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Appendix 32 Disbursement Voucher

This document is a disbursement voucher used to process payments for expenses and cash advances. It contains information about the payee, mode of payment, amount due, accounting entries to debit and credit, and certifications and approvals required from supervisors, accounting representatives, and agency heads before payment can be issued. Upon payment, the recipient's signature and receipt details are also documented on the form.

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Verena Raga
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2K views1 page

Appendix 32 Disbursement Voucher

This document is a disbursement voucher used to process payments for expenses and cash advances. It contains information about the payee, mode of payment, amount due, accounting entries to debit and credit, and certifications and approvals required from supervisors, accounting representatives, and agency heads before payment can be issued. Upon payment, the recipient's signature and receipt details are also documented on the form.

Uploaded by

Verena Raga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Appendix 32

Fund Cluster :
Entity Name
Date :
DISBURSEMENT VOUCHER DV No. :

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


Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee

Address

Responsibility
Particulars MFO/PAP Amount
Center

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

________________________________________
Printed Name, Designation and Signature of Supervisor

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

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
92

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