D

Effective April 1, 2005

Republic of the Philippines DEPARTMENT OF EDUCATION Region IV-A (CALABARZON) Gate 2 Karangalan Village, Cainta, Rizal

DISBURSEMENT VOUCHER
x
MDS Check MODE OF PAYMENT Commercial Check ADA Others TIN/Employee No.: DV No. Date: OBR No.: Date: Responsibility Center Code:

12092459
09/24/12 09/24/12

Payee/Office: Address:

PACIFIC OFFICE MACHINES INC. EDSA Greenhills, San Juan, Metro Manila Particulars

2012-09-546

Title:

Amount P 38,407.02

Payment for the purchase of Ink Roller for Martin Yale 911 Document Signing Machine, in the amount of. Gross Amount Due Less: W/T (1%) Less: W/T (5%) Net Amount Due 40,581.00 362.33 1,811.65 2,173.98 38,407.02

A Certified (Head , Accounting Unit/Authorized Representative):

Supporting Documents complete and proper Cash available Subject to ADA (where applicable)

Amount Due P 38,407.02 B Approved for payment (Agency Head/Authorized Representative):

Signature Printed Name Position Date

: : : :

NANCY Z. DIZON Accountant III 09/24/12

Signature Printed Name Position Date

: : : :

LORNA DIG DINO, CESO IV Director IV 09/24/12 D Journal Entry Voucher No. Date:

C Received Payment: Signature : Printed Name : OR No./other relevant document issued: Date:

Check/ADA No. Date: Bank Name: PVB-Camp Crame Account No. 00301-000966-1

----------------------------------------------------------------------------------------------------ACCOUNTING ENTRIES Account Titles Other Suplies Expenses Due to BIR (1%) Due to BIR (5%) Cash National Treasury - MDS
Account Code Debit

Credit

765 412 412 108 TOTAL

40,581.00 362.33 1,811.65 38,407.02 40,581.00 40,581.00

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