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Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 16 2018
` DV No. : 18-09-0038

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

SAN PABLO CITY


Address

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…

Amount Due ₱3,866.50


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 16 2018 Date 9 16 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 16 2018 N/A
Date : Printed Name: Date
Signature :
9 16 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 8 28 2018
` DV No. : 18-09-0039

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

SAN PABLO CITY


Address

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…

Amount Due ₱2,304.00


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 8 28 2018 Date 8 28 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 8 28 2018 N/A
Date : Printed Name: Date
Signature :
8 28 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 02 2018
` DV No. : 18-09-0040

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

SAN PABLO CITY


Address

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…

Amount Due ₱3,886.00


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 02 2018 Date 9 02 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 02 2018 N/A
Date : Printed Name: Date
Signature :
9 02 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 09 2018
` DV No. : 18-09-0041

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

SAN PABLO CITY


Address

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…

Amount Due ₱3,841.00


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 09 2018 Date 9 09 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 09 2018 N/A
Date : Printed Name: Date
Signature :
9 09 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 09 2018
` DV No. : 18-09-0042

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

SAN PABLO CITY


Address

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…

Amount Due ₱2,976.00


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 09 2018 Date 9 09 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 09 2018 N/A
Date : Printed Name: Date
Signature :
9 09 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 02 2018
` DV No. : 18-09-0043

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

SAN PABLO CITY


Address

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…

Amount Due ₱4,960.50


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 02 2018 Date 9 02 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 02 2018 N/A
Date : Printed Name: Date
Signature :
9 02 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 09 2018
` DV No. : 18-09-0044

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

SAN PABLO CITY


Address

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…

Amount Due ₱4,968.50


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 09 2018 Date 9 09 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 09 2018 N/A
Date : Printed Name: Date
Signature :
9 09 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 16 2018
` DV No. : 18-09-0045

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

SAN PABLO CITY


Address

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…

Amount Due ₱4,960.00


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 16 2018 Date 9 16 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 16 2018 N/A
Date : Printed Name: Date
Signature :
9 16 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 23 2018
` DV No. : 18-09-0046

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

SAN PABLO CITY


Address

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…

Amount Due ₱1,983.50


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 23 2018 Date 9 23 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 23 2018 N/A
Date : Printed Name: Date
Signature :
9 23 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents
Appendix 32

Department of Education Division of San Pablo City Fund Cluster :


STO NINO ELEMENTARY SCHOOL `01101101
Date : 9 23 2018
` DV No. : 18-09-0047

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

SAN PABLO CITY


Address

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…

Amount Due ₱1,537.50


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

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

Subject to Authority to Debit Account (when applicable)

Supporting documents complete and amount claimed


proper

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

Date 9 23 2018 Date 9 23 2018

E. Receipt of Payment JEV No.


Check/ Date : Bank Name & Account Number:
CASH
ADA No. : 9 23 2018 N/A
Date : Printed Name: Date
Signature :
9 23 2018 MYLENE P. BOMBIO
Official Receipt No. & Date/Other Documents

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