Post on 13-Jan-2016
description
Republic of the Philippines
Republic of the Philippines
PROVINCIAL GOVERNMENT OF CAPIZ
Capitol Building, Roxas City
DISBURSEMENT VOUCHERNo.
Mode of Payment Check Cash Others
PayeeWWILHon. Blesilda P. AlmalbisTIN/Employee No.Obligation Request No.
ADDDRESSS.P Pob. Pilar, Capiz Responsibility Center
Office/Unit Project Code
EXPLANATIONAMOUNT
To Reimbursement, My traveling expenses (Perdiem) while on monitoring of various projects in the different areas of my responsibility for the month of July, 2010. Chargeable to my travel Expenses Fund. As per supporting papers hereto attached with the total amount of.. Recommending for Approval:
Hon. Blesilda P. Almalbis Board Member
Province of Capiz Amount Due:
Allotment obligated for the purpose as
indicated above
Supporting documents complete
SignatureSignature
Printed NameERNIE B. ARCENASDatePrinted NameWENDIZIMA SUSTENTODate
PositionProvincial Accountant
Head, Requesting Office/Authorized RepresentativePosition Provincial Treasurer
Head, Budget Unit / Authorized Representative
C.Approved for PaymentD.Received Payment
SignatureCheck No.Bank NameDate
Printed NameHon. Esteban Evan B. ContrerasDateSignature
Vice Governor
Printed Name Hon. Blesilda P. Almalbis
PositionAgency Head/Authorized RepresentativeOR/Other DocumentsJEV No.Date
B
Certified
A
Certified
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