Paligawan Elementary School

FOR THE PERIOD OF __________________CASH DISBURSEMENT REGISTRY

DATE

(1)

REFERENCE (OR/RER/CHECK

#

(2)

PAYEE/PARTICULARS

(3)

CASH ADVANCE BREAKDOWN PAYMENTSAMOUNT RECEIVED

(4)

PAYMENTS

(5)

BALANCE

(6)

TRAVEL EXPENSES

(7)

OFFICE SUPPLIES EXPENSES

(8)

TEXTBOOKS AND INSTRUCTIONAL

MATERIALS EXPENSES

(9)

REPAIR AND MAINTENANCE

SCHOOL BUILDINGS

(10)

OTHER ACCOUNTSACCOUNT

NAME

(11)

ACCOUNT CODE

(12)

Certified Correct: Certified: Approved: Supporting documents complete

EVANGELINE L. OCAMPO EDUARDA U. ALON DONATO G. BUENO, Ed. D. Teacher In-Charge Division Accountant OIC-Schools Division SuperintendentDate:_____________ Date:_____________

Republic of the Philippines

Department of EducationRegion IV-A CALABARZON

DIVISION OF BATANGASBALETE DISTRICT

Balete

DEPARTMENT OF EDUCATIONDIVISION OF BATANGAS

DISTRICT OF BALETEPALIGAWAN ELEMENTARY SCHOOL

SUMMARY OF TAXES WITHHELDFOR THE MONTH OF ___________________________

NAME OF SUPPLIER/CONTRACTOR

AMOUNT OF PAYMENTAMOUNT OF TAXEX WITHHELD

1% 2% 3% 5% TOTAL

Checked: Certified Correct:

EVANGELINE L. OCAMPO Teacher In-Charge

PALIGAWAN ELEMENTARY SCHOOL

SUMMARY OF TAXES WITHHELDFOR THE MONTH OF _______________________________________

NAME OF SUPPLIER/CONTRACTOR

AMOUNT OF PAYMENTAMOUNT OF TAXEX WITHHELD

1% 2% 3% 5% TOTAL

Checked: Certified Correct:

EVANGELINE L. OCAMPO Teacher In-Charge

Republic of the Philippines

Republic of the Philippines

Department of EducationRegion IV-A CALABARZON

DIVISION OF BATANGASBALETE DISTRICT

Balete

Department of EducationRegion IV-A CALABARZON

DIVISION OF BATANGASBatangas City

ABSTRACT THRU CANVASS

TO BE DELIVERED AT QUANTITY UNIT NAME AND DESCRIPTION OF ARTICLES

The undersigned believe that the offer of ________________________________________the lowest bids and most advantageous interest of the government.

EVANGELINE L. OCAMPO Teacher In Charge