Fund Cluster : 101

School Name
Date :
DISBURSEMENT VOUCHER DV No. : 18-07-001
Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee TIN/Employee No.: ORS/BURS No.:
Address
Responsibility
Particulars Center
MFO/PAP Amount

Amount Due

APPROVED FOR PAYMENT

Signature Signature
Printed
Printed Name
Name
Position Designated Disbursing Officer Position Principal/TIC
Date Date
RECEIPT OF PAYMENT
Signature Check No

Printed Name Bank Name

Date

==============================================================================================

Fund Cluster : 101

School Name
Date :
DISBURSEMENT VOUCHER DV No. : 18-07-001

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee TIN/Employee No.: ORS/BURS No.:
Address
Responsibility
Particulars MFO/PAP Amount
Center

Amount Due

APPROVED FOR PAYMENT

Signature Signature

92
 Printed
Printed Name
Name
Position Designated Disbursing Officer Position Principal/TIC
Date Date
RECEIPT OF PAYMENT
Signature Check No

Printed Name Bank Name

Date

92
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : October 26, 2018
DISBURSEMENT VOUCHER DV No. : SBFP 18-10-008

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee Glynda N. Lucas TIN/Employee No.: 278-049-229 ORS/BURS No.:
Address 42 Mercurio St., Gordon Heights , Olongapo City
Responsibility
Particulars Center
MFO/PAP Amount
₱ 12,744.00

To cash advance for payment of various groceries, vegetables and

other ingredients for 4 days feeding program of the school

Amount Due ₱ 12,744.00

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal/TIC
Date October 26, 2018 Date October 26, 2018
RECEIPT OF PAYMENT
Signature Check No 0000838530
Printed Name GLYNDA N. LUCAS Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date October 26, 2018
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : October 12, 2018
DISBURSEMENT VOUCHER DV No. : SBFP 18-10-007

Mode of
Payment
MDS Check X Commercial Check ADA Others (Please specify)
Payee Glynda N. Lucas TIN/Employee No.: 278-049-229 ORS/BURS No.:
Address 42 Mercurio St., Gordon Heights , Olongapo City
Responsibility
Particulars Center
MFO/PAP Amount
₱ 31,860.00
To cash advance for payment of various groceries, vegetables and
other ingredients for 10 days feeding program of the school

Amount Due ₱ 31,860.00

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal/TIC
Date October 12, 2018 Date October 12, 2018
RECEIPT OF PAYMENT
Signature Check No 0000838523
Printed Name GLYNDA N. LUCAS Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date October 12, 2018
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : September 4, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-09-010

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee Zenaida A. Santos TIN/Employee No.: 172-811-859 ORS/BURS No.:
Address 131 C Murphy St., New Kalalake, Olongapo City
Responsibility
Particulars Center
MFO/PAP Amount
18,235.00

As payment for the ECCD Forms of Kindergarten pupils

Amount Due 18,235.00

APPROVED FOR PAYMENT

Signature Signature
Printed
Printed Name ANNABELLE P. HERTEZ NILDA A. QUITANEG
Name
Position Designated Disbursing Officer Position Principal
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838515

Printed Name ZENAIDA A. SANTOS Bank Name Land Bank of the Philippines (LBP)
Date September 10, 2018
 Fund Cluster : 101
GORDON HEIGHTS I ELEMENTARY SCHOOL
School Name
Date : September 10, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-09-011

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee ROSITA A. PALOMER TIN/Employee No.: 233-846-383 ORS/BURS No.:
Address National Highway, Longos Cabangan Zambales
Responsibility
Particulars MFO/PAP Amount
Center
PHP 42,570.00

As payment for Testing Materials for 1st Quarter

Amount Due PHP 42,570.00

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal/TIC
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838516
Printed Name ROSITA A. PALOMER Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date September 10, 2018
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : September 10, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-09-012

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee Nilda A. Quitaneg TIN/Employee No.: 140251532 ORS/BURS No.:
Address 333 Otero Avenue Mabayuan, Olongapo City
Responsibility
Particulars Center
MFO/PAP Amount
4,500.00

To cash advance as payment for the Registration for 34th

Asean Council Teachers and ACT Convention in Manila

Amount Due 4,500.00

APPROVED FOR PAYMENT

Signature Signature
Printed
Printed Name ANNABELLE P. HERTEZ NILDA A. QUITANEG
Name
Position Designated Disbursing Officer Position Principal
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838517
Printed Name NILDA A. QUITANEG Bank Name Land Bamk of the Philippines (LBP)
Date September 10, 2018
 Fund Cluster : 101
GORDON HEIGHTS I ELEMENTARY SCHOOL
School Name
Date : August 20, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-08-012

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee NILDA A. QUITANEG TIN/Employee No.: 140-251-532 ORS/BURS No.:
Address 33 Otero Avenue Mabayuan, Olongapo City
Responsibility
Particulars MFO/PAP Amount
Center
PHP 4,500.00

To cash advance as payment for transportation and accomodation

of 1 School Head for 34th

Amount Due PHP 4,500.00

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal/TIC
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838517

