DV No: 2023-12-001

DISBURSEMENT VOUCHER
Date: December 20, 2023

Barangay: Barangay Rosary Heights X Municipality: Cotabato City

Tel No.: Province :

Payee/ Office: ADNAN B. USOP Employee No.________ Fund: GF-MOOE

Address: Barangay Rosary Heights X, Cot. City TIN No.: 639-340-176

Particular Amount

To cash advance expenses for the Barangay Basketball tournament. As per

supporting papers hereto attached in the amount of ONE HUNDRED
THOUSAND PESOS ONLY. Php 100,000.00

Php 100,000.00
A. Certified: B Certified: C Certified:
Existence of available appropriations for Funds ( cash) available As to validity,propriety, and legally claim
charges/ expences indicated above.

Signature____________________ Signature _______________ Signature__________

Printed Name: JAJURI M. USOP Printed Name: THALIA U. AMPATUAN Printed Name: ADNAN B. USOP
Position:Chairman Committee of Appro. Position: SK Treasurer Position: SK Chairman
Date:___________________ Date: Date:

D Receive Payment:
Check No. _____________ Date: _____________

__________________________ Bank Name: _____________ Date: _____________

Signature Over Printed Name
O.R. Number: _____________ Date: _____________
Date: __________________
E Accounting Entries
Account Account Code Debit Credit
MOOE 5-02-03-990 100,000.00
Cash in Bank-LCCA 1-01-02-010 100,000.00

________________
Barangay Book Keeper Date
Approved by:

________________
Municipal Accountant Date
 DV No: 2023-12-002
DISBURSEMENT VOUCHER
Date: December 20, 2023

Barangay: Barangay Rosary Heights X Municipality: Cotabato City

Tel No.: Province :

Payee/ Office: ADNAN B. USOP Employee No.________ Fund: GF-MOOE

Address: Barangay Rosary Heights X, Cot. City

Particular Amount

To reimburse expenses during the preparation and actual conduct of the

Barangay Basketball tournament. As per supporting papers hereto attached
in the amount of SIXTY THOUSAND PESOS ONLY. Php 60,000.00

Php 60,000.00
A. Certified: B Certified: C Certified:
Existence of available appropriations for Funds ( cash) available As to validity,propriety, and legally claim
charges/ expences indicated above.

Signature____________________ Signature _______________ Signature__________

Printed Name: JAJURI M. USOP Printed Name:THALIA U. AMPATUAN Printed Name: ADNAN B. USOP
Position:Chairman Committee of Appro. Position: SK Treasurer Position: SK Chairman
Date:___________________ Date: __________________ Date: ___________________

D Receive Payment:
Check No. _____________ Date: _____________

__________________________ Bank Name: _____________ Date: _____________

Signature Over Printed Name
O.R. Number: _____________ Date: _____________
Date: __________________
E Accounting Entries
Account Account Code Debit Credit
MOOE 5-02-03-990 60,000.00
Cash in Bank-LCCA 1-01-02-010 60,000.00

________________
Barangay Book Keeper Date
Approved by:

________________
Municipal Accountant Date
 DV No: 2023-12-003
DISBURSEMENT VOUCHER
Date: December 20, 2023

Barangay: Barangay Rosary Heights X Municipality: Cotabato City

Tel No.: Province :

Payee/ Office: THALIA U. AMPATUAN Employee No.________ Fund: GF-PS

Address: Barangay Rosary Heights X, Cot. City TIN No.: 639-128-898

Particular Amount

To cash advance payment for allowance/salary of SK officials. As per

supporting papers hereto attached in the amount of FIFTY TWO
THOUSAND PESOS ONLY. Php 52,000.00

Php 52,000.00
A. Certified: B Certified: C Certified:
Existence of available appropriations for Funds ( cash) available As to validity,propriety, and legally claim
charges/ expences indicated above.

Signature____________________ Signature _______________ Signature__________

Printed Name: JAJURI M. USOP Printed Name: THALIA U. AMPATUAN Printed Name: ADNAN B. USOP
Position:Chairman Committee of Appro. Position: SK Treasurer Position: SK Chairman
Date:___________________ Date: __________________ Date: ___________________

D Receive Payment:
Check No. _____________ Date: _____________

__________________________ Bank Name: _____________ Date: _____________

Signature Over Printed Name
O.R. Number: _____________ Date: _____________
Date: __________________
E Accounting Entries
Account Account Code Debit Credit
PS 5-01-01-020 52,000.00
Cash in Bank-LCCA 1-01-02-010 52,000.00

