE FOAM INDUSTRIES INC. TIN/Employee No.: ORS/BURS No.:


000-069-873-016 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of curtains as per supporting


papers hereto attached. In the amount of…………
310400100003000 8,381.20
Less: Witholding Tax: Php 8,381.20 x 1% = 74.83 -448.99
Php 8,381.20 x5%= 374.16

Amount Due 7,932.21


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS EXPENSES 5020399000 8,381.20
Due to BIR 2020101000 448.99
Cash in Bank, Local Currency, Current Account 1010202000 7,932.21
8,381.20 8,381.20
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,932.21
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0080
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 24, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/24/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0081

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee MANDAUE FOAM INDUSTRIES INC. TIN/Employee No.: ORS/BURS No.:


000-069-873-016 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of curtains as per supporting


papers hereto attached. In the amount of…………
310400100003000 4,498.20
Less: Witholding Tax: Php 4,498.20 x 1% = 40.16 -240.97
Php 4,498.20 x5%= 200.81

Amount Due 4,257.23


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS EXPENSES 5020399000 4,498.20
Due to BIR 2020101000 240.97
Cash in Bank, Local Currency, Current Account 1010202000 4,257.23
4,498.20 4,498.20
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 4,257.23
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0081
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 24, 2020
Appendix 32

HINAPLANON NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/24/2020
DISBURSEMENT VOUCHER DV No. :
2020-11-0082

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee MANDAUE FOAM INDUSTRIES INC. TIN/Employee No.: ORS/BURS No.:


000-069-873-016 02-101101-2019-08-________

Address Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the procurement of curtains as per supporting


papers hereto attached. In the amount of…………
310400100003000 6,426.00
Less: Witholding Tax: Php 6,426.00 x 1% = 57.38 -344.26
Php 6,426.00 x5%= 286.88

Amount Due 6,081.74


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

BERNIE F. LUBGUBAN
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
OTHER SUPPLIES AND MATERIALS EXPENSES 5020399000 6,426.00
Due to BIR 2020101000 344.26
Cash in Bank, Local Currency, Current Account 1010202000 6,081.74
6,426.00 6,426.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,081.74
✔ Suppo
proper

Signature Signature

Printed
Printed Name
Name FELAND MAE B. ZALSOS BERNIE F. LUBGUBAN
Disbursing Officer II School Head
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2020-11-0082
ADA No. : CK # DBP / 0-06084-820-6
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
NOVEMBER 24, 2020
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 02/08/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0021
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

MONSECA SECURITY AGENCY/KIMAL MAKIL TIN/Employee No.: ORS/BURS No.:


Payee
MONTILA 02-101101-2019-08-________

Address Obach St., Poblacion, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for security guard services MONSECA SECURITY


AGENCY for the month of January 2021 as per supporting
papers hereto attached. In the amount of…………
09-00-1000 310400100003000 8,500.00
Less: Witholding Tax: Php 8,500.00 /1.12 x 5% = 379.46 -
Php 8,500.00/1.12 x2%= 151.79
531.25

Amount Due 7,968.75


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Security Services 5021203000 8,500.00 531.25
Due to BIR 2020101000 7,968.75
Cash in Bank, Local Currency, Current Account 1010202000

8,500.00 8,500.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,968.75
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0022
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ALBERT Y. BANAWA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the utility services for the month of January 2021
as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000 7,000.00
Less: Witholding Tax: Php 7,000.00 -
Php 7,000.00
7,000.00

Amount Due 7,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Janitorial Services 5021202000 7,000.00 7,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

7,000.00 7,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0023
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee WILLIAM AMBITO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the security services for the month of January 2021
as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000 2,000.00
Less: Witholding Tax: Php 2,000.00 -
Php 2,000.00
2,000.00

Amount Due 2,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Security Services 5021202000 2,000.00 2,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

2,000.00 2,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0024
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee RECHIE DEEN B. MASCARINAS TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor cost for the Tile Setting of SBM room as
per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100004000 12,000.00
Less: Witholding Tax: Php 12,000.00 -
Php 12,000.00
12,000.00

Amount Due 12,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenmance-School Buildings 5021304002 12,000.00 12,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

12,000.00 12,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 12,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0025
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee RECHIE DEEN B. MASCARINAS TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor cost for Repairs & Maintenance-of


school pathway in JHS as per supporting papers hereto attached.
In the amount of…………
09-00-1000 310400100003000 38,500.00
Less: Witholding Tax: Php 38,500.00 -
Php 38,500.00
38,500.00

Amount Due 38,500.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenmance-School Buildings 5021304002 38,500.00 38,500.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

38,500.00 38,500.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 38,500.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 1/29/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0026
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DAVAO CITI HARDWARE INC., TIN/Employee No.: ORS/BURS No.:


005-172-745-001 02-101101-2019-08-________

Address Cañete Bldg National Highway Tibanga, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for tile setting of SBM room as per supporting papers


hereto attached. In the amount of…………
09-00-1000 310400100004000 3,312.00
Less: Witholding Tax: Php 3,312 x .5% 147.86 177.43
Php 3,312.00 x .1% 29.57
177.43

Amount Due 3,134.57


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 3,312.00 3,134.57
Due to BIR 2020101000 177.43
Cash in Bank, Local Currency, Current Account 1010202000

3,312.00 3,312.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,134.57
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0027
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

DENNIS BARAZON FOOD SELECTION/ERNIDA A. TIN/Employee No.: ORS/BURS No.:


Payee
LUCAGBO 445-641-099-000 02-101101-2019-08-________

Address TIBANGA, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement incurred by ERNIDA A.


LUCAGBO for paying in cash the food for the In-Service
Training as per supporting papers hereto attached. In the
amount of………… 09-00-1000 310400100003000 13,750.00
Less: Witholding Tax: Php 13,750 x .3% 412.50 550.00
Php 13,750 x .1% 137.50
550.00

Amount Due 13,200.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 13,750.00 13,200.00
Due to BIR 2020101000 550.00
Cash in Bank, Local Currency, Current Account 1010202000

13,750.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 13,200.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-0028
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee PLDT MARATEL, INC. TIN/Employee No.: ORS/BURS No.:


000-557-510-000 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the internet and telephone services for the month of
January 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 3,582.12
Less: Witholding Tax: Php 3,582.12 /1.12 x .5% 159.92 223.89
Php 3,582.12/1.12 x .2% 63.97
223.89

Amount Due 3, 358.23


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 3, 582.12 3, 358.23
Due to BIR 2020101000 223.89
Cash in Bank, Local Currency, Current Account 1010202000

3, 582.12 3, 582.12
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3, 358.23
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ERNIDA A. LUCAGBO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement incurred by Ms. Ernida A.


Lucagbo for paying in cash the Checkbook request (JHS) as per
supporting papers hereto attached. In the amount of…………
09-00-1000 310400100003000 510.00
Less: Witholding Tax: Php 510.00
Php 510.00

Amount Due 510.00 510.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 510.00 510.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

510.00 510.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 510.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 2/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-02-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ERNIDA A. LUCAGBO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement incurred by Ms. Ernida A.


