Republic of Misamis Occidental

DEPARTMENT OF EDUCATION
Region X
MISAMIS OCCIDENTAL DIVISION
CONGRESSMAN HILARION J. RAMIRO JR. MNHS
Oroquieta City

DISBURSEMENT VOUCHER

MODE OF PAYMENT
No.: _____________
MDS Check Commercial Check ADA Others Date: ____________

Payee/Office: MARGIE D. DOMINGUEZ TIC/Employee No. OS/BUS No.

Date:
Address: Congressman Hilarion J. Ramiro Jr. MNHS Responsibility Center
Guba, Clarin, Mis. Occ.
Title: Code:

PARTICULARS AMOUNT

To Reimbursement Payment Of Travel In Submitting Form 48, 6 & 7,MID- 290.00

Year INSET Narrative Reports and others on November 5, 2018 at
Division Office,Osilao St. Oroquieta City, Misamis Occidental in the
amount of Two Hundred Ninety Pesos only.

A] Certified Supporting documents complete and proper B]

Cash available
Subject to ADA (where applicable)

SIGNATURE: __________________________ WILGERMINA D. JUHAILI

PRINTED NAME: WILGERMINA D. JUHAILI Head Teacher I
POSITION: Head Teacher I
DATE: ________________________
DATE: ______________________

C] Received Payment Check/ADA No._____ D] Journal Entry

Date: _______________ Voucher
Signature: ___________________ Date: ____________ Bank Name: _________ No.: ___________
Printed Name: MARGIE D. DOMINGUEZ Or No. Other relevant Date: __________
Document Issued
 Republic of Misamis Occidental
DEPARTMENT OF EDUCATION
Region X
MISAMIS OCCIDENTAL DIVISION
CONGRESSMAN HILARION J. RAMIRO JR. MNHS
Oroquieta City

DISBURSEMENT VOUCHER

MODE OF PAYMENT
No.: _____________
MDS Check Commercial Check ADA Others Date: ____________

Payee/Office: WILGERMINA D. JUHAILI TIC/Employee No. OS/BUS No.

Date:
Address: Congressman Hilarion J. Ramiro Jr. MNHS Responsibility Center
Guba, Clarin, Mis. Occ.
Title: Code:

PARTICULARS AMOUNT

To Reimbursement Payment Of Travel In Attending Financial 4,335.00

Management and Operation Manual Roll – Out (FMOM) at Hotel
Koresco, Cagayan De Oro City last November 16-19, 2017 in the amount
of Four Thousand Three Hundred Thirty Five Pesos only of the teachers
below.

 WILGERMINA D. JUHAILI - 1,405.00

 MARGIE D. DOMINGUEZ - 1,525.00
 ARNOLD T. ELARCOSA - 1,4 05.00

A] Certified Supporting documents complete and proper B]

Cash available
Subject to ADA (where applicable)

SIGNATURE: __________________________ WILGERMINA D. JUHAILI

PRINTED NAME: WILGERMINA D. JUHAILI Head Teacher I
POSITION: Head Teacher I
DATE: ________________________
DATE: ______________________

C] Received Payment Check/ADA No._____ D] Journal Entry

Date: _______________ Voucher
Signature: ___________________ Date: ____________ Bank Name: _________ No.: ___________
Printed Name: WILGERMINA D. JUHAILI Or No. Other relevant Date: __________
Document Issued
 Republic of Misamis Occidental
DEPARTMENT OF EDUCATION
Region X
MISAMIS OCCIDENTAL DIVISION
CONGRESSMAN HILARION J. RAMIRO JR. MNHS
Oroquieta City

DISBURSEMENT VOUCHER

MODE OF PAYMENT
No.: _____________
MDS Check Commercial Check ADA Others Date: ____________

Payee/Office: TIC/Employee No. OS/BUS No.

CROWN PAPER AND STATIONER Date:
Address: OZAMIZ CITY Responsibility Center
Title: Code:

PARTICULARS AMOUNT

TO PAYMENT OFFICE SUPPLIES FOR THE MONTH OF JULY 2015 IN 8825.00

THE AMOUNT OF EIGHT THOUSAND EIGHT HUNDRED TWENTY
FIVE PESOS ONLY.

A] Certified Supporting documents complete and proper B]

Cash available
Subject to ADA (where applicable)

SIGNATURE: ________WILGERMINA D. JUHAILI____ __WILGERMINA D. JUHAILI

PRINTED NAME
POSITION: Teacher In-Charge Teacher In-Charge

DATE:August 8, 2015 DATE: August 8, 2015

C] Received Payment Check/ADA No._____ D] Journal Entry

Date: _______________ Voucher
Signature________________________ Date: _August 8, 2015 Bank Name: _________ No.: ___________
Printed Name: ___________________ Or No. Other relevant Date: __________
Document Issued
 Republic of Misamis Occidental
DEPARTMENT OF EDUCATION
Region X
MISAMIS OCCIDENTAL DIVISION
CONGRESSMAN HILARION J. RAMIRO JR. MNHS
Oroquieta City

DISBURSEMENT VOUCHER

MODE OF PAYMENT
No.: _____________
MDS Check Commercial Check ADA Others Date: ____________

Payee/Office: TIC/Employee No. OS/BUS No.

