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The document is a payroll report for the Barangay Rizal covering February 2023, detailing the compensation and deductions for various positions, primarily Brgy. Tanods. The total amount paid out is 11,800.00, with certifications from the Barangay Treasurer and other officials confirming the validity of the claims. Additional sections of the document include cashbook entries, reports of collections and deposits, and various accounting forms.

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0% found this document useful (0 votes)
4 views

Blank Forms - Copy

The document is a payroll report for the Barangay Rizal covering February 2023, detailing the compensation and deductions for various positions, primarily Brgy. Tanods. The total amount paid out is 11,800.00, with certifications from the Barangay Treasurer and other officials confirming the validity of the claims. Additional sections of the document include cashbook entries, reports of collections and deposits, and various accounting forms.

Uploaded by

rizalsb1959
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Payroll

Period Covered: Feb. 2023

Barangay: Rizal City/Municipality: Panukulan Payroll No. _______________


Barangay Treasurer: Rojalde S. Gloria Province: Quezon
Compensation Deductions
No. Name Position Salaries Net Amount Signature of Recipient
Honoraria Other Benefits Total BIR W/holding Total Due
& Tax
Wages
1 JONATHAN A. PESTANAS Chief Tanod 1,300.00
2 MARCILINO T. SUSA Brgy. Tanod 750
3 LOPE ALTAMARINO JR. Brgy. Tanod 750
4 RONIE G. CERBITO Brgy. Tanod 750
5 EVA B. TENA Brgy. Tanod 750
6 RENATO BRIONES Brgy. Tanod 750
7 DENNIE Z. ORAYA Brgy. Tanod 750
8 LEE A. GLORIA Brgy. Tanod 750
9 ALFIE G. ZACARIAS Brgy. Tanod 750
10 RENE IMPERIAL Brgy. Tanod 750
11 JHONATAN Q. VERGARA Brgy. Tanod 750
12 WILLIARDO M. QUINING Brgy. Tanod 750
13 REGIE R. ZACARIAS Brgy. Tanod 750
14 REXIE S. BREGENIA Brgy. Tanod 750
15 GILBERT T. DELIMA Brgy. Tanod 750
16
17
18
19
20
21
22
23
24
25 Total 11,800.00
A. Certified: B. Certified: C. Certified: D. Certified Paid by:
As to availability of appropriation All supporting documents valid and complete. As to validity, propriety and legality of claim. Each official/employee whose name appears
For obligation in the amount of ___________. Approved for Payment: on the above roll has been paid the amount stated
Signature: ____________________________ Signature: ____________________________ Signature: ____________________________ opposite his name
Printed Name: JOEY G. ARIOLA Printed Name: ROJALDE S. GLORIA Printed Name: WILMER A. ARAO
Position: Chairman, Com. On Appropriations Position: Barangay Treasurer Position: Punong Barangay Signature: ____________________________
Date: ____________________ Date: ____________________ Date: ____________________ Printed Name: ROJLDE S. GLORIA
Position: Barangay Treasurer
Date: ____________________
Payroll
Period Covered: ___________________________
Barangay: _________________________ City/Municipality: __________________ Payroll No. _______________
Barangay Treasurer: _________________ Province: ________________________
Compensation Deductions
Salaries Net
No. Name Position Other BIR Amount Signature of Recipient
& Honoraria Benefits Total W/holding Total Due
Wages Tax
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
A. Certified: B. Certified: C. Certified: D. Certified Paid by:
As to availability of appropriation All supporting documents valid and complete. As to validity, propriety and legality of claim. Each official/employee whose name appears
For obligation in the amount of ___________. Approved for Payment: on the above roll has been paid the amount stated
Signature: ____________________________ Signature: ____________________________ Signature: ____________________________ opposite his name
Printed Name: _________________________ Printed Name: _________________________ Printed Name: _________________________

Position: Chairman, Com. On Appropriations Position: Barangay Treasurer Position: Punong Barangay Signature: ____________________________

Date: ____________________ Date: ____________________ Date: ____________________ Printed Name: _________________________

Position: Barangay Treasurer


Date: ____________________
E. Accounting Entries

Account Title Account Code Debit Credit Prepared By:

