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    Aldwin
    This disbursement voucher from the Provincial Government of Capiz is for payment of P2,879.47 to SMART for Hon. Karen A. Palomar's cell phone bill from August 5 to September 4, 2013. The document includes certifications of available funds, valid supporting documents, and approval for payment by the Vice-Governor as agency head.

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    Smart Gold

    Uploaded by

    Aldwin
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    This disbursement voucher from the Provincial Government of Capiz is for payment of P2,879.47 to SMART for Hon. Karen A. Palomar's cell phone bill from August 5 to September 4, 2013. The document includes certifications of available funds, valid supporting documents, and approval for payment by the Vice-Governor as agency head.

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    This disbursement voucher from the Provincial Government of Capiz is for payment of P2,879.47 to SMART for Hon. Karen A. Palomar's cell phone bill from August 5 to September 4, 2013. The document includes certifications of available funds, valid supporting documents, and approval for payment by the Vice-Governor as agency head.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    14 views2 pages

    Smart Gold

    Uploaded by

    Aldwin
    This disbursement voucher from the Provincial Government of Capiz is for payment of P2,879.47 to SMART for Hon. Karen A. Palomar's cell phone bill from August 5 to September 4, 2013. The document includes certifications of available funds, valid supporting documents, and approval for payment by the Vice-Governor as agency head.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    Republic of the Philippines

    PROVINCIAL GOVERNMENT OF CAPIZ


    Capitol Building, Roxas City

    DISBURSEMENT VOUCHER No.


    Mode of
    Check Cash Others
    Payment
    TIN/Employee Obligation Request No.
    Payee
    SMART No.
    Responsibility Center
    Address
    Sangguniang Panlalawigan Office/Unit Project Code

    EXPLANATION AMOUNT

    To payment of my Cell phone bill for the month of August 5 to September 4, 2013 as
    per supporting papers hereto attached in the total amount of . . . . . . . . .
    P 2,879.47

    HON. KAREN A. PALOMAR


    Board Member
    Province of Capiz

    A Certified B Certified
    Allotment obligated for the purpose as
    Indicated above Funds Available

    Supporting documents complete

    Signature
    Signature

    Printed Date Printed Name Date


    ERNIE B. ARCENAS WENDIZIMA S. SUSTENTO
    Name
    Provincial Accountant Provincial Treasurer
    Position Position
    Head, Requesting Office/Authorized Head, Budget Unit / Authorized
    Representative Representative
    C. Approved for Payment D. Received Payment
    SMART

    Check No. Bank Name Date


    Signature

    Date
    Printed Signature
    Name ESTEBAN B. CONTRERAS Printed Name Date

    Vice-Governor OR/Other Documents JEV No. Date


    Position
    Agency Head/Authorized Representative
    Republic of the Philippines
    PROVINCIAL GOVERNMENT OF CAPIZ
    Capitol Building, Roxas City

    OBLIGATION REQUEST No.

    Payee SMART

    Sangguniang Panlalawigan
    OFFICE

    Address Roxas City

    Responsibility Account
    Particulars F.P.P. Amount
    Center Code

    To payment of SMART P 2,879.47

    Total
    P 2,879.47

    0 Certified
    A B
    Certified
    Existence of available appropriation
    Charges to appropriation/allotment necessary,
    lawful and under my direct supervision
    Supporting documents valid, proper and legal

    Signature Signature

    Printed Name Printed Name


    HON. KAREN A. PALOMAR G. ANTONIO T. ARBIS

    Board Member Provincial Budget Officer


    Position Position
    Head, Requesting Office/Authorized Head, Budget Unit / Authorized
    Representative Representative
    Date Date

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