Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 3,866.50
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 3,866.50
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 3,866.50
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 2,304.00
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 2,304.00
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 2,304.00
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 3,886.00
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 3,886.00
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 3,886.00
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 3,841.00
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 3,841.00
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 3,841.00
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 2,976.00
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 2,976.00
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 2,976.00
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 4,960.50
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 4,960.50
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 4,960.50
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 4,968.50
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 4,968.50
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 4,968.50
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 4,960.00
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 4,960.00
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 4,960.00
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 1,983.50
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 1,983.50
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 1,983.50
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Mode of
MDS Check Commercial Check ADA Others (Please specify)
Payment
CASH
TIN/Employee No.: ORS/BURS No.:
Payee MYLENE P. BOMBIO SARI-SARI STORE
Responsibility
Particulars MFO/PAP Amount
Center
100010000 - DO 1,537.50
Obligation to pay Food Supplies Expenses as per
attached supporting documents in the total amount of…
LIZA R LOPEZ
PRINCIPAL
B. Accounting Entry:
Account Title UACS Code Debit Credit
Food Supplies Expenses 50203050 00 1,537.50
Cash-Modified Disbursement System (MDS), Regular-MOOE/CO 10404040 02 1,537.50
Due to BIR 20201010 00 0.00
C. Certified: Approvedfor
D. Approved forPayment
Payment
Cash available
Signature Signature
Printed
EDRIAN G. AMANTE Printed Name LIZA R LOPEZ
Name
Administrative Assistant III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative