Republic of the Philippines

LOCAL GOVERNMENT UNIT OF PASIL

Pasil, Kalinga

DISBURSEMENT VOUCHER No:________________________

( X ) Check ( ) Cash ( ) Others Date:

Payee :Home Development Mutual Fund OS/BUS N0:

ADRESS: Tuguegarao, City

Office/unit/project : Code:

EXPLANATION Amount

Payment of Remittances members contribution modified pag-ibig 2, for the month

of January 2018, as per supporting Papers Attached In the total amount of…………… 24,000.00

TOTAL: Twenty Four Thousand Pesos Only 24,000.00

A. Certified: B Certified
( ) Allotment obligated for the purpose indicated above Funds Available
( ) Supporting documents complete

YOLANDA D. WANASEN ESTEMSON JOSE J. BARCELLANO

Municipal Accountant Municipal Treasurer
Date: _____________ Date Issued: ___________
C Approved for payment: D Received Payment
Check No. Bank name Date

OR/Other Documents
ALFREDO B. MALANNAG HDMF JEV NO.
JR
Municipal Mayor
Signature Over Printed Name Date
Date:__________
No. : _________________
Date: _________________

( ) Collection ( X ) Check Disbursement ( ) Cash Disbursement ( ) Others

Responsibility ACCOUNTING ENTRIES
Center Accounts and Explanation Account PR Amount
Code
Debit Credit

TOTAL
Approved By:
Prepared by:
YOLANDA D. WANASEN
MARTIN BAGYON Municipal Accountant
Accounting Clerk