Republic of the Philippines
Province of Sorsogon
City of Sorsogon
SANGGUNIANG KABATAAN
BARANGAY BON-OT
Bacon District
DISBURSEMENT VOUCHER
CITY/MUNICIPALITY: BACON DV NO. 2025-001-004
SK OF BARANGAY: BON-OT
DISTRICT, SORSOGON CITY
PAYEE: BUREAU OF INTERNAL PROVINCE: SORSOGON DATE: 02-10-2025
REVENUE
ADDRESS: BON-OT, BACON TIN NO: FUND:
DISTRICT, SORSOGON CITY
PARTICULARS AMOUNT
REMITTANCE HEREWITH THE AMOUNT OF JANUARY 2025
Attached herewith the amount of…
₱ 5,184.00
As per supporting documents attached to:
* Disbursement Voucher *
*SKCC
*BIR Tax Payment Deposit Slip
*BIR Form 0619-E
A. Certified: B. Certified: C. Certified:
Existence Of Available Funds (Cash) Available As To Validity, Propriety &
Appropriations For The Legality Of Claim
Charges/Expenses Indicates
Above.
Signature:_________________ Signature:_____________________ Signature:________________
Printed Name: Gygine D. Printed Name: Richiele D. Grajo Printed Name: Mayla A.
Desuyo Position: SK Treasurer Despi
Position: Committee On Date: 02-10-20245 Position: SK Chairman
Appropriation Date: 02-10-2025
Date: 02-10-2025
D. Received Payment:
Check No. 0094908945
BUREAU OF INTERNAL REVENUE Date: 12-20-2024
Signature Over Printed Name Bank Name: DBP SORSOGON
OR No.
E. Accounting Entries
Account Account Code Account
Account Code
Prepared By:
__________________ ______________
Barangay Bookkeeper Date
Approved By:
CHRISTINE N. MERALPES _______________
City Municipal Accountant Date