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Petty Cash Voucher Template PH

The document is a petty cash voucher from the Department of Health in Zamboanga City, Philippines. It requests 1,000 pesos for miscellaneous expenses and has signatures approving the request and liquidating the funds. The money was requested by Narcisa Caballes, paid by the petty cash custodian, and received as reimbursement by Helen Araneta.

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Helen Paragas Solivar Araneta
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© © All Rights Reserved
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612 views13 pages

Petty Cash Voucher Template PH

The document is a petty cash voucher from the Department of Health in Zamboanga City, Philippines. It requests 1,000 pesos for miscellaneous expenses and has signatures approving the request and liquidating the funds. The money was requested by Narcisa Caballes, paid by the petty cash custodian, and received as reimbursement by Helen Araneta.

Uploaded by

Helen Paragas Solivar Araneta
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
  • Petty Cash Voucher - Zamboanga City
  • Financial Summary Page
  • Petty Cash Voucher - Maria Lizette C. Gongora
  • Voucher and Financial Summary Continuation
  • Petty Cash Voucher - Helen S. Araneta/Coa

Republic of the Philippines

DEPARTMENT OF HEALTH
ZAMBOANGA PENINSULA - CENTER FOR HEALTH DEVELOPMENT
Upper Calarian, Zamboanga City 7000
Phone : 062 983-0314, 062 983-0315, Fax : 062 983-3380
Email : dohchdzp@[Link], Web : [Link]
PETTY CASH VOUCHER No. : __________________

Entity Name : DOH ZP CHD Date : _________________


Fund Cluster: _____________________________

Payee/Office : Responsibility Center Code:


Address : Zamboanga City ______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
Wreath flower 1,000.00 Total Amount Granted 1,000.00

Total Amount Paid per

Amount Refunded/
(Reimbursed)
1,000.00
A Requested by: C

Received Refund
ENGR. DOMINGO E. LUSAYA/CAO
Name of Requestor Reimbursement Paid

Approved by:

EMILIA P. MONICIMPO, MD. MPH. CSEE ELMER G. DUCANES


Director IV Petty Cash Custodian

B Paid by: D
Liquidation Submitted
ELMER G. DUCANES
Petty Cash Custodian Reimbursement Received by:

Cash Received by:

_______________________________________ _________________________________
Payee Payee
Date: _______________ Date: _______________
2,301,600.00 767,200.00
462,000.00 767,200.00
2,763,600.00 1,534,400.00
4,298,000.00
Fund
Cluster :
Republic of the Philippines
DEPARTMENT OF HEALTH
ZAMBOANGA PENINSULA - CENTER FOR HEALTH DEVELOPMENT
Upper Calarian, Zamboanga City 7000
Phone : 062 983-0314, 062 983-0315, Fax : 062 983-3380
Email : dohchdzp@[Link], Web : [Link]
PETTY CASH VOUCHER No. : __________________

Entity Name : DOH ZP CHD Date : _________________


Fund Cluster: _____________________________

Payee/Office : MARIA LIZETTE C. GONGORA Responsibility Center Code:


Address : Zamboanga City ______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
Wreath flower 3,000.00 Total Amount Granted ______________

Total Amount Paid per 3,000.00


Cash Invoice No. 3623 & 3624
01/15/2020
Amount Refunded/
(Reimbursed) 3,000.00
3,000.00
A Requested by: C

Received Refund
ENGR. DOMINGO E. LUSAYA/CAO
Name of Requestor Reimbursement Paid

Approved by:

EMILIA P. MONICIMPO, MD. MPH. CSEE ELMER G. DUCANES


Director IV Petty Cash Custodian

B Paid by: D
Liquidation Submitted
ELMER G. DUCANES
Petty Cash Custodian Reimbursement Received by:

Cash Received by:

MARIA LIZETTE C. GONGORA MARIA LIZETTE C. GONGORA


Payee Payee
Date: _______________ Date: _______________
Republic of the Philippines
DEPARTMENT OF HEALTH
ZAMBOANGA PENINSULA - CENTER FOR HEALTH DEVELOPMENT
Upper Calarian, Zamboanga City 7000
Phone : 062 983-0314, 062 983-0315, Fax : 062 983-3380
Email : dohchdzp@[Link], Web : [Link]
PETTY CASH VOUCHER No. : __________________

