New DV

Disbursement Voucher

Details

Fund

DV No.

Date

Budget Ref. No.

Payee

Address

TIN No.

CAFOA No.

Responsibility Center

Amount

Tax Withheld

Amount Due

Particulars

Certifications

A NameA Position

B NameB Position

C NameC Position

Payment

Approved ByPosition

Check No.Bank NamePayment Date

Received ByReceived Date

Accounting Entries

Particulars

Account Code

Debit

Credit

Footer

Prepared ByPosition

Certified CorrectPosition

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Appendix 47

DISBURSEMENT VOUCHER

MUNICIPALITY OF MAGSAYSAY

LGU

Fund:

DV No.:

Date:

Budget Ref. No.:

Payee:		TIN No.:
Address:		CAFOA No.:
		Responsibility Center:

Particulars	Amount
	₱0.00
Amount Due	₱0.00

A Certified:

Expenses/Cash Advances necessary, lawful and incurred under my direct supervision.

B Certified:

Completeness and propriety of supporting documents/previous cash advance liquidated/existence of funds held in trust.

C Certified:

Funds available for the purpose.

D Approved For Payment: ₱

Payment:

Check No.

Bank Name:

Date:

E Received Payment:

Signature Over Printed Name/Position
Date:

F Accounting Entries
Particulars	Account Code	Debit	Credit

Appendix 47

DISBURSEMENT VOUCHER

MUNICIPALITY OF MAGSAYSAY

LGU

Fund:

DV No.:

Date:

Budget Ref. No.:

Payee:		TIN No.:
Address:		CAFOA No.:
		Responsibility Center:

Particulars	Amount
	₱0.00
Amount Due	₱0.00

A Certified:

Expenses/Cash Advances necessary, lawful and incurred under my direct supervision.

B Certified:

Completeness and propriety of supporting documents/previous cash advance liquidated/existence of funds held in trust.

C Certified:

Funds available for the purpose.

D Approved For Payment: ₱

Payment:

Check No.

Bank Name:

Date:

E Received Payment:

Signature Over Printed Name/Position
Date:

F Accounting Entries
Particulars	Account Code	Debit	Credit