JOURNAL ENTRY VOUCHER
641-01	Financial Assistance to Individuals in Crisis Situation	3,000.00
101-01-01	Cash - Modified Disbursement System		3,000.00
TOTAL	3,000.00	3,000.00

DV-2025-004

Issued

DV No.: 2025-02-002 · Issued Feb 22, 2025

Voucher Summary

Amount

₱3,000

OBR No.

OBR-2025-004

Resp. Center

1-07-01-00

Acct. Code

641-01

Payee

Maria Lopez Reyes

45 Bacolod Street, Lumapao, Canlaon City

Office/Unit

Social Welfare & Development Office

Assistance Type

Hospital Bill

Account Code	Account Title	Debit	Credit
641-01	Financial Assistance to Individuals in Crisis Situation	₱3,000	—
101-01-01	Cash - Modified Disbursement System	—	₱3,000
TOTAL		₱3,000	₱3,000

Certified by

Maria T. Escobar

Social Welfare Officer II

Approved by

Engr. Ronald B. Tuballa

City Mayor, Canlaon City

City of Canlaon

JOURNAL ENTRY VOUCHER
641-01	Financial Assistance to Individuals in Crisis Situation	3,000.00
101-01-01	Cash - Modified Disbursement System		3,000.00
TOTAL	3,000.00	3,000.00

Account Code

Account Title

Debit

Credit

641-01

Financial Assistance to Individuals in Crisis Situation

₱3,000

—

101-01-01

Cash - Modified Disbursement System

—

₱3,000

TOTAL

₱3,000

Payee:	MARIA LOPEZ REYES	TIN/EID No.:	N/A
Address:	45 Bacolod Street, Lumapao, Canlaon City
Office/Unit:	Social Welfare & Development Office

Payee:	MARIA LOPEZ REYES	TIN/EID No.:	N/A
Address:	45 Bacolod Street, Lumapao, Canlaon City
Office/Unit:	Social Welfare & Development Office

EXPLANATION	ACCT CODE	AMOUNT (₱)
Financial Assistance to Individuals in Crisis Situation (AICS) Being given to MARIA LOPEZ REYES, 45 Bacolod Street, Lumapao, Canlaon City as hospital bill under the City of Canlaon Social Protection Program. Voucher No.: DV-2025-004	641-01	3,000.00



TOTAL		3,000.00

A. CERTIFIED: Charges to appropriation/allotment necessary, lawful and under my direct supervision; supporting documents complete and proper. MARIA T. ESCOBAR Social Welfare Officer II / Head of Office	B. APPROVED FOR PAYMENT: ENGR. RONALD B. TUBALLA City Mayor
C. RECEIVED PAYMENT: (Payee signs and indicates date) Signature of Payee over Printed Name Date

JOURNAL ENTRY VOUCHER
ACCT CODE	ACCOUNT TITLE	DEBIT (₱)	CREDIT (₱)
641-01	Financial Assistance to Individuals in Crisis Situation	3,000.00
101-01-01	Cash - Modified Disbursement System		3,000.00
TOTAL		3,000.00	3,000.00