Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Cebu Province
Cebu City
Disbursement Voucher
MODE OF PAYMENT
___ MDS Check
___
Commercial Check
___ Others
Payee Office
___ ADA
TIN/Employee No.
No.
Date
OS/ Bus No.
Date
MS. ALMELA L. PEDRO
Tamiao Elementary School
Responsibility
Center
Address: Sirculo, Ticad, Bantayan, Cebu
Title
Particulars
To Claim the Salary and PERA/ACA for the month of February, 2015 of MS.
ALMELA L. PEDRO, a Permanent Teacher of Tamiao Elementary School,
Bantayan II, Bantayan, Cebu.
As pertinent paper attach here into.
P 18,549.00
P 2,000.00
P 20,549.00
asic Salary .........................
ERA / ACA .........................
TOTAL .........................
FLORES P. ANIBAN
Principal
B.
A.
Certified ......... Supporting documents complete and
......... Cash Advance
......... Subject to ADA (where applicable)
Signature: _______________________________
Print Name:
GERVASIA F. SANCHEZ
,
Head Accountancy / Authorized Representative
Signature: ___________________________
Print Name: ARDEN D. MONISIT,
Ed.D.
,
Schools
Division Superintendent
Date: _____________________________
Date: _____________________________
C.
D. Journal Entry: Voucher
Received Payment
Check /
ADA No. _________
Signature: __________ Date: ________ Date:
__________________
Printed Name: ____________________ Bank Name:
____________
DR. No/ Other
Relevant Document
Issued:
______________________
No. _________________________________
Date: ________________________________