________________
Barangay Book Keeper Date
Approved by:

________________
Municipal Accountant Date
 DV No: 2023-12-004
DISBURSEMENT VOUCHER
Date: December 20, 2023

Barangay: Barangay Rosary Heights X Municipality: Cotabato City

Tel No.: Province :

Payee/ Office: ADNAN B. USOP Employee No.________ Fund: GF-MOOE

Address: Barangay Rosary Heights X, Cot. City TIN No.: 639-340-176

Particular Amount

To reimburse expenses for the purchased of dental kits. As per supporting

papers hereto attached in the amount of FIFTY THOUSAND PESOS ONLY. Php 50,000.00

Php 50,000.00
A. Certified: B Certified: C Certified:
Existence of available appropriations for Funds ( cash) available As to validity,propriety, and legally claim
charges/ expences indicated above.

Signature____________________ Signature _______________ Signature__________

Printed Name: JAJURI M. USOP Printed Name: THALIA U. AMPATUAN Printed Name: ADNAN B. USOP
Position:Chairman Committee of Appro. Position: SK Treasurer Position: SK Chairman
Date:___________________ Date: __________________ Date: ___________________

D Receive Payment:
Check No. _____________ Date: _____________

__________________________ Bank Name: _____________ Date: _____________

Signature Over Printed Name
O.R. Number: _____________ Date: _____________
Date: __________________
E Accounting Entries
Account Account Code Debit Credit
MOOE 5-01-01-020 50,000.00
Cash in Bank-LCCA 1-01-02-010 50,000.00

________________
Barangay Book Keeper Date
Approved by:

________________
Municipal Accountant Date
 DV No: 2023-12-005
DISBURSEMENT VOUCHER
Date: December 20, 2023

Barangay: Barangay Rosary Heights X Municipality: Cotabato City

Tel No.: Province :

Payee/ Office: THALIA U. AMPATUAN Employee No.________ Fund: GF-Training

Address: Barangay Rosary Heights X, Cot. City TIN No.: 639-128-898

Particular Amount

To reimburse training expenses during the attendance to Sangguniang

Kabataan Mandatory Training. As per supporting papers hereto attached in
the amount of TEN THOUSAND FIVE HUNDRED PESOS ONLY. Php 10,500.00

Php 10,500.00
A. Certified: B Certified: C Certified:
Existence of available appropriations for Funds ( cash) available As to validity,propriety, and legally claim
charges/ expences indicated above.

Signature____________________ Signature _______________ Signature__________

Printed Name: JAJURI M. USOP Printed Name: THALIA U. AMPATUAN Printed Name: ADNAN B. USOP
Position:Chairman Committee of Appro. Position: SK Treasurer Position: SK Chairman
Date:___________________ Date: __________________ Date: ___________________

D Receive Payment:
Check No. _____________ Date: _____________

__________________________ Bank Name: _____________ Date: _____________

Signature Over Printed Name
O.R. Number: _____________ Date: _____________
Date: __________________
E Accounting Entries
Account Account Code Debit Credit
Training Expenses 5-02-02-010 10,500.00
Cash in Bank-LCCA 1-01-02-010 10,500.00

________________
Barangay Book Keeper Date
Approved by:

________________
Municipal Accountant Date
 DV No: 2023-12-005
DISBURSEMENT VOUCHER
Date: December 18, 2023

Barangay: Barangay Rosary Heights X Municipality: Cotabato City

Tel No.: Province :

Payee/ Office: THALIA U. AMPATUAN Employee No.________ Fund: GF-MOOE

Address: Barangay Rosary Heights X, Cot. City TIN No.

Particular Amount

To cash advance purchase of office supplies. As per supporting papers

hereto attached in the amount of THIRTY THOUSAND FIVE HUNDRED
NINETY-SIX PESOS ONLY. Php 30,596.00

Php 30,596.00
A. Certified: B Certified: C Certified:
Existence of available appropriations for Funds ( cash) available As to validity,propriety, and legally claim
charges/ expences indicated above.

Signature____________________ Signature Signature__________

Printed Name: Printed Name: THALIA U. AMPATUANPrinted Name: ADNAN B. USOP
Position:Chairman Committee of Appro. Position: Barangay Treasurer Position: SK Chairman
Date:___________________ Date: Date:

D Receive Payment:
Check No. ____________Date

Bank Name
Signature Over Printed Name
O.R. Number ____________Date
Date: __________________
E Accounting Entries
Account Account Code Debit Credit
MOOE 5-02-03-990 30,596.00
Cash in Bank-LCCA 1-01-02-010 30,596.00

________________
Barangay Book Keeper Date
Approved by:

________________
Municipal Accountant Date
ember 18, 2023

Amount
Credit

30,596.00