Lucagbo for paying in cash the Checkbook request (SHS) as per
supporting papers hereto attached. In the amount of…………
09-00-1000 310400100004000 510.00
Less: Witholding Tax: Php 510.00
Php 510.00

Amount Due 510.00 510.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 510.00 510.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

510.00 510.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 510.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :
2021-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee JANE H. ANTIPOLO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the purchase of communication/mobile card as per


supporting papers hereto attached. In the amount of…………
09-00-1000 310400100004000 1,000.00
Less: Witholding Tax: Php 1,000.00
Php 1,000.00

Amount Due 1000.00 1,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 1,000.00 1,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-0037
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ILIGAN SMA TRADERS INC. TIN/Employee No.: ORS/BURS No.:


010-148-283-000 02-101101-2019-08-________

Address SABAYLE ST., ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses as per


supporting papers hereto attached. In the amount of…………
09-00-1000 310400100003000 6,318.00
Less: Witholding Tax: Php 6,318.00 x .3% 189.54 252.72
Php 6,318.00 x .1% 63.18
252.72

Amount Due 6,065.28


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 6,318.00
Due to BIR 2020101000 252.72
Cash in Bank, Local Currency, Current Account 1010202000 6,065.28
6,318.00 6,318.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,065.28
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DESMARK CORPORATION TIN/Employee No.: ORS/BURS No.:


004-995-117 02-101101-2019-08-________

Address ZAMORA ST., POBLACION ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of March 2021 as per supporting papers hereto attached.
In the amount of…………
09-00-1000 310400100003000 26,825.00
Less: Witholding Tax: Php 26,825.00 /1.12 x .5% 1,197.54 1,437.05
Php 26,825.00/1.12 x .1% 239.51
1,437.05

Amount Due 25,387.95


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 26,825.00
Due to BIR 2020101000 1,437.05
Cash in Bank, Local Currency, Current Account 1010202000 25,387.95
26,825.00 26,825.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 25,387.95
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee NEOPACE INC. TIN/Employee No.: ORS/BURS No.:


006-241-956-000 02-101101-2019-08-________

Address ROXAS AVE. VILLAVERDE, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the TLE
room for the month of March 2021 as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100003000 14,274.00
Less: Witholding Tax: Php 14,274.00 /1.12 x .5% 637.23 764.68
Php 14,274.00/1.12 x .1% 127.45
764.68

Amount Due 13,509.32


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 14,274.00
Due to BIR 2020101000 764.68
Cash in Bank, Local Currency, Current Account 1010202000 13,509.32
14,274.00 14,274.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 13,509.32
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ALBERT Y. BANAWA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for Janitorial Services expenses for the month of


March 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 7,000.00
Less: Witholding Tax: Php 7,000.00 .

Amount Due 7,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Janitorial Services 5021203000 7,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 7,000.00


7,000.00 7,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
7,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

DENNIS BARAZON FOOD SELECTION/CARMELO B. TIN/Employee No.: ORS/BURS No.:


Payee
RABOR JR. 445-641-099-000 02-101101-2019-08-________

Address TIBANGA, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement incurred by Mr. Carmelo B.


Rabor Jr. for paying in cash the food for the West II District
School Heads Meeting as per supporting papers hereto attached.
In the amount of………… 09-00-1000 310400100003000 5,580.00
Less: Witholding Tax: Php 5,580.00 x .3% 167.40 223.20
Php 5,580.00 x .1% 55.80
223.20

Amount Due 5,356.80


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 5,580.00
Due to BIR 2020101000 252.00
Cash in Bank, Local Currency, Current Account 1010202000 5,356.80
5,580.00 5,580.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,356.80
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee PLDT INC. TIN/Employee No.: ORS/BURS No.:


000-557-510-000 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the internet and telephone services for the month of
February 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 3,582.12
Less: Witholding Tax: Php 3,582.12 /1.12 x .5% 159.92 223.89
Php 3,582.12/1.12 x .2% 63.97
223.89

Amount Due 3, 358.23


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 3, 582.12 3, 358.23
Due to BIR 2020101000 223.89
Cash in Bank, Local Currency, Current Account 1010202000

3, 582.12 3, 582.12
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3, 358.23
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :
2021-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee JANE H. ANTIPOLO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the purchase of communication/mobile card for the


month of March 2021 as per supporting papers hereto attached.
In the amount of…………
09-00-1000 310400100004000 1,000.00
Less: Witholding Tax: Php 1,000.00
Php 1,000.00

Amount Due 1000.00 1,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 1,000.00 1,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-0016
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the hauling transportation expenses incurred by


Mr. Dexter Jun for the month of February 22, 2021 as per
supporting papers hereto attached. In the amount of…………
09-00-1000 310400100003000 634.00
Less: Witholding Tax: Php 634.00 -
Php 634.00
634.00

Amount Due 634.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation & Delivery Expenses 5029904000 634.00 634.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

634.00 634.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 634.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the reimbursement of transportation expenses


incurred by Mr. Dexter Jun P. Castillon for the month of
February 2021 as per supporting papers hereto attached. In the
amount of………… 09-00-1000 310400100003000 600.00
Less: Witholding Tax: Php 600.00 -
Php 600.00
600.00

Amount Due 600.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation & Delivery Expenses 5029904000 600.00 600.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

600.00 600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 600.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 3/8/2021
DISBURSEMENT VOUCHER DV No. :
2021-03-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the transportation expenses incurred by Mr. Dexter


Jun for the month of January and February 2021 as per
supporting papers hereto attached. In the amount of…………
09-00-1000 310400100004000 134.66
Less: Witholding Tax: Php 134.66 -
Php 134.66
134.66

Amount Due 134.66


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation & Delivery Expenses 5029904000 134.66 134.66
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

134.66 134.66
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 134.66
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 4/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-04-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee PLDT INC. TIN/Employee No.: ORS/BURS No.:


000-557-510-000 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the internet and telephone services for the month of
MARCH 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 3,582.12
Less: Witholding Tax: Php 3,582.12 /1.12 x .5% 159.92 223.89
Php 3,582.12/1.12 x .2% 63.97
223.89

Amount Due 3, 358.23


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 3, 582.12 3, 358.23
Due to BIR 2020101000 223.89
Cash in Bank, Local Currency, Current Account 1010202000

3, 582.12 3, 582.12
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3, 358.23
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 4/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-04-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee WILLIAM A. AMBITO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the security services for the month of MARCH


2021 as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000 2,000.00
Less: Witholding Tax: Php 2,000.00 -
Php 2,000.00
2,000.00

Amount Due 2,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Security Services 5021202000 2,000.00 2,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

2,000.00 2,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 4/5/2021
DISBURSEMENT VOUCHER DV No. :
2021-04-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ALBERT Y. BANAWA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for Janitorial Services expenses for the month of


March 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100004000 7,000.00
Less: Witholding Tax: Php 7,000.00 .

Amount Due 7,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Janitorial Services 5021203000 7,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 7,000.00


7,000.00 7,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
7,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

PHOTO WORLD DEVELOPING CENTER/BERNIE F. TIN/Employee No.: ORS/BURS No.:


Payee
LUBGUBAN 166-615-017-000 02-101101-2019-08-________

Address QUEZON AVENUE, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the frames used for school heads portrait as


per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000 2,000.00
Less: Witholding Tax: Php 2,000.00 /1.12 x .5% 89.29 107.15
Php 2,000.00/1.12 x .1% 17.86
107.15

Amount Due 1,892.85


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 1,892.85 2,000.00
Due to BIR 2020101000 107.15
Cash in Bank, Local Currency, Current Account 1010202000

1,892.85 1,892.85
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,892.85
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 5/17/2021
DISBURSEMENT VOUCHER DV No. :
2021-05-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ILIGAN RADIO/DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address SABAYLE STREET, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the payment incurred by Mr. Dexter Jun P.