Printed Name NILDA A. QUITANEG Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date September 10, 2018
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : September 5, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-09-005

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee Annabelle P. Hertez TIN/Employee No.: 187-649-663 ORS/BURS No.:
Address Lot 14 Blk 9, Firetree St., Gordon Heights, Olongapo City
Responsibility
Particulars Center
MFO/PAP Amount
3,800.00

To cash advance as payment for the transportation on 9th

Phisciclaban at SM Clark, Angeles City

Amount Due 3,800.00

APPROVED FOR PAYMENT

Signature Signature
Printed
Printed Name ANNABELLE P. HERTEZ NILDA A. QUITANEG
Name
Position Designated Disbursing Officer Position Principal
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838510
Printed Name ANNABELLE P. HERTEZ Bank Name Land Bamk of the Philippines (LBP)
Date September 5, 2018
 Fund Cluster : 101
GORDON HEIGHTS I ELEMENTARY SCHOOL
School Name
Date : August 20, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-08-012

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee NILDA A. QUITANEG TIN/Employee No.: 140-251-532 ORS/BURS No.:
Address 33 Otero Avenue Mabayuan, Olongapo City
Responsibility
Particulars MFO/PAP Amount
Center
PHP 4,500.00

To cash advance as payment for transportation and accomodation

of 1 School Head for 34th

Amount Due PHP 4,500.00

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal/TIC
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838517

Printed Name NILDA A. QUITANEG Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date September 10, 2018
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : September 10, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-09-009

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee GLOBE TELECOM INC. TIN/Employee No.: 000-768-480 ORS/BURS No.:
Address SM CITY, OLONGAPO
Responsibility
Particulars Center
MFO/PAP Amount
2,819.71

As payment for mobile connection

Amount Due 2,819.71

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838514
Printed Name GLOBE TELECOM INC. Bank Name Land Bamk of the Philippines (LBP)
Date September __, 2018
 Fund Cluster : 101
GORDON HEIGHTS I ELEMENTARY SCHOOL
School Name
Date : October 11, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-10-016

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee PLDT INC. TIN/Employee No.: 000-488-793 ORS/BURS No.:
Address Dela Cruz Drive Brgy. East Tapinac, Olongapo City
Responsibility
Particulars MFO/PAP Amount
Center
PHP 3,695.00

As payment for internet and landline connection for the month

September

Amount Due PHP 3,695.00

APPROVED FOR PAYMENT

Signature Signature
Printed
Printed Name ANNABELLE P. HERTEZ NILDA A. QUITANEG
Name
Position Designated Disbursing Officer Position Principal IV
Date October 11, 2018 Date October 11, 2018
RECEIPT OF PAYMENT
Signature Check No 0000838513
Printed Name PLDT INC. Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date October 11, 2018
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : September 4, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-09-006

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee Annabelle P. Hertez TIN/Employee No.: 187-649-663 ORS/BURS No.:
Address Lot 14 Blk 9, Firetree St., Gordon Heights, Olongapo City
Responsibility
Particulars Center
MFO/PAP Amount
28,500.00

To cash advance as payment for the salary of 4 Utility

personnel for the month of September

Amount Due 28,500.00

APPROVED FOR PAYMENT

Signature Signature
Printed
Printed Name ANNABELLE P. HERTEZ NILDA A. QUITANEG
Name
Position Designated Disbursing Officer Position Principal
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838509

Printed Name ANNABELLE P. HERTEZ Bank Name Land Bamk of the Philippines (LBP)
Date September 10, 2018
 Fund Cluster : 101
GORDON HEIGHTS I ELEMENTARY SCHOOL
School Name
Date : September 10, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-08-007

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee SUBIC WATER AND SEWERAGE CO. INC TIN/Employee No.: 004-076-056 ORS/BURS No.:
Address Subic Bay Freeport Zone
Responsibility
Particulars MFO/PAP Amount
Center
PHP 3,042.96

As payment for water service supply for the month of August

Amount Due PHP 3,042.96

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal/TIC
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838519
Printed Name SUBIC WATER AND SEWERAGE CO. INC. Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date September 11, 2018
 GORDON HEIGHTS I ELEMENTARY SCHOOL Fund Cluster : 101

School Name
Date : September 10, 2018
DISBURSEMENT VOUCHER DV No. : MO-18-09-013

Mode of
Payment MDS Check X Commercial Check ADA Others (Please specify)
Payee MARITES B. AGULLO TIN/Employee No.: 436-073-730 ORS/BURS No.:
Address Kauffman St., Gordon Heights
Responsibility
Particulars Center
MFO/PAP Amount
PHP 1,800.00

To cash advance as payment for Division Science Fair

Registration

Amount Due 1,800.00

APPROVED FOR PAYMENT

Signature Signature
Printed Name ANNABELLE P. HERTEZ Printed Name NILDA A. QUITANEG
Position Designated Disbursing Officer Position Principal
Date Date
RECEIPT OF PAYMENT
Signature Check No 0000838518
Printed Name MARITES B. AGULLO Bank Name LANDBANK OF THE PHILIPPINES (LBP)
Date September 10, 2018

92
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