Appendix 32
Fund Cluster :
Entity Name
 MOOE - Elementary
DISBURSEMENT  VOUCHER Date: 2020-12-25
DV No.: 456789
Mode of Payment
MDS Check Commercial Check ADA Others (Please specify)
_________________
Payee rtyuio TIN/Employee No.: ORS/BURS No.:
4567890 567890-
Address
Particulars Responsibility Center MFO/PAP Amount
dsdaDAsd 1,000.00
Services
VAT/NONVAT VAT
Net VAT 892.86
Less 44.64  BIR Form 2306
17.86  BIR Form 2307 Net Amount
Amount Due 937.50
A. Certified:  Expenses/Cash Advance necessary,  lawful and  incurred under my direct supervision.
 
Education Research  Administrator
Printed Name, Designation and Signature of Supervisor
B. Accounting Entry:
Account Title UACS Code Debit Credit
Test Account Title COA Code Debit Amount
Bir Total BIR code Total Tax Amount
Balancing Entry CIB code Credit Amount
Total Debit Amount Total Creditamt
C. Certified: D. Approved for Payment Approved for Payment
Cash available NINE HUNDRED THIRTY SEVEN PESOS AND FIFTY CENTAVOS
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed
proper
Signature Signature
Printed Name Printed Name Education Research  Administrator
Position Position School Head
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV  No.
Check/   ADA No. : Date : Bank Name & Account Number:
Signature : Date : Printed Name: Date
Official Receipt No. & Date/Other Documents