Entity Name : DOH ZP CHD Date : _________________


Fund Cluster: _____________________________

Payee/Office : MARIA LIZETTE C. GONGORA Responsibility Center Code:


Address : Zamboanga City ______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
Wreath flower 3,000.00 Total Amount Granted ______________

Total Amount Paid per 3,000.00


Cash Invoice No. 23139
01/16/2020
Amount Refunded/
(Reimbursed) 3,000.00
3,000.00
A Requested by: C

Received Refund
ENGR. DOMINGO E. LUSAYA/CAO
Name of Requestor Reimbursement Paid

Approved by:

EMILIA P. MONICIMPO, MD. MPH. CSEE ELMER G. DUCANES


Director IV Petty Cash Custodian

B Paid by: D
Liquidation Submitted
ELMER G. DUCANES
Petty Cash Custodian Reimbursement Received by:

Cash Received by:


MARIA LIZETTE C. GONGORA MARIA LIZETTE C. GONGORA
Payee Payee
Date: _______________ Date: _______________
2,301,600.00 767,200.00
462,000.00 767,200.00
2,763,600.00 1,534,400.00
4,298,000.00
2,301,600.00 767,200.00
462,000.00 767,200.00
2,763,600.00 1,534,400.00
4,298,000.00
Fund
Cluster :
Fund
Cluster :
Republic of the Philippines
DEPARTMENT OF HEALTH
ZAMBOANGA PENINSULA - CENTER FOR HEALTH DEVELOPMENT
Upper Calarian, Zamboanga City 7000
Phone : 062 983-0314, 062 983-0315, Fax : 062 983-3380
Email : dohchdzp@[Link], Web : [Link]
PETTY CASH VOUCHER No. : __________________

Entity Name : DOH ZP CHD Date : _________ 1/30/2020


Fund Cluster: _____________________________

Payee/Office : HELEN S. ARANETA/COA Responsibility Center Code:


Address : Zamboanga City
______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
[Link]. 1,000.00 Total Amount Granted 1,000.00

Total Amount Paid per

Amount Refunded/
(Reimbursed)
Total : 1,000.00
A Requested by: C
Received Refund
NARCISA S. CABALLES
SA IV Reimbursement Paid

Approved by:

EMILIA P. MONICIMPO, MD. MPH. CSEE ELMER G. DUCANES


Director IV Petty Cash Custodian

B Paid by: D
/ Liquidation Submitted
ELMER G. DUCANES
Petty Cash Custodian Reimbursement Received by:

Cash Received by:

HELEN S. ARANETA HELEN S. ARANETA


Signature over printed name of payee Signature of payee
Date: 1/30/2020 Date: 1/30/2020
Republic of the Philippines
DEPARTMENT OF HEALTH
ZAMBOANGA PENINSULA - CENTER FOR HEALTH DEVELOPMENT
Upper Calarian, Zamboanga City 7000
Phone : 062 983-0314, 062 983-0315, Fax : 062 983-3380
Email : dohchdzp@[Link], Web : [Link]
PETTY CASH VOUCHER No. : __________________

Entity Name : DOH ZP CHD Date : _________ 3/2/2020


Fund Cluster: _____________________________

Payee/Office : HELEN S. ARANETA/COA Responsibility Center Code:


Address : Zamboanga City
______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
Misc. Exp. 1,000.00 Total Amount Granted 1,000.00

Total Amount Paid per

Amount Refunded/
(Reimbursed)
Total : 1,000.00
A Requested by: C
Received Refund
NARCISA S. CABALLES
SA IV Reimbursement Paid

Approved by:

EMILIA P. MONICIMPO, MD. MPH. CSEE ELMER G. DUCANES


Director IV Petty Cash Custodian

B Paid by: D
/ Liquidation Submitted
ELMER G. DUCANES
Petty Cash Custodian Reimbursement Received by:

Cash Received by:

HELEN S. ARANETA HELEN S. ARANETA


Signature over printed name of payee Signature of payee
Date: 3/2/2020 Date: 3/2/2020

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