Castillon for the radio repair/sound system of the school as per
supporting papers hereto attached. In the amount of…………
09-00-1000
310400100003000 470.00
Less: Witholding Tax: Php 470.00
Php 470.00

Amount Due 470.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 470.00 470.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

470.00 470.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 470.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 5/17/2021
DISBURSEMENT VOUCHER DV No. :
2021-05-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee XD Wondertech Computer Sales and Services TIN/Employee No.: ORS/BURS No.:
922-886-800-000 02-101101-2019-08-________

Address M. Badelles St., Pobalcion, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the payment incurred by Mr. Dexter Jun P.


Castillon for the office printer pair of the school as per supporting
papers hereto attached. In the amount of…………
09-00-1000
310400100003000 250.00
Less: Witholding Tax: Php 250.00
Php 250.00

Amount Due 250.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 250.00 250.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

250.00 250.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 250.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee WILLIAM A. AMBITO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the janirotial services for the month of APRIL and
MAY 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 7,800.00
Less: Witholding Tax: Php 7,800.00 -
Php 7,800.00
7,800.00

Amount Due 7,800.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 7,800.00 7,800.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

7,800.00 7,800.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,800.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ALBERT Y. BANAWA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for Janitorial Services expenses for the month of April


and May 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100004000 13,650.00
Less: Witholding Tax: Php 13,650.00 13,650.00 .

13,650.00

Amount Due 13,650.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 13,650.00 13,650.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

13,650.00 13,650.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
13,650.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the transportation expenses incurred by Mr. Dexter


Jun Castillon for hauling purposes as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100004000 2,200.00
Less: Witholding Tax: Php 2,200.00 -
Php 2,200.00
2,200.00

Amount Due 2,200.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation & Delivery Expenses 5029904000 2,200.00 2,200.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

2,200.00 2,200.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,200.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment/Reimbursement for repair of office equipment


incurred by Mr. Dexter Jun Castillon as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100004000 1,500.00
Less: Witholding Tax: Php 1,500.00 -
Php 1,500.00
1,500.00

Amount Due 1,500.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 1,500.00 1,500.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,500.00 1,500.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,500.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment/Reimbursement for repair of office equipment


(Printer) incurred by Mr. Dexter Jun Castillon as per
supporting papers hereto attached. In the amount of…………
09-00-1000 310400100004000 250.00
Less: Witholding Tax: Php 250.00 -
Php 250.00
250.00

Amount Due 250.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 250.00 250.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

250.00 250.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 250.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment/Reimbursement for repair of office equipment (Sound


System) incurred by Mr. Dexter Jun Castillon as per supporting
papers hereto attached. In the amount of…………
09-00-1000 310400100004000 470.00
Less: Witholding Tax: Php 470.00 -
Php 470.00
470.00

Amount Due 470.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 470.00 470.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

470.00 470.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 470.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee BERNIE F. LUBGUBAN TIN/Employee No.: ORS/BURS No.:


166-615-017-000 02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the payment/contribution during the West II


District Kamustahan dated March 16, 2021 as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100003000 1,000.00
Less: Witholding Tax: Php
Php ₱1,000.00

Amount Due 1,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020101000 1,000.00 1,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee BERNIE F. LUBGUBAN TIN/Employee No.: ORS/BURS No.:


166-615-017-000 02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the labor services for school repairs and


maintenance as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000 1,000.00
Less: Witholding Tax: Php
Php ₱1,000.00

Amount Due 1,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-School Building and Other Structures 5021304000 1,000.00 1,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee BERNIE F. LUBGUBAN TIN/Employee No.: ORS/BURS No.:


166-615-017-000 02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the labor services for aircon repair as per


supporting papers hereto attached. In the amount of…………
09-00-1000 310400100003000 300.00
Less: Witholding Tax: Php
Php ₱300.00

Amount Due 300.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 300.00 300.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

300.00 300.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 300.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

ILIGAN CITY WATERWORKS SYSTEM/ CITY TIN/Employee No.: ORS/BURS No.:


Payee
TREASURER'S OFFICE 02-101101-2019-08-________

Address Lluch Park St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the water services expenses for the month of April and
May as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000 1,307.07
Less: Witholding Tax: Php 1,307.07

Amount Due 1,307.07


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Water Expenses 5020401000 1,307.07 1,307.07
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,307.07 1,307.07
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
1,307.07
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee PLDT INC. TIN/Employee No.: ORS/BURS No.:


000-557-510-000 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the internet and telephone services for the month of
APRIL and MAY 2021 as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100003000 7,164.24
Witholding Tax: Php 7,164.24 /1.12 x .5% 319.83 447.76
Php 7,164.24/1.12 x .2% 127.93
447.76

Amount Due 6,716.48


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 6,716.48 7,164.24
Due to BIR 2020101000 447.76
Cash in Bank, Local Currency, Current Account 1010202000

6,716.48 6,716.48
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,716.48
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ERNIDA A. LUCAGBO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for hauling of office furnitures as per supporting


papers hereto attached. In the amount of…………
09-00-1000 310400100003000 700.00
Witholding Tax: Php
Php 700.00
700.00

Amount Due 700.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 5029904000 700.00 700.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

700.00 700.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 700.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee MICHAELINE CLARO-CHAN TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for hauling ofTLE room appliances bought at


DESMARK as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 386.00
Witholding Tax: Php
Php 386.00
386.00

Amount Due 386.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 5029904000 386.00 386.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

386.00 386.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 386.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee MICHAELINE CLARO-CHAN TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for hauling ofTLE room appliances bought at


DESMARK as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 600.00
Witholding Tax: Php
Php 600.00
600.00

Amount Due 600.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 5029904000 600.00 600.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

600.00 600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 600.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee MICHAELINE CLARO-CHAN TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for hauling of school supplies as per supporting


papers hereto attached. In the amount of…………
09-00-1000 310400100003000 300.00
Witholding Tax: Php
Php 300.00
300.00

Amount Due 300.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 5029904000 300.00 300.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

300.00 300.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 300.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee NEOPACE INC., TIN/Employee No.: ORS/BURS No.:


006-241-956-000 02-101101-2019-08-________

Address ROXAS AVE. VILLAVERDE, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the TLE
room for the month of June 2021 as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 11,750.00 /1.12 x .5% 524.55 11,750.00
Php 11,750.00 /1.12 x .1% 104.91 629.46
629.46

Amount Due 11,120.54


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 11,120.54 11,750.00
Due to BIR 2020101000 629.46
Cash in Bank, Local Currency, Current Account 1010202000

11,120.54 11,120.54
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 11,120.54
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee GOLDEN STAR GENERAL MERCHANDISE TIN/Employee No.: ORS/BURS No.:


935-429-633-000 02-101101-2019-08-________

Address QUEZON AVENUE, POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 6,532.86 /1.12 x .5% 291.65 6,532.86
Php 6,532.86 /1.12 x .1% 58.33 349.98
349.98

Amount Due 6,182.88


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 6,182.88
Due to BIR 2020101000 349.98
Cash in Bank, Local Currency, Current Account 1010202000 6,532.86
6,182.88 6,182.88
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,182.88
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DESMARK CORPORATION TIN/Employee No.: ORS/BURS No.:


004-995-117-000 02-101101-2019-08-________

Address DU POINT BLDG. ROXAS AVE., ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 4,998.00 /1.12 x .5% 223.13 4,998.00
Php 4,998.00 /1.12 x .1% 44.63 267.76
267.76

Amount Due 4,730.24


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 4,730.24
Due to BIR 2020101000 267.76
Cash in Bank, Local Currency, Current Account 1010202000 4,998.00
4,730.24 4,730.24
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 4,730.24
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee KRISLAND COMMERCIAL CORPORATION TIN/Employee No.: ORS/BURS No.:


000-273-014-001 02-101101-2019-08-________

Address

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 13,780.00 /1.12 x .5% 615.18 13,780.00
Php 13,780.00 /1.12 x .1% 123.04 738.22
738.22

Amount Due 13,041.78


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 13,041.78
Due to BIR 2020101000 738.22
Cash in Bank, Local Currency, Current Account 1010202000 13,780.00
13,041.78 13,041.78
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 13,041.78
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee FIRE-SAFE MARKETING TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address 1/F CABUS BLDG., COR. LABAO-ZAMORA ST., POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 36,000.00 /1.12 x .5% 1,607.14 36,000.00
Php 36,000.00 /1.12 x .1% 321.43 1,928.57
1,928.57

Amount Due 34,071.43


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 34,071.43
Due to BIR 2020101000 1,928.57
Cash in Bank, Local Currency, Current Account 1010202000 36,000.00
34,071.43 34,071.43
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 34,071.43
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee XD WONDERTECH COMPUTER SALES AND SERVICES TIN/Employee No.: ORS/BURS No.:
922-886-800-000 02-101101-2019-08-________

Address MARIANO BADELLES ST., ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 8,050.00 /1.12 x .5% 359.38 8,050.00
Php 8,050.00 /1.12 x .1% 71.88 431.26
7,618.74

Amount Due 7,618.74


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 7,618.74
Due to BIR 2020101000 431.26
Cash in Bank, Local Currency, Current Account 1010202000 8,050.00
7,618.74 7,618.74
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,618.74
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee OSAKA'S SCHOOL AND OFFICE SUPPLIES TRADING TIN/Employee No.: ORS/BURS No.:
497-348-867-001 02-101101-2019-08-________

Address GEN. WOOD ST., POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 5,209.60 x .3% 156.29 5,209.60
Php 5,209.60 x .1% 52.09 208.38
238.40

Amount Due 5,001.22


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 5,001.22
Due to BIR 2020101000 208.38
Cash in Bank, Local Currency, Current Account 1010202000 5,209.60
5,001.22 5,001.22
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,001.22
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee NEMA ELECTRICAL AND INDUSTRIAL SALES, INC., TIN/Employee No.: ORS/BURS No.:
000-274-290-000 02-101101-2019-08-________

Address POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 1,650.00 /1.12 x .5% 73.66 1,650.00
Php 1,650.00 /1.12 x .1% 14.73 88.39
88.39

Amount Due 1,561.61


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 1,561.61
Due to BIR 2020101000 88.39
Cash in Bank, Local Currency, Current Account 1010202000 1,650.00
1,561.61 1,561.61
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,561.61
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 11/6/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee OSAKA'S SCHOOL AND OFFICE SUPPLIES TRADING TIN/Employee No.: ORS/BURS No.:
497-348-867-001 02-101101-2019-08-________

Address GEN. WOOD ST., POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for other supplies and materials expenses for the


month of June 2021 as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 5,960.00 x .3% 178.80 5,960.00
Php 5,960.00 x .1% 59.60 238.40
238.40

Amount Due 5,721.60


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 5,721.60
Due to BIR 2020101000 238.40
Cash in Bank, Local Currency, Current Account 1010202000 5.960.00
5,721.60 5,721.60
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 5,721.60
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee PLDT INC. TIN/Employee No.: ORS/BURS No.:


000-557-510-000 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the internet and telephone services for the month of
june 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 3,582.12
Less: Witholding Tax: Php 3,582.12 /1.12 x .5% 159.92 223.89
Php 3,582.12/1.12 x .2% 63.97
223.89

Amount Due 3, 358.23


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 3, 582.12 3, 358.23
Due to BIR 2020101000 223.89
Cash in Bank, Local Currency, Current Account 1010202000

3, 582.12 3, 582.12
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3, 358.23
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee COLOR CHART CONSTRUCTION SUPPLY TIN/Employee No.: ORS/BURS No.:


116-798-782-000 02-101101-2019-08-________

Address ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for paint as per supporting papers hereto attached. In


the amount of…………
09-00-1000 310400100003000 1,020.00
Less: Witholding Tax: Php 1,020.00 x .3% 30.60 40.80
Php 1,020.00 x .1% 10.20
40.80

Amount Due 979.20


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 979.20
Due to BIR 2020101000 40.80
Cash in Bank, Local Currency, Current Account 1010202000 1,020.00
979.20 979.20
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 979.20
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ERWIN B. AMBITO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the janirotial services for the month of JUNE 1-15,
2021 (15 days only) as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000 2,200.00
Less: Witholding Tax: Php 2,200.00
Php 2,200.00
2,200.00

Amount Due 2,200.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 2,200.00 2,200.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

2,200.00 2,200.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,200.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee GILBERT INTILISO MAANO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for Janitorial Services expenses for the month of June


1-15,2021 (for 15 days only)as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100004000 3,850.00
Less: Witholding Tax: Php 3,850.00 3,850.00 .

3,850.00

Amount Due 3,850.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 3,850.00 3,850.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

3,850.00 3,850.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
3,850.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ERNIDA A. LUCAGBO/MAGIC PRINTS TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for tarpaulin expenses for early school


registration purposes as per supporting papers hereto attached.
In the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 1,000.00 x .3% 30.00 1,000.00
Php 1,000.00 x .1% 10.00 40.00
40.00

Amount Due 960.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 960.00
Due to BIR 2020101000 40.00
Cash in Bank, Local Currency, Current Account 1010202000 1,000.00
960.00 960.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 960.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee SHIELA L.BANASAN/SUAN ENTERPRISES TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address MIMBALOT, BUR-UN,ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for materials expenses forincurred by Shiela L.


Banasan as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 3,120.00 x .3% 93.60 3,120.00
Php 3,120.00 x .1% 31.20 124.80
124.80

Amount Due 2,995.20


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 2,995.20
Due to BIR 2020101000 124.80
Cash in Bank, Local Currency, Current Account 1010202000 3,120.00
2,995.20 2,995.20
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,995.20
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

DEXTER JUN P. CASTILLON/XD WONDERTECH TIN/Employee No.: ORS/BURS No.:


Payee
COMPUTER SALES AND SERVICES 922-886-800-000 02-101101-2019-08-________

Address M. BADELLES ST., POBALACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for repair of office equipment (REFORMAT)


incurred by Mr. Dexter Jun Castillon as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100004000 495.00
Less: Witholding Tax: Php 495.00 -

495.00

Amount Due 495.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 495.00 495.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

495.00 495.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
495.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON/ILGAN RADIO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address SABAYLE, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for repair of office equipment


(amplifier/speaker) incurred by Mr. Dexter Jun Castillon as per
supporting papers hereto attached. In the amount of…………
09-00-1000 310400100004000 495.00
Less: Witholding Tax: Php 495.00 -

