DISBURSEMENT VOUCHER DV. No.

:
Date:
BARANGAY: DISTRICT No. 7 Municipality of BALAYAN
Tel. No. Province of BATANGAS
PAYEE/OFFICE: MARIA IMMACULADA A. PANTILA Employee No. ___ FUND:
Address: BALAYAN, BATANGAS TIN No. _______ Gen. FUND (SK FUND)
PARTICULARS AMOUNT

**** To cash advance amounting of 10,000.00 to be use for linggo ng

Kabataan Celebration 2018 to be held on October 13 to 27, 2018 at 10,000.00
Balayan Batangas

A. B C
Certified Certified Certified
Existence of available Funds ( Cash ) Available As to validity, propriety and legality of claim
appropriations for the charges/
expenses indicated above Appoved:
For payment

Signature: _________________ Signature: ____________________ Signature ____________________

Printed Name : ROBIN J. DE LA REA Printed Name: MARIA IMMACULADA A. PANTILAPrinted Name: RAYMOND ARSENIO G. DE CASTR
Position : Chairman Position : Barangay Treasurer Position : PUNONG BARANGAY
Committee on Appropriations
Signature ____________________
Printed Name: JOSE ALEJANDRO V. MALACAMA
Date : __________________ Date : ______________________ Position : SK CHAIRPERSON

Date : __________________
D Received Payment

___________________________
Signature Over Printed Name CHECK NO. _______________ DATE :
BANK NAME: PNB
O.R. NO.___________ DATE
 ___________________________
Signature Over Printed Name
SK CHAIRPERSON

DISBURSEMENT VOUCHER DV NO. :

Date:
BARANGAY BALAYAN, BATANGAS
Municipality of BALAYAN
Tel. No. Province of BATANGAS
PAYEE/OFFICE: Employee Fund :

Address : TIN No. ___________

PARTICULARS AMOUNT

To cash advance amounting of 10,000.00 contribution for a month l ###

of Linggo ng Kabataan 2019 to be held on October 5 to November 9, 2019.

###
A Certified B Certified C Certified
Existence of available Funds ( Cash ) Available As to validity, propriety and
appropriations for the charges/ legality of claim
expenses indicated above
Appoved:

For payment

Signature __________ Signature ____________________ Signature ____________________

Printed Name : Printed Name : Printed Name :
Position : Cha Position : Barangay Treasurer Position : PUNONG BARANGAY
Committee on Appropriations
Signature ____________________
Printed Name :
Position : SK CHAIRPERSON
Date : ___________ Date : ________________________________
Date : __________________
D Received Payment

Signature Over Printed Name

CHECK NO. _______________ DATE :

___________________ BANK NAME
Signature Over Print O.R. NO.___________ DATE
SK CHAIRPERSON
T

10,000.00

legality of claim

______
SENIO G. DE CASTRO

______
RO V. MALACAMAN