Republic of the Philippines

DEPARTMENT OF JUSTICE
BUREAU OF CORRECTIONS
NBP Reservation, Muntinlupa City, Philippines, 1776
Telefax: +632-809-80-73

Fund Cluster :

DISBURSEMENT VOUCHER Date : 02/23/17

DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee PGII ROMMEL R. MUYARGAS

Address

Responsibility
Particulars MFO/PAP Amount
Center

Liquidation for Cash Advance

as per DDO no. T/O 17-028-02 19,504.00
DBP Acct. No. 5-02383-430-1

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

P/Supt. I ROBERTO R. RABO

Supt.-NBP

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name EDGARDO DC. VIRTUDAZO ATTY. BENJAMIN C. DE LOS SANTOS
OIC Chief Accounting Section DIRECTOR GENERAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents

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