Requisition and Issue Voucher

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REQUISITION AND ISSUE VOUCHER Number

Office/Agency Office of the Treasurer Date 04.05.17


Balance REQUISITION ISSUANCE
on Hand Stock Account
QTY Unit Article Purpose Qty. Unit Value Total Value
Number Charge

5 stubs AF#51 For MTO 5


Tampilisan, Z.N.

Grand Total -

CERTIFIED: Supplies rerquisitioned are necessary and will be used RECEIVED BY:
solely for purposes stated.

PRAXIDES C.A RCINO


OIC-Municipal Treasurer
Name, Designation & Signature of Req. Officer Name, Designation & Signature
APPROVED BY: DATE RECEIVED:

FILLED BY:
ANGELES R. CARLOTO II
Municipal Mayor Packed by:
Name, Designation & Signature of Approving Officer Shipped to:
DATE APPROVED: Bill of Laing No. DATE:
Property Officer/Clerk:
REQUISITION AND ISSUE VOUCHER Number
Office/Agency Office of the Treasurer Date November 18,2010

Balance REQUISITION ISSUANCE


on Hand Stock Account
QTY Unit Article Purpose Qty. Unit Value Total Value
Number Charge
Use in the
5 stubs AF#54 office of the 5 195.00 975.00
(Mun.License) Mun.Treas. 10% Surcharge 97.50
of Tampilisan, Total Amount 1,072.50
Zambo.del
Norte

CERTIFIED: Supplies rerquisitioned are necessary and will be used RECEIVED BY:
solely for purposes stated.

OLIVIA G.EBORDE
Municipal Treasurer
Name, Designation & Signature of Req. Officer Name, Designation & Signature
APPROVED BY: DATE RECEIVED:

FILLED BY:
ENRIQUIETA D.BOMEDIANO
Municipal Mayor Packed by:
Name, Designation & Signature of Approving Officer Shipped to:
DATE APPROVED: Bill of Laing No. DATE:
Property Officer/Clerk:

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