__________________________ __________________

Barangay Bookkeeper Date


Approved by:
___________________________ _________________
City/Municipal Accountant Date
CASHBOOK
(for Disbursing Officer)
For the month of ______________________________
____________________________
Barangay, City/Municipality

Disbursing Officer: ________________________ Fund: _______________________

CASH ADVANCES
Date Particulars Reference
Debit Credit Balance
CASHBOOK
For the month of JANUARY 2024
Barangay: Rizal
Barangay Treasurer: Jan Reyvenne M. Vallester
Calendar Year: 2024

Cash in Local Treasury Cash in Bank Cash Advance


Date Particulars Reference Receipt
Collection Deposit Balance Deposit Check Issued Balance (Disburse-ments) Balance

01/012024 Beginning Bal. 11,840.00 940,656.85


01/17/2024 CM Ordinary Snapshot 4,464.97 945,121.82
01/18/2024 CHECK DISBURSEMENT
CERTIFICATION:
I hereby certify that the foregoing is a correct and complete record of all my collections,
deposits/remittances and balances of my accounts in the Cash – In Local Treasury, Cash in Bank and
Cash Advances
_______________________________
BARANGAY TREASURER
____________
Date
REPORT OF COLLECTIONS AND DEPOSIT
For the month of Oct to Nov. 2023

Name of Barangay Treasurer: Rojalde S. Gloria Date: Oct to Nov. 2023


Barangay: Rizal RCD No.:_________________________
A. COLLECTIONS
Official Receipt
Payor Nature of Collection Amounts
Date Number
10/20/2023 8551851 Totoy Engreso Auxiliary 113.00
4/11/2023 8551852 Totoy Engreso Auxiliary 200.00
8551853 M/B Malubay Auxiliary 175.00
8551854 William Valeros Auxiliary 200.00
6/11/2023 8551855 Chrisellier Engreso Auxiliary 100.00
9/11/2023 8551856 welsie Arao Auxiliary 225.00
10/11/2023 8551857 JanJan Nolledo Auxiliary 425.00
8551858 JanJan Nolledo Auxiliary

TOTAL 1,813.00
B. DEPOSITS/ REMITTANCES
Name of Accountable Officer /Bank /Branch Reference Amount

TOTAL
C. SUMMARY OF COLLECTION AND DEPOSITS/ REMITTANCES

List of Checks
Beginning Balance _____________ 20 ___ P
Add: Collections Check No. Payee Amount
Cash
Checks
Total
Less: Remittance/Deposit
Ending Balance

D. ACCOUNTABILITY FOR ACCOUNTABLE FORMS


Beginning Balance Receipt Issued Ending
Balance
Name of Form and No. Inclusive Serial No. Inclusive Serial No.
Qty Qty Qty Qty Fro
From To From To From To m To
With Money Value:
CTC

Form 51-C

Without Money Value:


Check

D. CERTIFICATION: E. ACKNOWLEDGMENT:
I hereby certify that the foregoing Report of
I hereby certify that this Report of Collections and Deposits; and Accountable Forms including Collections and Deposit and Accountable
supporting documents are true and correct Forms including supporting documents have
been received.
________________________
Rojalde S. Gloria City/Municipal Accountant
Barangay Treasurer Date Date ____________

F. ACCOUNTING ENTRIES
Account Title Account Code Debit Cre
dit
REPORT OF COLLECTIONS AND DEPOSIT
For the month of MAY 2022

Name of Barangay Treasurer: ELSIE D. NOLLEDO Date: MAY 2022


Barangay: KINALAGTI RCD
No.:_________________________
A. COLLECTIONS
Official Receipt
Payor Nature of Collection Amounts
Date Number
5/1/2022 10432563 Armenio Ritual CTC 25.00
10432564 Armenia Ritual CTC 25.00
10432565 Brixio Conchada CTC 25.00
10432566 Melecia Coralde CTC 25.00
10432567 Avelino Coralde CTC 25.00
10432568 Lucila Escobar CTC 25.00
10432569 Jonalyn Riego CTC 25.00
10432570 Pio Nolledo CTC 35.00
10432571 Dennis Gagaring CTC 35.00

TOTAL 245.00
B. DEPOSITS/ REMITTANCES
Name of Accountable Officer /Bank /Branch Reference Amount

