DISBURSEMENT VOUCHER DV No.

:
CALOOCAN CITY GOVERNMENT
Date:
LGU
CLASSIFICATION OF DISBURSEMENT

Cash Advance Reimbursement xx

ID No. / TIN:
Name of Claimant: SILENT WORKER MARKETING
Responsibility Center:
Address: 611 7th Avenue Caloocan City

Particular of Payments Amoun

Payment for Retention on purchase of Battery and Tires for Service

Vehicle Plate No. SHU-877 in the total amount of. . . . . . . . . . . . . . . .

A Certified:
Expenses / Cash Advances nescessary
lawful and incurred under my direct
supervision
P
B Completeness and propriety of supporting C
documents/ previous cash advance
liquidated/ existence of funds held in trust

Eng'r. OLIVER R. HERNADEZ ALMA D. BUCALEN ANALIZA E. ME

City Administrator OIC-City Accounting Department OIC- City Treasur
Signature Over Printed Name/Position Signature Over Printed Name/Position Signature Over Printe

D Approved for payment: P _____________ E

Payment:
Check No.: ____________
Bank Name: ___________
Hon. OSCAR G. MALAPITAN
City Mayor Date: ___________________
Signature Over Printed Name/Position Signature Over Printed

JEV No. __________ Date _

enter:

Amount

Php3,416.50

Cash available:

ANALIZA E. MENDIOLA
OIC- City Treasurer's Office
Signature Over Printed Name/Position

Received Payment:

Signature Over Printed Name/Position

V No. __________ Date ____________

 DISBURSEMENT VOUCHER DV No.:
CALOOCAN CITY GOVERNMENT
Date:
LGU
CLASSIFICATION OF DISBURSEMENT

Cash Advance Reimbursement xx

ID No. / TIN:
Name of Claimant: Atty. EMMANUEL EMILIO P. VERGARA
Responsibility Center:
Address: Business Permits & Licensing Office
Particular of Payments Amoun

Reimbursement of various supplies for the Business Permits

& Licensing Office for the Preparation of Tax Campaign Renewal of
Business Permits in the total amount of. . . . . . . . . . . . . . . . . . . . . . .

A Certified:
Expenses / Cash Advances nescessary
lawful and incurred under my direct
supervision
P
B Completeness and propriety of supporting C
documents/ previous cash advance
liquidated/ existence of funds held in trust

Atty. EMMANUEL EMILIO P. VERGARA ALMA D. BUCALEN ANALIZA E. ME

Chief BPLO OIC-City Accounting Department City Treas
Signature Over Printed Name/Position Signature Over Printed Name/Position Signature Over Printe

D Approved for payment: P _____________ E

Payment:
Check No.: ____________
Bank Name: ___________
Hon. OSCAR G. MALAPITAN
City Mayor Date: ___________________
Signature Over Printed Name/Position Signature Over Printed

JEV No. __________ Date _

enter:

Amount

Php36,224.25

Cash available:

ANALIZA E. MENDIOLA
City Treasurer
Signature Over Printed Name/Position

Received Payment:

Signature Over Printed Name/Position

V No. __________ Date ____________