Manual Forms
Manual Forms
CERTIFICATION
I hereby certify on my official oath that this Report of Cash Disbursements in MAY sheet(s) is a full, true and correct statement of all cash disbursements during the
period stated above actually made by me in payment for obligations shown in pertinent disbursement vouchers/payroll.
ANTHONY S. TOSLOC
Name and Signature of Cluster School Head
Sheet No.:
Entity Name: MANDAHILAG ELEMENTARY SCHOOL Name of Cluster School Head: ANTHONY S. TOSLOC
Sub-Office/District/Division: TALISAYAN DISTRICT / DIVISION OF MISAMIS ORIENTAL Station: MANDAHILAG ELEMENTARY SCHOOL
Municipality/City/Province: TALISAYAN, MISAMIS ORIENTAL Bank:
Fund Cluster: MOOE Location:
DUE TO BIR
DUE TO BIR DUE TO BIR
DUE TO BIR Expanded
Final Expanded VAT
Final VAT VAT -
MAINTENANCE AND OTHER OPERATING EXPENSES OTHERS NONVAT - Goods
(5%) Services
(1%) (1%)
(2%)
Date Check No. Particulars
Withdrawals /
Deposits Balance
Payments
CERTIFIED CORRECT:
ANTHONY S. TOSLOC
Signature over Printed Name
CLUSTER SCHOOL HEAD
Date: MAY 24, 2022
Appendix 41
Department of Education
Region X
Division of Misamis Oriental
District of Talisayan
MANDAHILAG ELEMENTARY SCHOOL
CERTIFICATION
I hereby certify on my official oath that this Report of Checks Issued in MAY sheet(s) is a full, true and correct
statement of all checks issued by me during the period stated above for which Check Nos. 0076112954 to 0076112956 inclusive,
were actually issued by me in payment for obligations shown in the attached disbursement vouchers/payroll.
ANTHONY S. TOSLOC
Name and Signature of Cluster School Head
PRINCIPAL - I MAY 24, 2022
Official Designation Date
Appendix 38
Department of Education
Region X
Division of Misamis Oriental
District of Initao
INITAO CENTRAL SCHOOL
INDEX OF PAYMENTS
Entity Name: ANDALES IS- (ELEM) Fund Cluster: REGULAR FUND- MOOE
Payee: Address:
4R SCHOOL AND OFFICE SUPPLIES POBLACION, INITAO TIN: 325-778-766-0001
Particulars Check No. AMOUNT
( specify Bill No./ Withholding Taxes
DV Date Reference/ Acct. No.
Period or Month Date No. Gross Amount 5% 1% 1% 2% Net Amount
covered) Vat NV Goods Services
T U V G H AR AT AV AX AZ K
Prepared by : Approved :
VAT
1 2/3/2022 CAGAYAN EDUCATIONAL SUPPLY 103-309-192-0001
2 2/3/2022 COPYLANDIA OFFICE SYSTEMS CORP 002-332-000-0026
3 2/5/2022 557 STORE AND FOODHAUS 000-237-678-0003
3 2/7/2022 CEPALCO 000-291-936-0007
NON-VAT COMP UNTIL JUNE 2023
4 2/8/2022 BRIANNA EDUCATIONAL SUPPLY 009-478-879-0987
5 2/10/2022 MGA MARITES EDUCATIONAL SUPPLY INC 000-456-789-0004
7 2/17/2022 THE 4RS EATERY 000-237-678-0003
8 2/18/2022 CAMIGUIN HIGHLAND RESORT INC 000-237-578-0465
NON-VAT AFTER JUNE 2023
9 2/18/2022 BRIANNA EDUCATIONAL SUPPLY 009-478-879-0987
10 2/18/2022 MGA MARITES EDUCATIONAL SUPPLY INC 000-456-789-0004
11 2/19/2022 THE 4RS EATERY 000-237-678-0003
12 2/19/2022 CAMIGUIN HIGHLAND RESORT INC 000-237-578-0465
TOTAL
Prepared by:
NOTE: All transactions reflected on this Report were taken from the CiBR for the month (Due to BIR Account)
Department of Education
Region X
Division of Misamis Oriental
District of Initao
INITAO CENTRAL SCHOOL
15,250.00 680.80
20,500.00 915.18
28,750.00 1,283.48
16,500.00 736.61
17,450.00 174.50
21,600.00 216.00
28,000.00 280.00
22,800.00 228.00
17,450.00 523.50
21,600.00 648.00
28,000.00 840.00
22,800.00 684.00
Certified Correct:
School Head
- -
1,633.39 485.16 1,206.64 615.04 11,150.30 249,549.70
School Head
SCHOOLS
VAT-GOODS-INDIVIDUAL
VAT-GOODS-CORPORATION
VAT-SERVICES-INDIVIDUAL
VAT-SERVICES-CORPORATION
NON-VAT-GOODS-INDIVIDUAL
NON-VAT-GOODS-CORPORATION
NON-VAT-SERVICES-INDIVIDUAL
NON-VAT-SERVICES-CORPORATION
NON-VAT-GOODS-INDIVIDUAL
NON-VAT-GOODS-CORPORATION
NON-VAT-SERVICES-INDIVIDUAL
NON-VAT-SERVICES-CORPORATION
###
REPOR
Accountable Forms
I her
issued and transferre
Department of Education
Region X
Division of Misamis Oriental
District of Initao
INITAO CENTRAL SCHOOL
24 75408377 75408400
100 75408401 75408500
CERTIFICATION
I hereby certify that the foregoing is a true statement of all accountable forms received,
issued and transferred by me during the period above-stated and that the beginning and ending balances are correct.
AURA O, VILLASTIQUE
Signature over Printed Name of the Accountable Officer
Appendix 67
FORMS
24 75408377 75408400
100 75408401 75408500
received,
balances are correct.