TOTAL
C. SUMMARY OF COLLECTION AND DEPOSITS/ REMITTANCES

List of Checks
Beginning Balance _____________ 20 ___ P
Add: Collections Check No. Payee Amount
Cash
Checks
Total
Less: Remittance/Deposit
Ending Balance

D. ACCOUNTABILITY FOR ACCOUNTABLE FORMS


Beginning Balance Receipt Issued Ending
Balance
Name of Form and No. Inclusive Serial No. Inclusive Serial No.
Qty Qty Qty Qty Fro
From To From To From To m To
With Money Value:
CTC

Form 51-C

Without Money Value:


Check

D. CERTIFICATION: E. ACKNOWLEDGMENT:

I hereby certify that this Report of Collections and Deposits; and Accountable Forms including Collections and Deposit and Accountable
supporting documents are true and correct Forms including supporting documents have
________________________
ELSIE D. NOLLEDO City/Municipal Accountant
Barangay Treasurer Date Date ____________

F. ACCOUNTING ENTRIES
Account Title Account Code Debit Cre
dit
JOURNAL OF CASH TRANSACTION
For the Month of __________________________________

Barangay: _______________________
City/Municipality: _________________ Sheet No: ________
Province: ________________________
Reference Cash – In Local Cash in Bank- Income Expenses
Treasury LCCA
Date Particulars Clearance
(RCD, DV,JEV) Debit Credit Debit Credit and Cert. CTC Permit Landing Misc.Income Travellling Training Office Electricity
Fees Fee Expenses Expenses Supplies

Certified Correct:

_______________________ __________________________ _________________


Barangay Bookkeeper Chief Accountant Date
Sundry Column

MOOE Account Account Debit Credit


TItle Code

IRA
REPORT OF THE BANK DEBIT/CREDIT MEMOS
For the month of __________________

Barangay: ____________________________ City/Municipality: _____________________ RBDCM


Barangay Treasurer: ____________________ Province: __________________________ Bank: __

Referen Debit Memo C


Date Particular
ce Acct. Title Code Amount Acct Title

Accounting Entries
Account Account Code Debit

Prepared by: Certified Correct:

_______________________ ________________
Name and Signature Name and Sig
Barangay Bookkeeper City/ Municipal A
DIT MEMOS
______

__________ RBDCM No.:_______


__________ Bank: _____________

Credit Memo
Acct Title Code Amount

Debit Credit

__________________________
Name and Signature
City/ Municipal Accountant
PROPERTY ACKNOWLEDGEMENT RECEIPT
Barangay: _______________ City/Municipality: _________________ PAR No.:______________

Tel. No.: Province:


Quantity Unit Description Property No. Date Acquired Cost

Received by: Issued by:


________________________ ________________________
Signature over Printed Name Signature over Printed Name
Recipient/User Barangay Treasurer
___________ ___________
Date Date
LIQUIDATION REPORT No.:_________
______________________________________ ____
___________________________________________ Date:________
Barangay,City/Municipality,Province ____

PARTICULARS AMOUNT

Liquidation report of Leave Benefit Jan. 2023 as per hereto attached to all
69,544.90
supporting document amounting --------------------------------------------------------

Submitted by:
AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____
AMOUNT REFUNDED PER O.R. NO.________DTD__________
AMOUNT TO BE REIMBURSED
Submitted by: Received by:

Rojalde S. Gloria ________________________


Accountable Officer Accounting Unit
___________________ ___________________

Date Date

ACCOUNTING ENTRIES
Account
Account Code Debit Credit
Titles
REPORT OF COLLECTIONS AND REMITTANCES
Name of Collecting Officer: _______________ Date: ____________
Barangay: _____________________________ RCR No.: _________
City/Municipality: ________________________
Province: ______________________________
A. COLLECTIONS
Official Receipt Nature of
Payor Collection Amounts
Date Number

TOTAL
B. REMITTANCES
Name of Accountable Officer Reference Amount

TOTAL
C. SUMMARY OF COLLECTION AND REMITTANCES

List of Checks
Beginning Balance _____________ 20 ___ P xxx
Add: Collections Check No. Payee
Cash xx
Checks xx
Total xx
Less: Remittance xx
Ending Balance xx
xx
D. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Beginning Balance Receipt Issued
Name of Form and No. Inclusive Inclusive Serial Inclusive Serial No.
Qty Serial No. Qty No.
From To From To From To
With Money Value:
Cash Tickets

Without Money Value:


Official Receipts

D. CERTIFICATION: E. ACKNOWLEDGMENT:

I hereby certify that this Report of Collections and Remittances; and Accountable Forms I hereby certify that the foregoing Report of Collections and
Remittances and Accountable Forms including supporting docum
including supporting documents are true and correct have been received.
________________________
_______________________ _______ Barangay Treasurer
Deputized Barangay Collector Date Date ____________

F. ACCOUNTING ENTRIES
Account Title Account Code Debit
S

Amounts

Amount

List of Checks

Amount

Ending Balance

From To

NT:

foregoing Report of Collections and


untable Forms including supporting documents
_________
er

Credit
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality:
Chairman: Province:

Reference Personal Service Maintenance & Other Operating Expenses

Reference Total Other Supplies Travelling Training


Date No. Honoraria Benefits Total Expense Expenses Expense

A.
Appropriations

B. Obligations
D OBLIGATIONS
Page No.:

ance & Other Operating Expenses Capital Outlay


Repairs & Other Property & Public
Maintenanc Expenses Total Equipment Infrastructu Total
e res
CASHBOOK
For the month of JANUARY
Barangay: ___RIZAL
Barangay Treasurer: _ANDRES MABINI
Calendar Year:F.Y.2018

Cash in Local Treasury


Date Particulars Reference
Collection Deposit

Beg.Balance

CERTIFICATION:
I hereby certify that the foregoing is a correct and complete record of all my collections,
deposits/remittances and balances of my accounts in the Cash – In Local Treasury, Cash in Bank and
Cash Advances

_______________________________
BARANGAY TREASURER

____________
Date
CASHBOOK
For the month of JANUARY 2018

Local Treasury Cash in Bank Cash Advance


Receipt
Balance Deposit Check Issued Balance (Disburse- Balance
ments)
3,500.00 100,000.00 20,000.00

ctions,
ry, Cash in Bank and
DOCUMENTARY REQUIREMENTS FOR COMMON BARANGAY TRANSACTIONS

TO CASH ADVANCES OF BARANGAY OFFICIALS


Honararia T.E.V. Labor Payroll
Blank Payroll Travel Order Job Request
Minutes of Meeting Itinerary of Travel Job Order
DV Letter of Invitation Appointment of Laborer
DV Program of Works
DV

TO PAYMENT various disbursements


Office Supplies/Equipment Various Goods,Meals & Snacks and Gasoline

Purchase Request Purchase Request


3 Request for Quotation 3 Request for Quotation
Abstract of Shopping Abstract of Shopping
Request for Alternative Mode of Procurement Request for Alternative Mode of Procurement
BAC Resolution BAC Resolution
Purchase Order Purchase Order
Inspection and Acceptance Report Inspection and Acceptance Report
PAR-Property Acknowledgement Receipt Attendance and Picture
Official Receipt/Sales Invoice OR/RER
Requisition & Issue Slip(RSI) DV
DV

Construction Materials Electric Bill Mobile Load


Purchase Request Over all Billing (BAPA) Purchase Request
3 Request for Quotation Official Report Inspection and Acceptance Report
Abstract of Shopping DV Official Receipt/Sales Invoice
Request for Alternative Mode of Procurement DV
BAC Resolution
Purchase Order
Inspection and Acceptance Report
Program of Works
Official Receipt/Sales Invoice
DV

TO REIMBURSE VARIOUS EXPENDITURES

T.E.V Tricycle or M/B Hire T.E.V outside Panukulan


Travel Order Travel Order
Certificate of Appearance Certificate of Appearance
Prevailing Rates Itinerary of Travel
RER Certificate of Travel Completed
DV M/B & BUS Ticket /RER
DV

TO LIQUIDATE CASH ADVANCES

Honoraria T.E.V. Labor Payroll


Liquidation Report Liquidation Report Liquidation Report
Minutes of Meeting Certificate of Appearance Time Sheet Payroll w/Signature
Payroll w/Signature New Itinerary of Travel DTR
DTR Certificate of Travel Completed Pictures(Before,During & After)
Accomplishment Report M/B & BUS Ticket /RER Certificate of Project Completion
Copy of previous Itinerary of travel
Republic of the Philippines
MUNICIPALITY OF PANUKULAN
Province of Quezon
Barangay _________________

REQUEST FOR QUOTATION

Date

(Supplier/Contractor Name)

(Address)

Please quote your lowest price on the item/s listed below, subject to the General Conditions
on this page, stating the shortest time of delivery and submit your quotation duly signed by you
or your representative not later than ________________ in the return envelope attached
herewith.
_______________________
Barangay Treasurer

BRAND & Unit


Item No. ITEM & DESCRIPTION MODEL Quantity Price Amount
TOTAL

After having carefully read and accepted your General Conditions, I/We quote you on the item
at prices noted above.

Supplier/Contractor Name
By:

Owner/Authorized Representative

Telephone No.
Date
on the item
Republic of the Philippines
Barangay ____________
MUNICIPALITY OF PANUKULAN
Province of Quezon

ABSTRACT OF SHOPPING

Date:
Project Name:

Location:
Approved Budget for the Contract:

Particulars
Total Amount as Shopped
Remarks

I hereby certify to the correctness of the Abstract of Shopping as obtained from the price
quotations submitted by the above bonafide suppliers.

I therefore recommend that _________________________________ be awarded the


corresponding Contract Purchase Order.

Submitted by:

Barangay Treasurer

Approved by:
Barangay Captain
PURCHASE REQUEST

Barangay: .Rizal P.R. No.: _________________


City/Municipality: Panukulan Date: ____________________
Province: Quezon
REQUISITION

Item Unit of Estimated Unit


Number Qty Measurem Item description Cost Estimated Amount
ent

42 ltrs. Diesel 70 2940

Total Estimated Amount 2940


Purpose: Generator Fuel
Requested by: Approved:

Jan Reyvenne M. Vallester Dodgie G. Benaid


Signature over Printed Name Signature over Printed Name
Requesting Officer Punong Barangay

_____________ _____________
Date Date
PURCHASE ORDER

Barangay: City/Municipality:
Tel. No.: Province:
Supplier: PO No.:
Address: Date:
TIN: Mode of Procurement:

Gentlemen:
Please deliver to this office the following articles to the terms and conditions contained herein. PU
Barangay:
___________________________
__________
Tel. No.:
___________________________
___________
Supplier:
___________________________
___________
Address:
___________________________
___________
TIN:
___________________________
_______________
Gentlemen:
Please deliver to this office the f

Place of Delivery:
Date of Delivery:
Unit Particulars
Date of Delivery:
Unit Particulars

(Total Amount in words)

In case of failure to make fu


of one-tenth (1/10)
of one percent for everyday of de

truly yours,

________________________

Conforme:
____________________
(Signature over Printed Name
Supplier
_______________
Date
PURCHASE ORDER
gay: City/Municipality:
_______________________________ __________________________________
______ _______
o.: Province:
_______________________________ __________________________________
_______ ______________
30
ier: 30 PO No.: ____________________
_______________________________ Date: ______________________
_______ Mode of Procurement:
ess:
_______________________________ Bidding Negotiated
_______ Over the Counter

_______________________________
___________
Gentlemen:
se deliver to this office the following articles subject to the terms and conditions
contained herein
ce of Delivery: Delivery Term:
te of Delivery: Payment Term:
it Particulars Quantity Unit Cost Amount
te of Delivery: Payment Term:
it Particulars Quantity Unit Cost Amount

Amount in words)

In case of failure to make full delivery within the time specified above, a penalty
e-tenth (1/10)
e percent for everyday of delay shall be imposed.
Very
yours,

____________________
Punong Barangay
rme: Existence of Available Appropriations
______________________ of
(Signature over Printed Name) ________________________
Supplier (Signature over Printed Name)
_______________ Chairman, Committee on Appropriations
Date _______________
Date
Property/Equipment Ledger Card

____________________________ _____________________________

Barangay City/Municipality, Province


Account Code:
Property/Equipment:
Est. Useful Life:
Description:
Rate of Depreciation:
Receipt Accumulated Transfer/
Date Reference Depreciation Adjustment
Qty. Unit Cost Total Cost
count Code:

t. Useful Life:

ate of Depreciation:

Balance

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