495.00

Amount Due 495.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 495.00 495.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

495.00 495.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
495.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

DEXTER JUN P. CASTILLON/XD WONDERTECH 922-886-800-000 ORS/BURS No.:


Payee
COMPUTER SALES AND SERVICES 02-101101-2019-08-________

Address M.BADELLES ST., POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for check-up charge of office equipment


incurred by Mr. Dexter Jun Castillon as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100004000 350.00
Less: Witholding Tax: Php 350.00 -

350.00

Amount Due 350.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 350.00 350.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

350.00 350.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
350.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

JANE H. ANTIPOLO/ PACIFICA AGRIVET SUPPLIES, ORS/BURS No.:


Payee 000-258-476-00131
INC. 02-101101-2019-08-________

Address PALA-O, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Jane H. Antipolo for purchasing


ground plus (herbicide) as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100004000 340.00
Less: Witholding Tax: Php 340.00 -

340.00

340.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 340.00 340.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

340.00 340.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
340.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

JANE H. ANTIPOLO/ GEONMOR PRINTING AND ORS/BURS No.:


Payee 914-000-806-000
GEN.MDSE. 02-101101-2019-08-________

Address ROXAS AVENUE, MAHAYAHAY, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Jane H. Antipolo for tarpaulin


purposes as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100004000 1,450.00
Less: Witholding Tax: Php 1450 /1.12 x .05 64.73 77.68
1450 /1.12 x .01 12.95
77.68

1,372.32
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 1,372.32
Due to BIR 2020101000 77.68
Cash in Bank, Local Currency, Current Account 1010202000 1450
1,372.32 1,372.32
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
1,372.32
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/15/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee JANE H. ANTIPOLO 914-000-806-000 ORS/BURS No.:


02-101101-2019-08-________

Address ROXAS AVENUE, MAHAYAHAY, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Jane H. Antipolo for transportation


expenses as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100004000 1,574.88
Less: Witholding Tax: Php 1,574.88

1,574.88

1,574.88
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation Expenses 1,574.88 1,574.88
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,574.88 1,574.88
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
1,574.88
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee FULL GLASS EVENT CATERING SERVICES 937-711-776-000 ORS/BURS No.:


02-101101-2019-08-________

Address CELDRAN, CORPUS CHRISTI, TUBOD, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for food/lunch during the structuring district level


evaluation as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100004000 12,000.00
Less: Witholding Tax: Php 12000 x.03 360.00 480.00
12000 x.01 120.00
480.00

11,520.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 11,520.00
Due to BIR 2020101000 480
Cash in Bank, Local Currency, Current Account 1010202000 12,000.00
11,520.00 11,520.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
11,520.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/1/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee JANE H. ANTIPOLO ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN,ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the communication load cards for JHS for the
month of June as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100004000 1,000.00
Less: Witholding Tax: Php 1,000.00

1,000.00

1,000.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Mobile Expenses 1,000.00 1,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

1,000.00 1,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
1,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 6/18/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee JANE H. ANTIPOLO ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN,ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the transportation expenses incurred by Jane


H. Antipolo as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 63.17
Less: Witholding Tax: Php 63.17

63.17

63.17
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 63.17 63.17
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

63.17 63.17
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
63.17
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/2/2021
DISBURSEMENT VOUCHER DV No. :
2021-06-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee B & B CALTEX STATION/DEXTER JUN P. CASTILLON 106-111-554-000 ORS/BURS No.:


02-101101-2019-08-________

Address LINAMON, LANAO DEL NORTE

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Dexter Jun P. Castillon for


purchasing gasoline as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100004000 1,037.20
Less: Witholding Tax: Php 1,037.20 /1.12 x .05 46.30 55.56
1,037.20 /1.12 x .01 9.26
55.56

981.64
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fuel, Oil and Lubricants Expenses 5020307000 1,037.20
Due to BIR 2020101000 55.56
Cash in Bank, Local Currency, Current Account 1010202000 981.64
1,037.20 1,037.20
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
981.64
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/2/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0053
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

XD WONDERTECH COMPUTER SALES/DEXTER JUN P. ORS/BURS No.:


Payee 922-886-800-000
CASTILLON 02-101101-2019-08-________

Address POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Dexter Jun P. Castillon for paying


the labor cost & installation as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100004000 200.00
Less: Witholding Tax: Php 200.00 /1.12 x .05 8.93 10.72
200.00 /1.12 x .01 1.79
10.72

189.28
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs and Maintenance-Office Equipment 5021305002 200.00
Due to BIR 2020101000 10.72
Cash in Bank, Local Currency, Current Account 1010202000 189.28
200.00 200.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
189.28
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/2/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0054
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

XD WONDERTECH COMPUTER SALES/DEXTER JUN P. ORS/BURS No.:


Payee 922-886-800-000
CASTILLON 02-101101-2019-08-________

Address POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Dexter Jun P. Castillon for


purchasing power supply as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100004000 890.00
Less: Witholding Tax: Php 890.00 /1.12 x .05 39.73 47.68
890.00 /1.12 x .01 7.95
47.68

842.32
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Semi-Expandable Office Equipment 1040502000 890.00
Due to BIR 2020101000 47.68
Cash in Bank, Local Currency, Current Account 1010202000 842.32
890.00 890.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
842.32
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

PRIMEWOOD INDUSTRIAL ENTERPRISES,INC. / ORS/BURS No.:


Payee 005-002-208-000
ANIE ROSE K. LOZADA 02-101101-2019-08-________

Address CANAWAY, TIBANGA, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. Anie Rose K. Lozada for


purchasing medals as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100004000 480.00
Less: Witholding Tax: Php 480.00 x .05 14.40 19.20
480.00 x .01 4.80
19.20

460.80
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 460.80 480.00
Due to BIR 2020101000 19.2
Cash in Bank, Local Currency, Current Account 1010202000

460.80 460.80
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
460.80
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/21/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0060
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee OSAKA'S SCHOOL AND OFFICE SUPPLIES TRADING TIN/Employee No.: ORS/BURS No.:
497-348-867-001 02-101101-2019-08-________

Address GEN. WOOD ST., POBLACION, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the provision of minimum health standard for the


new normal set-up as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 49,480.00.00 x .3% 1,484.40 49,480.00
Php 49,480.00 x .1% 494.80 1,979.20
1,979.20

Amount Due 47,500.80


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies Expenses 5020399000 49,480.00
Due to BIR 2020101000 1,979.20
Cash in Bank, Local Currency, Current Account 1010202000 47,500.80
49,480.00 49,480.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 47,500.80
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0065
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee PLDT INC. TIN/Employee No.: ORS/BURS No.:


000-557-510-000 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the internet and telephone services for the month of
june 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 3,582.12
Less: Witholding Tax: Php 3,582.12 /1.12 x .5% 159.92 223.89
Php 3,582.12/1.12 x .2% 63.97
223.89

Amount Due 3, 358.23


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Internet Expenses 5020503000 3, 582.12 3, 358.23
Due to BIR 2020101000 223.89
Cash in Bank, Local Currency, Current Account 1010202000

3, 582.12 3, 582.12
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3, 358.23
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0066
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEVELOPMENT BANK OF THE PHILIPPINES TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the check book as per supporting papers hereto


attached. In the amount of…………
09-00-1000 310400100003000 510.00
Less: Witholding Tax: Php 510
Php 510
510.00

