Professional Documents
Culture Documents
Appendix
No.
1
2
8
Prepared
by
No. of
Copies
MA
BT
BT
BT
BT
BT
CCA/BRK
3a
CCA/BRK
3b
CCA/BRK
3c
CCA/BRK
CCA/BRK
CCA/BRK
CCA/BRK
CCA/BRK
BT/BRK
BT/BRK
7
11
13
1
1
MATRIX OF REPORTS
BRK
OTHERS
1
1
MT
Support the
Liquidation of Cash
Advance
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
Municipality: _______________________________
Province: __________________________________
BARANGAY
Date
(2012)
OR/VDS/SCR No.
Certification:
Payor/Bank
Particulars
Collections
Deposits
(In)
(Out)
Balance
Acknowledgement:
I hereby certify that the foregoing is the complete and correct records of all my collections and deposits from
____________ to ________________. The duplicate copies of the OR's issued, SCRs and the originals of the VDSs are
hereto attached.
___________________________________
Barangay Treasurer
Date
Appendix 1
____
___
Page: _____________________________
AS DEPUTIZED BY MUNICIPALITY
Collections
Deposits
(In)
(Out)
Balance
Record Keeper
Date
Municipality: _________________
Province: ____________________
Date
(2012)
Nature of Collections
OR No.
Payor
CTC - Indv.
Certification:
I hereby certify that the foregoing is the complete and correct records
of all my collections and deposits for ________________ The duplicate copies
of the OR's and remittance of P ________________ are hereto attached.
________________________
Barangay Treasurer
__________________
Date
Appendix 2
TANCES - BT
________
_______
_______
Page: ______________
of Collections
OTHERS
AMOUNT
Acknowledgement:
I hereby acknowledge receipt of the
cerified SCR complete with the duplicate
copies of the OR's and remittances of ______
________________________________ Pesos.
____________________
Municipal Treasurer
_____________
Date
Municipality: __________________________
Province: _____________________________
Date
(2012)
PREPARED BY:
Particulars
Ref.
APPRORIATIONS
BREAKDOWN
HONORARIA
CASH GIFT
CERTIFIED CORRECT:
Date
Appendix 3
_________________________
_________________________
COMMITMENTS
BALANCE
Date
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
TRAVELLING EXPENSES
OFFICE SUPPLIES
CERTIFIED CORRECT:
Date
Appendix 3a
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date
PREPARED BY:
Particulars
Ref.
APPRORIATIONS
BREAKDOWN
BANK CHARGES
DOC. STAMP
CERTIFIED CORRECT:
Date
Appendix 3B
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
OFFICE EQUIPMENT
OTHER STRUCTURES
CERTIFIED CORRECT:
Date
Appendix 3C
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
CERTIFIED CORRECT:
Date
Appendix 4
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
CERTIFIED CORRECT:
Date
Appendix 5
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
CERTIFIED CORRECT:
Date
Appendix 6
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date
Municipality: _____________________
Province: ________________________
Date
(2012)
Check No.
DV No.
FUND
Payee
PARTICULARS
GROSS AMOUNT
Certification:
Acknowledgement:
I hereby certify that the foregoing is the complete and correct records of all checks issued
from _____________________. The carbon copies of the checks issued and originals of all paid DVs/
Date
_______________________________
Barangay Record Keeper
Appendix 8
DEDUCTIONS
NET AMOUNT
__________________________
arangay Record Keeper
_______________
Date
Municipality: _________________
Province: ____________________
Date
DV/Payroll No.
(2012)
Payee
PARTICULARS
GROSS AMOUNT
Certification:
Acknowledgement:
________________________
Barangay Treasurer
_______________
Date
_________________________
Barangay Record Keeper
Appendix 9
DEDUCTIONS
NET AMOUNT
ent:
_______________
Record Keeper
_______________
Date
SUPPLIES LOGBOOK
Date
(2012)
Issuance
Ref.
Description
Qty. Received
Qty
Appendix 11
suance
Received by
BALANCE
Municipality: _____________________________
Province: ________________________________
Date
(2012)
Particulars
Qty.
Ref.
LAND
OFFICE BLDG.
OFFICE
EQUIPMENTS
FURNITURE AND
FIXTURES
Appendix 13
Page: ___________________
MOTOR VEHICLES
Location/Accountable
Officer