This document contains three disbursement vouchers from the Barangay Salubungan in Siniloan, Laguna. The vouchers are for: 1) payment to Panaval Auto Supply for auto supplies, 2) payment of labor payroll for repairs to the barangay hall, and 3) reimbursement of notarial fees and forms for Barangay Treasurer Edgar A. Realeza. Each voucher requires certification of available funds, approval for payment, and receipt of payment.

1. DV NO._________
DISBURSEMENT VOUCHER
DATE:_________
BARANGAY SALUBUNGAN
CITY/Municipality of Siniloan
Province of Laguna
Payee/Office PANAVAL AUTO SUPPLY
Address: Siniloan, Laguna.
Employee NO:
Tin:
Fund
G.F.
TO, PAYMENT FOR THE AUTO SUPPLY OF
BRGY.SALUBUNGAN,SINILOAN,LAGUNA ATTACHED SUPPORTING
PAPERS,AMMOUNTING TO……………
.
A Certified
Existence of available appropriation for
the charges expenses indicate above
Signature: ____________________
Printed Name: Gregorio DL.Pantaleon
Chairman Committee on Appropriation
Date:_________________________
11
B Certified
Fund(Cash)Available
Signature:____________________
Printed Name: Edgar A. Realeza
Brgy. Treasurer
Date:_________________________
C Certified
As to validity propriety and legality of
claim
APPROVED: FOR PAYMENT
Signature:____________________
Name: Simeon A. Advento
Punong Barangay
Date:_____________________
D Received Payment:
Signature:_________________ Check No.:_______________ Date:_______________
Printed Name PANAVAL AUTO SUPPLY Bank Name: L.B.P
Date:_____________________ OR Number:_____________ Date:________________

2. DV NO._________
DISBURSEMENT VOUCHER
DATE:_________
BARANGAY SALUBUNGAN. CITY/Municipality of Siniloan
Province of Laguna
Payee/Office B.T EDGAR A. REALEZA
Address: Siniloan, Laguna.
Employee NO:
Tin:
Fund
G.F.
PARTICULAR
TO: PAYMENT FOR THE LABOR PAYROLL,FOR REPAIRING AND
CLEANING THE BARANGAY HALL.ATTACHED SUPPORTING
PAPERS AMMOUNTING TO…………………………..
AMOUNT
E
A Certified
Existence of available appropriation for
the charges expenses indicate above
Signature: ____________________
Printed Name: Gregorio DL.Pantaleon
Chairman Committee on Appropriation
Date:_________________________
B Certified
Fund(Cash)Available
Signature:____________________
Printed Name: Edgar A. Realeza
Brgy. Treasurer
Date:_________________________
C Certified
As to validity propriety and legality of
claim
APPROVED: FOR PAYMENT
Signature:____________________
Name: Simeon A. Advento
Punong Barangay
Date:_____________________
D Received Payment:
Signature:_________________ Check No.:_______________ Date:_______________
Printed Name EDGAR A. REALEZA Bank Name: L.B.P
Date:_____________________ OR Number:_____________ Date:________________

3. DV NO._________
DISBURSEMENT VOUCHER
DATE:_________
BARANGAY SALUBUNGAN. CITY/Municipality of Siniloan
Province of Laguna
Payee/Office B.T EDGAR A. REALEZA
Address: Siniloan, Laguna.
Employee NO:
Tin:
Fund
G.F.
PARTICULAR
REIMBURSMENT OF NOTARIAL FEES AND ACCOUNTABLE FORMS
AS PER ATTACHED SUPPORTING PAPERS AMOUNT TO…….
AMOUNT
A Certified
Existence of available appropriation for
the charges expenses indicate above
Signature: ____________________
Printed Name: Gregorio DL.Pantaleon
Chairman Committee on Appropriation
Date:_________________________
B Certified
Fund(Cash)Available
Signature:____________________
Printed Name: Edgar A. Realeza
Brgy. Treasurer
Date:_________________________
C Certified
As to validity propriety and legality of
claim
APPROVED: FOR PAYMENT
Signature:____________________
Name: Simeon A. Advento
Punong Barangay
Date:_____________________
D Received Payment:
Signature:_________________ Check No.:_______________ Date:_______________
Printed Name EDGAR A. REALEZA Bank Name: L.B.P
Date:_____________________ OR Number:_____________ Date:________________