Amount Due 510.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Accountable Forms Expenses 5020302000 510.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 510.00


510.00 510.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 510.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0067
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ERWIN B . AMBITO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages for the month of June 16-30,
2021 as per supporting papers hereto attached. In the amount
of…………
09-00-1000 5021601000 2,000.00
Less: Witholding Tax: Php 2,000.00
Php 2,000.00
2,000.00

Amount Due 2,000.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 2,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 2,000.00


2,000.00 2,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0068
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee GILBERT I. MAANO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages for the month of June 16-30,
2021 as per supporting papers hereto attached. In the amount
of…………
09-00-1000 5021601000 3,500.00
Less: Witholding Tax: Php 3,500.00
Php 3,500.00
3,500.00

Amount Due 3,500.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 3,500.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 3,500.00


3,500.00 3,500.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,500.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0069
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ALBERT Y. BANAWA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages for the month of July 2021, 2021
as per supporting papers hereto attached. In the amount of…………
09-00-1000 5021601000 7,350.00
Less: Witholding Tax: Php 7,350.00
Php 7,350.00
7,350.00

Amount Due 7,350.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 7,350.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 7,350.00


7,350.00 7,350.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,350.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0070
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee WILLIAM A. AMBITO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages for the month of July 2021, 2021
as per supporting papers hereto attached. In the amount of…………
09-00-1000 5021601000 4,200.00
Less: Witholding Tax: Php 4,200.00
Php 4,200.00
4,200.00

Amount Due 4,200.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 4,200.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 4,200.00


4,200.00 4,200.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 4,200.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0071
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee GILBERT I. MAANO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages for the month of July 2021, 2021
as per supporting papers hereto attached. In the amount of…………
09-00-1000 5021601000 9,450.00
Less: Witholding Tax: Php 9,450.00
Php 9,450.00
9,450.00

Amount Due 9,450.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 9,450.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 9,450.00


9,450.00 9,450.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 9,450.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 7/30/2021
DISBURSEMENT VOUCHER DV No. :
2021-07-0071
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee GILBERT I. MAANO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages for the month of July 2021, 2021
as per supporting papers hereto attached. In the amount of…………
09-00-1000 5021601000 9,450.00
Less: Witholding Tax: Php 9,450.00
Php 9,450.00
9,450.00

Amount Due 9,450.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 9,450.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 9,450.00


9,450.00 9,450.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 9,450.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee NEOPACE INCORPORATED/ARSENIA M. CABILI TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. Arsenia M. Cabili for purchasing


parchment paper for the month of July 13, 2021, 2021 as per
supporting papers hereto attached. In the amount of…………
09-00-1000 5021601000 437.75
Less: Witholding Tax: Php 437.75
Php 437.75
437.75

Amount Due 437.75


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 437.75
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 437.75


437.75 437.75
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 437.75
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee REUH DEEN B. MASCARIÑAS TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center
Payment for the Labor cost of Mr. Reu Deen B. Mascariñas for
Repair & Improvement of Administration Bilding Roof, Stock
Room & Gr.9-10 Building roof paper for the month of July, 2021,
2021 as per supporting papers hereto attached. In the amount
of………… 09-00-1000 5021601000 7,344.00
Less: Witholding Tax: Php 7,344.00
Php 7,344.00
7,344.00

Amount Due 7,344.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repair & Maintenance-School Buildings 5021304002 7,344.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 7,344.00


7,344.00 7,344.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,344.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ANIE ROSE K. LOZADA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. Anie Rose K. Lozada for


purchasing notarial seal as per supporting papers hereto attached. In
the amount of…………
09-00-1000 5021601000 187.20
Less: Witholding Tax: Php 187.20
Php 187.20
187.20

Amount Due 187.20


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 7,344.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 7,344.00


7,344.00 7,344.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 187.20
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

TIN/Employee No.: ORS/BURS No.:


Payee KMB MARKETING/JANE H. ANTIPOLO
313-503-394-000 02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. JANE H. ANTIPOLO for


purchasing Diploma holderl as per supporting papers hereto
attached. In the amount of…………
09-00-1000 5021601000 550.00
Less: Witholding Tax: Php 550.00
Php 550.00
550.00
Amount Due 550.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 550.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 550.00


550.00 550.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 550.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

TIN/Employee No.: ORS/BURS No.:


Payee JAN MICHAEL O. MOLINA/ BERNIE F. LUBGUBAN
02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Mr. Bernie F. Lubguban for the labor


cost as per supporting papers hereto attached. In the amount
of…………
09-00-1000 5021601000 900.00
Less: Witholding Tax: Php 900.00
Php 900.00
900.00
Amount Due 900.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5021601000 900.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 900.00


900.00 900.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 900.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

TIN/Employee No.: ORS/BURS No.:


Payee DEXTER JUN P. CASTILLON
02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Mr. Dexter Jun P. Castillon for the


transportation expenses as per supporting papers hereto attached. In
the amount of…………
09-00-1000 5021601000 600.00
Less: Witholding Tax: Php 600.00
Php 600.00
600.00
Amount Due 600.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transporation & Delivery Expenses 5029904000 600.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 600.00


600.00 600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 600.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

TIN/Employee No.: ORS/BURS No.:


Payee DEXTER JUN P. CASTILLON
02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Mr. Dexter Jun P. Castillon for the


transportation expenses as per supporting papers hereto attached. In
the amount of…………
09-00-1000 5021601000 600.00
Less: Witholding Tax: Php 600.00
Php 600.00
600.00
Amount Due 600.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transporation & Delivery Expenses 5029904000 600.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 600.00


600.00 600.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 600.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

TIN/Employee No.: ORS/BURS No.:


Payee Cheenie Mae A. Dacula
02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. Cheenie Mae A. Dacula for


purchasing school supplies as per supporting papers hereto attached.
In the amount of…………
09-00-1000 5021601000 312.00
Less: Witholding Tax: Php 312.00
Php 312.00
312.00
Amount Due 312.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Offcie Supplies Expenses 5020301002 312.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 312.00


312.00 312.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 312.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

OSAKA'S SCHOOL & OFFICE SUPPLIES TRADING/ TIN/Employee No.: ORS/BURS No.:
Payee
ANIE ROSE K. LOZADA 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. Anie rose K. Lozada for


purchasing notarial seal as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100003000 390.00
Less: Witholding Tax: Php 390.00 x .3% 11.70 15.60
Php 390.00 x .1% 3.90
15.60

Amount Due 374.40


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 374.40 390.00
Due to BIR 2020101000 15.60
Cash in Bank, Local Currency, Current Account 1010202000

374.40 374.40
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 374.40
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

OSAKA'S SCHOOL & OFFICE SUPPLIES TRADING/ TIN/Employee No.: ORS/BURS No.:
Payee
ANIE ROSE K. LOZADA 497-348-867-000 02-101101-2019-08-________

Address Gen. Aguinaldo St., Pala-o, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. Anie rose K. Lozada for


purchasing notarial seal as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100003000 195.00
Less: Witholding Tax: Php 195.00 x .3% 5.85 7.80
Php 195.00 x .1% 1.95
7.80

Amount Due 187.20


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301002 187.20 195.00
Due to BIR 2020101000 7.80
Cash in Bank, Local Currency, Current Account 1010202000

187.20 187.20
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 187.20
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-00
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

GEONMOR PRINTING AND GEN.MDSE./ANIE ROSE K. ORS/BURS No.:


