S
F.O. 20 (Revised)
REPUBLIC OF KENYA
PAYMENT VOUCHER
(VOTED PROVISION)
Payee’s Name and Address: DARMAN INVESTMENTS P.O BOX KISII
LPO/LSO Invoice AMOUNT Cts.
No. No. Sh.
Being payment made to the above for supplies
of other fuels as per attached invoices,delivery 35,000 00
notes and lpo.
TOTAL SHS. 35,000/= 00
Amount in words: fifteen thousand shillings only...
Authority Reference
EXAMINATION
Voucher Examined by ………………………………………………. Internal audit
……………………………………………………………………………
Date………………………………………………………………………
…………………………………………………………………………….
VBC CERTIFICATE A.I.E. HOLDER CERTIFICATE
I certify that the expenditure has been entered in the Vote Book I certify that the expenditure detailed above has been incurred
and that adequate funds to cover it are available against the for the authorized purpose and should be charged to the Item
chargeable Item as shown here below. shown here below.
Approved Estimates/Allocation- …………………….
Signature …………….………. Designation of A.I.E.
Item No. ……………………………………. KSh. …………… Holder
Date ………………………
Less: Total expenditure plus commitments KSh. …………...
Balance - KSh…………… AUTHORIZATION
I certify that the rate/price charged is/are according to
Less: This ENTRY – Vch. regulation/contract, fair and reasonable, that the expenditure has
been incurred on proper authority and should be charged as
No. …………………………………………. KSh …………… under. Where appropriate a certificate overleaf has been
completed. I hereby AUTHORIZE payment of the amount shown
above without any alterations.
Balance - KSh. …………..
Signature …………………………………………………………….
Date. ………………………Signature ……………………………… Accounting Officer/District Accountant
Accountant i/c V.B.C Date ………………………………………………….
Vote: Sub – HEAD:
Head:5216
521 045
A.I.E. No. Account No. Dept. Vch Cash Book Amount
Amount No. Station Vch. No. Date Sh. Ct
FY2023/2024 35,000 00
NYACHEKI
NON-AVAILABILITY REPAIRS OF MOTOR VEHICLES
I Certify that the repairs have been completed and/or spares fitted and
I Certify that Stores/Stationery could not be obtained from the supplies entered in the vehicle Log-book
Branch/Government Printer vide their certificate attached.
Signature Designation Signature Designation
TRANSPORT HIRE
RECEIPT OF GOODS/STORES/CONTAINERS
I Certify that no Government transport was available and that the
charges are reasonable and correct.
I Certify that the items have been taken on charge and entered in Stores
Ledger/Inventory Folio No(s)
or recorded and issued for immediate use
Signature Designation
Signature Designation
TELEPHONE ACCOUNTS
PURCHASE OF PETROL, ETC
I Certify that the cost of any private call has been/will be recovered
I certify that Petrol/Oil/Tyres/Batteries have been received and entered in the vehicle
from the persons concerned and the charge may be accepted against
Log-Book of GK … And/ public funds.
Or in the Bulk Petrol Register, Folio No. ……………………
Signature Designation
Signature Designation
HOSPITALITY CLAIMS
I Certify that the officer availed himself of my hospitality/I enjoyed the
SERVICES
hospitality of the officer to the extent shown on this claim
I Certify that the services have been rendered properly and in accordance with
regulations/terms of the contract.
Signature Designation
Signature Designation
OTHER CERTIFICATE
……………………………………………………………………..…………..
………………………………………………………………………………...
Signature
Receipt not required when payment is made by cheque with form of receipts
onrereverse
Designation
Received in payment of the account stated on the face hereof the sum of
Sh. ……………………………………………………………………………. Cts. ………………………
sh. ……………………………. cts ……………………………………….)
Witness …………………………………… ……………………………….
Signature or Thumbprint
Date ………………………………………………… Page 2
FO 20
