disbursement voucher
Post on 06-Oct-2015
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Republic of the PhilippinesQUEZON CITY GOVERNMENT
Quezon Memorial Circle, Diliman, Quezon City
DISBURSEMENT VOUCHERNO.
Mode of Payment
Check Cash Others
PayeeTIN/Employee No. Obligation Request No.
Address
Responsibility Center
Office/Unit/Project Code
EXPLANATION AMOUNT
A. Certified
Allotment obligated for the purpose as indicated above
Supporting documents complete
B. Certified
Funds Available
Signature Signature
Printed Name EDITHA ALZONADate
Printed Name VICTOR B. ENDRIGADate
Position City Accountant
City Accountant/ Authorized Representative
Position City Treasurer
City Treasurer/Representative
C. Approved for Payment D. Received Payment
SignatureCheck No. Bank Name Date
Printed Name HON. FELICIANO R. BELMONTE, JR. Date
Signature
Printed Name Date
Position
City Mayor
City Mayor or City Administrator
OR/Other Documents
JEV No. Date
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