Payee 914-000-806-000
LOZADA 02-101101-2019-08-________

Address ROXAS AVENUE, MAHAYAHAY, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Ms. Anie Rose K. Lozada for


tarpaulin printing as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100004000 3,350.00
Less: Witholding Tax: Php 3,350.00 /1.12 x .05 149.55 179.46
3,350.00 /1.12 x .01 29.91
179.46

3,170.54
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 3,170.54 3,350.00
Due to BIR 2020101000 179.46
Cash in Bank, Local Currency, Current Account 1010202000

3,170.54 3,170.54
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
3,170.54
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 8/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-08-0079
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

HEAVEN'S BAKEHAUS & ENTERPRISES ORS/BURS No.:


Payee 922-891-570-000
/MARC T. CLARO 02-101101-2019-08-________

Address CANAWAY, TIBANGA, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the heavy snacks during the Training/Lecture and


conduct of Random Blood Sugar Examination as per supporting
papers hereto attached. In the amount of…………
09-00-1000 310400100004000 2,090.00
Less: Witholding Tax: Php 2,090.00 x .01 20.90 83.60
2,090.00 x .03 62.70
83.60
2,006.40
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
2,006.40 2,090.00
Due to BIR 2020101000 83.6
Cash in Bank, Local Currency, Current Account 1010202000

2,006.40 2,006.40
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
2,006.40
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 9/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0085
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee SUAN ENTERPRISES/ RAMEL S. SUAN ORS/BURS No.:


02-101101-2019-08-________

Address PRK. 2, MIMBALOT, BURU-UN, I.C

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Repair & Improvement of 1 Septic Tank for


Gr.2 & 8 Classrooms as per supporting papers hereto attached.
In the amount of…………
09-00-1000 310400100004000 16,465.00
Less: Witholding Tax: Php 16,465.00 x .03 493.95 658.60
16,465.00 x .01 164.65
658.60
15,806.40
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repair & Maintenance-Buildings & Otrher Structure 5021304000 15,806.40 16,465.00
Due to BIR 2020101000 658.6
Cash in Bank, Local Currency, Current Account 1010202000

15,806.40 15,806.40
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
15,806.40
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 9/9/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0090
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee KST COMMERCIAL 171-972-116-000 ORS/BURS No.:


02-101101-2019-08-________

Address 10 CABILI AVENUE, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the GRASS CUTTING as per supporting papers


hereto attached. In the amount of…………
09-00-1000 310400100004000 4,250.00
Less: Witholding Tax: Php 4,250.00 x .03 127.50 170.00
4,250.00 x .01 42.50
170.00
4,080.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies & Materials Expenses 5020399000 4,080.00 4,250.00
Due to BIR 2020101000 170
Cash in Bank, Local Currency, Current Account 1010202000

4,080.00 4,420.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
4,080.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/24/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0092
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee HOME OPTIONS INC. 238-100-552-007 ORS/BURS No.:


02-101101-2019-08-________

Address PRK 1 CAMAGUE HIGHWAY, TOMAS CABILI, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Tire Wire, PVC Coupling & Hacksaw for the
Repair & Improvement of Septic Tank as per supporting papers
hereto attached. In the amount of…………
09-00-1000 310400100004000 1,276.00
Less: Witholding Tax: Php 1,276.00 /1.12 x .05 57.00 68.40
1,076.00 /1.12 x .01 11.40
68.40
1,207.60
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs & Maintenance-Buildings & Other Structure 5021304000 1,207.60 1,276.00
Due to BIR 2020101000 68.4
Cash in Bank, Local Currency, Current Account 1010202000

1,207.60 1,207.60
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
1,207.60
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/24/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0093
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee INK NOW CORPORATION 296-111-555-022 ORS/BURS No.:


02-101101-2019-08-________

Address 2F GAISANO MALL, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Computer Mouse as per supporting papers


hereto attached. In the amount of…………
09-00-1000 310400100004000 500.00
Less: Witholding Tax: Php 500.00/1.12 x .05 22.32 26.78
500.00 /1.12 x .01 4.46
26.78
473.22
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 473.22 500.00
Due to BIR 2020101000 26.78
Cash in Bank, Local Currency, Current Account 1010202000

473.22 473.22
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
473.22
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/24/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0094
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee OSAKA'S SCHOOL & OFFICE SUPPLIES TRADING TIN/Employee No.: ORS/BURS No.:
497-348-867-001 02-101101-2019-08-________

Address Mahayahay, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Mosquito Killer Machine as per supporting


papers hereto attached. In the amount of…………
09-00-1000 310400100003000 1,480.00
Less: Witholding Tax: Php 1,480.00 x .3% 44.40 59.20
Php 1,480.00 x .1% 14.80
59.20

Amount Due 1,420.80


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Semi-Expandable Office Equipment 1040502000 1,420.80 1,480.00
Due to BIR 2020101000 59.20
Cash in Bank, Local Currency, Current Account 1010202000

1,420.80 1,420.80
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 1,420.80
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/24/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0095
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee OSAKA'S SCHOOL & OFFICE SUPPLIES TRADING TIN/Employee No.: ORS/BURS No.:
497-348-867-001 02-101101-2019-08-________

Address Mahayahay, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Epson Printer Ink as per supporting papers


hereto attached. In the amount of…………
09-00-1000 310400100003000 7,360.00
Less: Witholding Tax: Php 7,360.00 x .3% 220.80 294.40
Php 7,360.00 x .1% 73.60
294.40

Amount Due 7,065.60


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Semi-Expandable Office Equipment 1040502000 7,065.60 7.360.00
Due to BIR 2020101000 294.40
Cash in Bank, Local Currency, Current Account 1010202000

7,065.60 7,065.60
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 7,065.60
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/24/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0096
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the transportation expenses (hauling) incurred


by Mr. Dexter Jun P. Castillon as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100003000 800.00
Less: Witholding Tax: Php 800.00
Php 800.00

Amount Due 800.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation & Delivery Expenses 5029904000 800.00 800.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

800.00 800.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 800.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/28/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0097
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee ALBERT Y. BANAWA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment bfor the Labor and Wages Expenses for the month of
September 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 6,650.00
Less: Witholding Tax: Php 6,650.00
Php 6,650.00

Amount Due 6,650.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages Expenses 5021601000 6,650.00 6,650.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

6,650.00 6,650.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,650.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/28/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0099
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee GILBERT I. MAANO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages Expenses for the month of
September 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 8,550.00
Less: Witholding Tax: Php 8,550.00
Php 8,550.00

Amount Due 8,550.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages Expenses 5021601000 8,550.00 8,550.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

8,550.00 8,550.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 8,550.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Check/
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/28/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0098
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee WILLIIAM A. AMBITO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages Expenses for the month of
September 2021 as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000 3,800.00
Less: Witholding Tax: Php 3,800.00
Php 3,800.00

Amount Due 3,800.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages Expenses 5021601000 3,800.00 3,800.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

3,800.00 3,800.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,800.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Check/
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 09/28/2021
DISBURSEMENT VOUCHER DV No. :
2021-09-0100
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee JANE H. ANTIPOLO TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the transportation expenses incurred by Ms. Jane


H. Antipolo as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000 96.09
Less: Witholding Tax: Php 96.09
Php 96.09
96.09

Amount Due 96.09


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Delivery Expenses 5029904000 96.09 96.09
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000

96.09 96.09
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 96.09
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Check/
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee DEXTER JUN P. CASTILLON 106-111-554-000 ORS/BURS No.:


02-101101-2019-08-________

Address LINAMON, LANAO DEL NORTE

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement incurred by Dexter Jun P. Castillon for


purchasing gasoline as per supporting papers hereto attached. In
the amount of…………
09-00-1000 310400100004000
Less: Witholding Tax: Php 1,985.10 /1.12 x .05 88.62 1,985.10
1,985.10 /1.12 x .01 17.72 106.34
106.34

1,878.76
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Fuel, Oil and Lubricants Expenses 5020307000 1,878.76 1,985.10
Due to BIR 2020101000 106.34
Cash in Bank, Local Currency, Current Account 1010202000

1,878.76 1,878.76
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
1,878.76
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
E. Receipt of Payment JEV No.
Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :
2022-
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee OSAKA'S SCHOOL & OFFICE SUPPLIES TRADING TIN/Employee No.: ORS/BURS No.:
497-348-867-001 02-101101-2019-08-________

Address Gen. Wood St., Pobalcion, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Health Protocol Supplies Expenses as per


supporting papers hereto attached. In the amount of…………
09-00-1000 310400100004000 64,365.00
Less: Witholding Tax: Php 64,365.00 x 1% 643.65 1,287.30
Php 64,365.00 x 1% 643.65
1,287.30

Amount Due 63,077.70


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020301002 63,077.70
Due to BIR 2020101000 1,287.30
Cash in Bank, Local Currency, Current Account 1010202000 64,365.00
63,077.70 63,077.70
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 63,077.70
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name MARIA THERESA C. ALARDE BERNIE F. LUBGUBAN
Disbursing Officer School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK #
Check/
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date : 5/23/2022
DISBURSEMENT VOUCHER DV No. :
2022-05-0035
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee SUAN ENTERPRISES/DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:


725-972-289-000 02-101101-2019-08-________

Address PUROK 2, MIMBALOT, BURU-UN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the naterials incurred by Ms. Dexter Jun. P.


Castillon as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 2,684.00 x .1% 26.84 2,684.00
Php 2,684.00 x .1% 26.84 53.68
53.68

Amount Due 2,630.32


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 2,630.32
Due to BIR 2020101000 53.68
Cash in Bank, Local Currency, Current Account 1010202000 2,684.00
2,630.32 2,630.32
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,630.32
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2022-05-0035
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents 23-May-22
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

Payee ALBERT Y. BANAWA TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Labor and Wages for the month of OCTOBER
2022 as per supporting papers hereto attached. In the amount
of…………
09-00-1000 310400100003000
Php 7,300.00 7,300.00
Less: Witholding Tax:

Amount Due: 7,300.00 7,300.00


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

BELLA TERESA T. BUHION


School Principal

B. Accounting Entry:
Account Title UACS Code Debit Credit
Labor and Wages 5020399000 7,300.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 7,300.00


7,300.00 7,300.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
7,300.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name MARIA THERESA C. ALARDE BELLA TERESA T. BUHION
Disbursing Officer II School Principal
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check * Commercial Check ADA Others (Please specify)


Payment

BESHIE CHEFS CATRING SERVICES / GERALDINE A. TIN/Employee No.: ORS/BURS No.:


Payee
FUENTESPINA 911-349-670-000 02-101101-2019-08-________

Address BOUGANVILLA ST., UBALDO LAYA, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the GENDER AND DEVELOPMENT


SEMINAR Expenses incured by Mrs. Geraldine A. Fuentespina
as per supporting papers hereto attached. In the amount
of………… 09-00-1000 310400100003000
Less: Witholding Tax: Php 29,400.00 x 1% 294.00 29,400.00
Php 29,400.00 x 1% 294.00 588.00
588.00
Amount Due: 28,812.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BELLA TERESA T. BUHION


School Principal I

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses - Gender and Development 5020201002 28,812.00
Due to BIR 2020101000 588.00
Cash in Bank, Local Currency, Current Account 1010202000 29,400.00
28,812.00 28,812.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
28,812.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name MARIA THERESA C. ALARDE BELLA TERESA T. BUHION
Disbursing Officer II School Principal I
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :
2022-07-0038
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee REDEEN B. MASCARIÑAS TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Repair & Improvement of Drainage as per


supporting papers hereto attached. In the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 3,000.00 3,000.00
Php 3,000.00
3,000.00
Amount Due 3,000.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs & Maintenace-School Buildings 5021304002 3,000.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 3,000.00


3,000.00 3,000.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 3,000.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2022-07-0038
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :
2022-07-0039
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee REDEEN B. MASCARIÑAS TIN/Employee No.: ORS/BURS No.:


02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Payment for the Repair & Improvement of Pathwalk for the


school stage as per supporting papers hereto attached. In the
amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 6,500.00 6,500.00
Php 6,500.00
6,500.00
Amount Due 6,500.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs & Maintenace-School Buildings 5021304002 6,500.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 6,500.00


6,500.00 6,500.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 6,500.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name MARIA THERESA C. ALARDE BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date : 2022-07-0039
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :
2022-07-0041
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

JCREATIONS PRINTS AND ADVERTISING TIN/Employee No.: ORS/BURS No.:


Payee
CORPORATION 443-277-000 02-101101-2019-08-________

Address Pobalcion, Iligan City

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursment for the TARPAULIN EXPENSES as per


supporting papers hereto attached. In the amount of…………
09-00-1000 310400100003000
Less: Witholding Tax: Php 3,838.00 3,838.00

3,838.00

Amount Due 3,838.00


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

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies And Materials Expenses 5020399000 3,838.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 3,838.00


3,838.00 3,838.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
3,838.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents
Appendix 32

DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster :


Entity Name 101101
Date :
DISBURSEMENT VOUCHER DV No. :
2022-07-0045
Mode of MDS Check * Commercial Check ADA Others (Please specify)
Payment

Payee B & B CALTEX STATION/DEXTER JUN P. CASTILLON TIN/Employee No.: ORS/BURS No.:
02-101101-2019-08-________

Address DITUCALAN, ILIGAN CITY

Responsibility
Particulars MFO/PAP Amount
Center

Reimbursement for the travel expenses incurred by Mr. Dexter Jun P.


Castillon for the month of June 2022 as per supporting papers hereto
attached. In the amount of…………
09-00-1000 310400100003000 2,700.00
Less: Witholding Tax: Php 2,700.00
Php 2,700.00
2,700.00
Amount Due 2,700.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

BERNIE F. LUBGUBAN
School In Charge

B. Accounting Entry:
Account Title UACS Code Debit Credit
Transportation and Dekivery Expenses 5029904000 2,700.00
Due to BIR 2020101000

Cash in Bank, Local Currency, Current Account 1010202000 2,700.00


2,700.00 2,700.00
C. Certified: D. AApproved for Payment
✔ Cash available
Subject to Authority to Debit Account (when applicable)
Php 2,700.00
✔ Suppo
proper

Signature Signature
Printed
Printed Name
Name JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Disbursing Officer II School In Charge
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date
Date Date

E. Receipt of Payment JEV No.


Check/ Bank Name & Account Number:
Date :
ADA No. : CK # DBP: 00-0-06145-820-5
Date : Printed Name: Date
Signature :
✔ ✔ ✔
Official Receipt No. & Date/Other Documents

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