DV Tev CF

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DEPARTMENT OF LABOR AND EMPLOYMENT Fund Cluster :

Regional Office No V 01
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee DAISY A. ABELLA

Address MASBATE PO
Responsibility
Particulars MFO/PAP Amount
Center

3,000.00
REIMBURSEMENT of travelling expenses incurred while
on official travel for the period December 25-26, 2024 as
per attached documents in the amount of …..

Amount Due 3,000.00


A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LYNETTE H. DELA FUENTE


Provincial Head

B. Accounting Entry:
Account Title UACS Code Debit Credit
b. 50214990 00 3,000.00
Travelling Expense-Local Travel
10104040 00
Cash NT MDS, Regular 3,000.00
C. Certified: D. Approved for Payment
Cash available

Subject to Authority to Debit Account (when applicable) Three thousand Pesos Only
(P3,000.00)
Sup
proper

Signature Signature
Printed
ANGELICA JOY L. NAPOLIS Printed Name IMELDA E. ROMANILLOS, CESE
Name
Accountant III Assistant Regional Director
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date …………………


E. Receipt of Payment JEV No.
Date : Bank Name & Account Number:
Check/
ADA No. :

Date : Printed Name: Date


Signature :
Official Receipt No. & Date/Other Documents
OBLIGATION REQUEST AND STATUS Serial No. : _____________________

DEPARTMENT OF LABOR AND EMPLOYMENT Date : _________________________


Regional Office No. 5 Fund Cluster : ___________________

Payee DAISY A. ABELLA

Office DOLE MPO


Address MASBATE PO
UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

REIMBURSEMENT of travelling expenses


incurred while on official travel for the period
December 25-26, 2024 as per attached
3,000.00
documents in the amount of …..

Total 3,000.00
A. Certified: Charges to appropriation/alloment are B. Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ___________________________________ Signature :

LYNETTE H. DELA FUENTE Printed Name: LESLIE MAE A. GARCIA

Position : Provincial Head Position : Statistician II /OIC- Budget Officer

Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized


Representative
Date : ___________________________________ Date : ____________________________

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)

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