Appendix 32

DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :

Entity Name
Date : 08/16/2022
DISBURSEMENT VOUCHER DV No. :
2022-08-0040

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee TRIPLE MIGUEL CITY BUILDERS
008-930-501-000 7/22/2224

Address Poblacion, San Manuel, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Repair Expenses of Matarannoc Elementary 100002000 2,233.57

School San Manuel District for the month of August,2022 as
per attached supporting documents in the amount of…

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

JOCELYN N. ANGALA
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repair and Maintenane-Buildings and other structure 502130400 2,360.00

Due to BIR 2020101000 126.43

Advances for Operating Expenses 1990101000 2,233.57
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Two Thousand Two Hundred Thirty Three Pesos and
57/100
Supp
proper

Signature Signature

Printed
Printed Name
Name FRANCIS VERNON A. BULOSAN PERLA C. GARCIA
ADMINISTRATIVE ASSISTANT III ESTH-I
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date 08/16/2022

08/16/2022
E. Receipt of Payment JEV No.
Check/ 08/16/2022 Bank Name & Account Number:
ADA No. :
08/16/2022 Printed Name: Date
Signature :
TRIPLE MIGUEL CITY BUILDERS
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32

DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :

Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

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

Payment
_________________

Payee CJAMEARLSON ENTERPRISE TIN/Employee No.: ORS/BURS No.:

743-620-042-000
Address Paniqui, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Repair and Office supply inventory of

Matarannoc Elem. Sch., San Manuel District for the month 8,780.80
of February 2022 as per atteched supporting documents in
the amount of...

Amount Due 8,780.80

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

JOCELYN N.ANGALA
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office supplies inventory Office 1040401000
building and Structure Inventory 4100.00
1040407000 4860.00
Due to BIR 2020101000 179.20
Advance for operating Expenses 1010404000 8,780.80
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Eight Thousand Seven Hundred Eighty Pesos and
Supp 80/100
proper

Signature Signature

Printed
Printed Name
Name FRANCIS V. BULOSAN PERLA C. GARCIA
ADMINISTRATIVE ASSISTANT III ESHT-I
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
TARELCO I
CJAMEARLSON ENTERPRISE
Official Receipt No. & Date/Other Documents ELECTRIC Date :
COOPERATIVE,
INC
Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE
Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MONCADA WATER DISTRICT
000-538-365-000

Address Poblacion I, Moncada, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Water Expenses of Gabaldon Central Elem.

Sch., San Manuel District for the month of June 2018 as per
atteched supporting documents in the amount of... 12.00

Amount Due 12.00

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

RECY T. DATO
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Water Expenses 5020401000 12.00
Due to BIR 2020101000
Cash MDS Regular 1010404000 2,795.50
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA NANCY B. GARCIA, Ph.D
ADMINISTRATIVE ASSISTANT III PRINCIPAL II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
MONCADA WATER DISTRICT
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name 01-Regular
Date
DV :
DISBURSEMENT VOUCHER No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee JENIFER C. REPANGCOL

Address Pacpaco, San Manuel Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Training Expenses of Matarannoc Elem.

Sch., San Manuel District for the month of December 2018
as per attached supporting documents in the amount of...
1,300.00

Amount Due 1,300.00

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

OSMUNDO H. ANDRADA
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
training expenses 50202021000 1,300.00
Due to BIR 2020101000
Cash MDS Regular 1010404000 1,300.00
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
One Thousand Three Hundred Pesos only
Supp
proper
Signature Signature
Printed
Printed Name
Name MYRELL ANN L. DULAY ALESSANDRO ROY S. ADSUARA Ed.D
ADMINISTRATIVE ASSISTANT III PRINCIPAL I
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. : LANDBANK
Date : Printed Name: Date
Signature :
JENIFER C. REPANGCOL
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name 01-Regular
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ISAIAS A. CABADA
720-474-895-000

Address Poblacion, San Manuel, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Security Services of Gabaldon Central Elem.

Sch., San Manuel District for the month of September 2018
as per attached supporting documents in the amount of...
4,000.00

Amount Due 4,000.00

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

RECY T. DATO
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Security Sevices 5021203000 4,000.00
Due to BIR 2020101000
Cash MDS Regular 1010404000 4,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Four Thousand Pesos
Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA BELINDA G. AQUINO, Ed.D
ADMINISTRATIVE ASSISTANT III PRINCIPAL II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : LANDBANK
Date : Printed Name: Date
Signature :
ISAIAS A. CABADA
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee RACB ENTERPRISE
276-625-459-000

Address Unit D. Leticia Building, Juan Luna St., Poblacion, Tarlac City

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Semi-Expandable Machinery & Equipment

Expenses of Gabaldon Central Elem. Sch., San Manuel
District for the month of June 2018 as per atteched
supporting documents in the amount of… 8,517.85

Amount Due 8,517.85

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

RECY T. DATO
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Semi-Expandable Machinery and Equipment Expenses 5020321000 9,000.00
Due to BIR 2020101000 482.15
Advances for Operating Expenses 1990101000 8,517.85
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Eight Thousand Five Hundred Seventeen Pesos and
85/100
Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA NANCY B. GARCIA, Ph.D
ADMINISTRATIVE ASSISTANT III PRINCIPAL II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
RACB ENTERPRISE
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name 01-Regular
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee BELINDA G. AQUINO

Address Poblacion, San Manuel, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Traveling Expenses of Belinda G. Aquino,

ESP II, of Gabaldon Central Elem. Sch., San Manuel
District for the month of September 2018 as per attached 2,100.00
supporting documents in the amount of…

Amount Due 2,100.00

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

RECY T. DATO
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Traveling Expenses - Local 5020101000 2,100.00
Due to BIR 2020101000
Advances for Operating Expenses 1990101000 2100.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA BELINDA G. AQUINO, Ed. D
ADMINISTRATIVE ASSISTANT III PRINCIPAL II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : LANDBANK
Date : Printed Name: Date
Signature :
BELINDA G. AQUINO
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name 01-Regular
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DEPED - TARLAC PROVINCE TRUST FUND

Address San Roque, Tarlac City

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Training Expenses of Gabaldon Central

Elem. Sch., San Manuel District for the month of September
2018 as per attached supporting documents in the amount 6,300.00
of…

Amount Due 6,300.00

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

RECY T. DATO
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Training Expenses 5020201000 6,300.00
Due to BIR 2020101000
Advances for Operating Expenses 1990101000 6300.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Six Thousand Three Hundred Pesos
Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA BELINDA G. AQUINO, Ed. D
ADMINISTRATIVE ASSISTANT III PRINCIPAL II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : 0000717329 08-30-2018 LANDBANK
Date : Printed Name: Date
Signature :
DEPED - TARLAC PROVINCE
TRUST FUND
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ALLENEXISGENE ENTERPRISES
461-242-753-000

Address Poblacion, San Manuel, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of School & Office Supplies Expenses of

Gabaldon Central Elem. Sch., San Manuel District for the
month of June 2018 as per atteched supporting documents in
the amount of…
10,756.80

Amount Due 10,756.80

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

RIZAL P. VALENZUELA
School Property Custodian

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expenses 5020301000 11,205.00
Due to BIR 2020101000 448.20
Advances for Operating Expenses 1990101000 10,756.80
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Ten Thousand Seven Hundred Fifity Six Pesos and
80/100
Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA NANCY B. GARCIA, Ph.D

ADMINISTRATIVE ASSISTANT III PRINCIPAL II

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

 Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature : ALLENEXISGENE ENTERPRISES

Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MARINEL A. GACIAS
5380394

Address Poblacion, San Manuel, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Guaranty Deposits Payable, Accountable

Forms, Plates and Stickers Inventory of Marinel A. Gacias,
ADAS II, of Gabaldon Central Elem. Sch., San Manuel
District for the month of June 2018 as per atteched 5,600.00
supporting documents in the amount of…

Amount Due 5,600.00

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

RECY T. DATO
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Guaranty Deposits Payable 2040104000 5,000.00
Accountable Forms, Plates and Stickers Inventory 1040402000 600.00
Advances for Operating Expenses 1990101000 5,600.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Five Thousand Six Hundred Pesos
Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA NANCY B. GARCIA, Ph.D

ADMINISTRATIVE ASSISTANT III PRINCIPAL II

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

 Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
MARINEL A. GACIAS
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee ALLENEXISGENE ENTERPRISES
461-242-753-000

Address Poblacion, San Manuel, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Other Supplies and Materials Expenses of

Gabaldon Central Elem. Sch., San Manuel District for the
month of June 2018 as per atteched supporting documents in
the amount of...
1,435.20

Amount Due 1,435.20

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

RIZAL P. VALENZUELA
School Property Custodian

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 1,495.00
Due to BIR 2020101000 59.80
Advances for Operating Expenses 1990101000 1,435.20
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

One Thousand Four Hundred Thirty Five Pesos and
20/100
Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA NANCY B. GARCIA, Ph.D

ADMINISTRATIVE ASSISTANT III PRINCIPAL II

Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

 Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
ALLENEXISGENE ENTERPRISES
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018
 Appendix 32
DEPED - DIVISION OF TARLAC PROVINCE Fund Cluster :
Entity Name 01-Regular
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee NESTOR P DE JESUS

Address San Manuel, Tarlac

Responsibility
Particulars MFO/PAP Amount
Center

To payment of Repairs and Maintenance Expenses(sch.

Nursery) of Gabaldon Central Elem. Sch., San Manuel
District for the month of ____________ as per atteched
supporting documents in the amount of…
3,325.00

Amount Due 3,325.00

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

RECY T. DATO
Administrative Officer

B. Accounting Entry:
Account Title UACS Code Debit Credit
Repairs & Maintenance-Buildings & other structures 5021304000 3,500.00
Due to BIR 2020101000 175.00
Advances for Operating Expenses 1990101000 3,325.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable)

Three Thousand Three Hundred Twenty Five Pesos
Supp
proper

Signature Signature

Printed
Printed Name
Name SHELLA MARIE M. PERALTA BELINDA G. AQUINO, Ed.D
ADMINISTRATIVE ASSISTANT III PRINCIPAL II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. : LANDBANK
Date : Printed Name: Date
Signature :
NESTOR P DE JESUS
Official Receipt No. & Date/Other Documents

Document Code: SDO-QF-SDOP-ACC-13 SDO TARLAC PROVINCE

Revision No.: 00
Effectivity Date: 05-25-2018