LIQUIDATION REPORT No:1
Date: February 1,2023
Department of Education Responsibility Center
Region III Code:
Sama-Sama
sa DepEd
Division of Nueva Ecija
PARTICULAR Amount
TO LIQUIDATE DOWNLOADED MOOE FUND FOR THE MONTH OF JANUARY 2023
AMOUNTING TO TWENTY THREE THOUSAND FOUR HUNDRED PESOS ONLY (P23,400.00) 23,400.00
The documents hereto attached:
TOTAL AMOUNT SPENT
22,672.60
BALANCE OF PREVIOUS CASH ADVANCE
AMOUNT OF CASH ADVANCE PER DV NO.
23,400.00
BALANCE OF CASH ADVANCE DTD.
727.40
A Certified: Correctness of the B Certified: Purpose of travel/cash C Certified: Supporting documents
above data: advance duly accomplished: complete and proper:
(with initial: ADAS III Central School/ADAS II SHS)
ISAURO C. PAJRILLO CARIZZA MAE I. ALAPRIZ Pre-Audited by:
School Head Administrative Officer II
Designation:Head Teacher III MA. REGINAC. OBEDOZA
School: Pulong Bahay Elementary School Administrative Assistant III
District: Quezon LUIS M. CALISON Accounting Unit
Chief Education Supervisor
Fund Cluster: 01101101
Schools Division of Nueva Ecija
Date:May 24, 2023
DISBURSEMENT VOUCHER DV No.:
Mode of / MDS Check Commercial Check ADA Others (Please Specify)
Payment
ISAURO C. PAJARILLO TIN/Employee No.: ORS/BURS No.:
Payee Pulong Bahay Elementary School 493-663-892-353
2902-1065-48
Address
Particulars Responsibility Center MFO/PAP Amount
To cash advance the downloading of MOOE/DRRM fund for the 26100302050003 35,914.10
month of May 2023
Electricity Expenses 4,500.00
Security Expenses 3,000.00
Communication 1,500.00
Internet Expenses 2,000.00
Test Paper for Grade 1 to VI 7,300.00
Office Supply 4000.00
Medicine 1100.00
DRRM Supplies 4,063.10
Graduation Expenses 8,451.00
Total 35,914.10
Fidelity bond: IC Pajarillo: 03/06/2023-03/04/2024
Amount Due CMPascual:01/18/2023 - 01/17/2024 35,914.10
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
MARY JOY S. FERNANDO LUIS M. CALISON
Administrative Officer II Chief Education Supervisor
B. Accounting Entry:
Account Title UACS Code Debit Credit
Advances for Operating Expenses 1990101000 35,914.10
Cash MDS - Regular 1010404000 35,914.10
TOTAL 35,914.10 35,914.10
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable) Thirty five thousand nine hundred four pesos only
Supporting documents complete and amount claimed proper
Signature Signature
Printed Printed
Name MARAH MANAHAN PACSON Name ENGR. EDGARD C. DOMINGO,PhD, CESO V
Accountant III Schools Division Superintendent
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date: Bank Name & Account Number:
ADA 2902-1065-48
Signature Date: Printed Name: ISAURO C. PAJARILLO Date
Official Receipt No. & Date/Other Documents
JHUNA MAYE ANN A. RIVERA
ADAS III