D.V. No.
DISBURSEMENT VOUCHER Date:
Barangay: 20 SAN MIGUEL City/Municipality: Laoag City Fund:
Payee/OfficeRK OFFICE SUPPLIES & EQUIP.TRADING Province: Ilocos Norte
Address: LAOAG CITY TIN:
PARTICULARS AMOUNT
Payment of WITHDRAWAL OF RETENTION P 1,817.00
As per supporting papers here to attached….
APRIL 1132.30
MAY 684.70
P 1,817.00
A Certified as to existence of B Certified as to availability of funds C Certified as to validity, propriety,
appropriation for obligation for the purpose, and completeness and legality of claim and approved
and proriety of supporting documents for payment:
MA.THERESA S. UY CHARLES P. GAGARIN
(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Chairman, Committee on Appropriation Barangay Treasurer Punong Barangay
Date: Date: Date:
D Received Payment:
Check No:
Bank Name: Date:
(Signature Over Printed Name) O.R. No:
E Accounting Entries
Account
Account Debit Credit
Code
GUARANTY DEPOSIT PAYABLE 2-04-01-040 1,817.00
CASH IN BANK 2-03-01-020 1,817.00
Total 1,817.00 1,817.00
Prepared By:
JEACEL I. PALMA Date:
Barangay Bookkeeper
Approved By:
LOELYN B. ACAIN Date:
OIC Office of the City Accountant
ACT-008-0