OZAMIZ KRISTAN EDUCATIONAL SUPPLY Date:
Address: OZAMIZ CITY Responsibility Center
Title: Code:

PARTICULARS AMOUNT

TO PAYMENT OFFICE SUPPLIES FOR THE MONTH OF JULY 2015 IN 3293.00

THE AMOUNT OF THREE THOUSAND TWO HUNDRED NINETY
THREE PESOS ONLY.

A] Certified Supporting documents complete and proper B]

Cash available
Subject to ADA (where applicable)

SIGNATURE: ________WILGERMINA D. JUHAILI____ __WILGERMINA D. JUHAILI

PRINTED NAME
POSITION: Teacher In-Charge Teacher In-Charge

DATE:August 8, 2015 DATE: August 8, 2015

C] Received Payment Check/ADA No._____ D] Journal Entry

Date: _______________ Voucher
Signature________________________ Date: _August 8, 2015 Bank Name: _________ No.: ___________
Printed Name: ___________________ Or No. Other relevant Date: __________
Document Issued
 Republic of Misamis Occidental
DEPARTMENT OF EDUCATION
Region X
MISAMIS OCCIDENTAL DIVISION
CONGRESSMAN HILARION J. RAMIRO JR. MNHS
Oroquieta City

DISBURSEMENT VOUCHER

MODE OF PAYMENT
No.: _____________
MDS Check Commercial Check ADA Others Date: ____________

Payee/Office: TIC/Employee No. OS/BUS No.

GLORIA BAZAR Date:
Address: OZAMIZ CITY Responsibility Center
Title: Code:

PARTICULARS AMOUNT

TO PAYMENT OFFICE SUPPLIES FOR THE MONTH OF JULY 2015 IN 224.00

THE AMOUNT OF TWO HUNDRED TWENTY FOUR PESOS ONLY.

A] Certified Supporting documents complete and proper B]

Cash available
Subject to ADA (where applicable)

SIGNATURE: ________WILGERMINA D. JUHAILI____ __WILGERMINA D. JUHAILI

PRINTED NAME
POSITION: Teacher In-Charge Teacher In-Charge

DATE:August 13, 2015 DATE: August 13, 2015

C] Received Payment Check/ADA No._____ D] Journal Entry

Date: _______________ Voucher
Signature________________________ Date: August 13, 2015 Bank Name: _________ No.: ___________
Printed Name: ___________________ Or No. Other relevant Date: __________
Document Issued
 Republic of Misamis Occidental
DEPARTMENT OF EDUCATION
Region X
MISAMIS OCCIDENTAL DIVISION
CONGRESSMAN HILARION J. RAMIRO JR. MNHS
Oroquieta City

DISBURSEMENT VOUCHER

MODE OF PAYMENT
No.: _____________
MDS Check Commercial Check ADA Others Date: ____________

Payee/Office: TIC/Employee No. OS/BUS No.

Date:
Address: Responsibility Center
Title: Code:

PARTICULARS AMOUNT

A] Certified Supporting documents complete and proper B]

Cash available
Subject to ADA (where applicable)

SIGNATURE: ________WILGERMINA D. JUHAILI____ __WILGERMINA D. JUHAILI

PRINTED NAME
POSITION: Teacher In-Charge Teacher In-Charge

DATE:August 7, 2015 DATE: August 7, 2015

C] Received Payment Check/ADA No._____ D] Journal Entry

Date: _______________ Voucher
Signature________________________ Date: _August 7, 2015 Bank Name: _________ No.: ___________
Printed Name: ___________________ Or No. Other relevant Date: __________
Document Issued

Republic of Misamis Occidental

DEPARTMENT OF EDUCATION
Region X
OROQUIETA CITY DIVISION
Oroquieta City

DISBURSEMENT VOUCHER

MODE OF PAYMENT
No.: _____________
MDS Check Commercial Check ADA Others Date: ____________

Payee/Office: SMART BRO., TIC/Employee No. OS/BUS No.

Date:
Address: OZAMIZ CITY Responsibility Center
Title: Code:

PARTICULARS AMOUNT

To PAYMENT the INTERNEL BILL for the month of April 25,

2013 in the amount of One Thousand Nine Hundred Sixty-One Pesos and
92/100.

Attached:
1. STATEMENT OF ACCOUNT

1,961.92

A] Certified Supporting documents complete and proper B]

Cash available
Subject to ADA (where applicable)

JONATHAN S. DELA PEÑA, CESO VI

Schools Division Superintendent
SIGNATURE:
PRINTED NAME: TERESITA D. ARANAS
POSITION: Administrative Officer II
(Head Accounting Unit/Authorized
Representative)
DATE: __________________ DATE: ____________________

C] Received Payment Check/ADA No._____ D] Journal Entry

Date: _______________ Voucher
Signature________________________ Date: _____________ Bank Name: _________ No.: ___________
Printed Name: SMART BRO., Or No. Other relevant Date: __________
Document Issued