DISBURSEMENT VOUCHER
SK of Barangay: ANGOLUAN DV No.:2020-11-02
City/Municipality: ECHAGUE Date : 11-23-2020
Province: ISABELA
Payee: BENJ SPORTSWEAR
Address: DISTRICT 1, CAUAYAN CITY, ISABELA
TIN: 256-043-085-000
Particulars Amount
Payment of the Basketball Jersey with the amount 25,700.00
of………………………………………………………………………… VAT 1,028.00
24,672.00
DISBURSEMENT VOUCHER
CHECK DUPLICATE
OFFICIAL RECIEPT
PURCHASE ORDER
PURCHASE REQUEST
INSPECTION AND ACCEPTANCE
CANVASS FORMS
RESOLUTION
PICTURE
A. Certified as to availability of B. Certified as to availability of C. Certified as to necessity,
the budget or funds received for cash, and completeness and validity, propriety, and legality of
specific purpose propriety of supporting documents claim; and Approved for payment:
BENJIE P. COMA JR DECERIE JOY M. VERA CRUZ MARLON M.VIDEZ
Budget Monitoring Officer SK Treasurer SK Chairperson
Date : 11-23-2020 Date : 11-23-2020 Date : 11-23-2020
D. Received Payment: Check No.:
Date:
__________________________________ Bank Name:
Signature Over Printed Name of Payee/
Bank Branch:
Authorized Representative
___________________ OR No.:
Date Date: