Blank Forms - Copy
Blank Forms - Copy
Position: Chairman, Com. On Appropriations Position: Barangay Treasurer Position: Punong Barangay Signature: ____________________________
__________________________ __________________
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
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
Form 51-C
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
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
Form 51-C
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:
IRA
REPORT OF THE BANK DEBIT/CREDIT MEMOS
For the month of __________________
Accounting Entries
Account Account Code Debit
_______________________ ________________
Name and Signature Name and Sig
Barangay Bookkeeper City/ Municipal A
DIT MEMOS
______
Credit Memo
Acct Title Code Amount
Debit Credit
__________________________
Name and Signature
City/ Municipal Accountant
PROPERTY ACKNOWLEDGEMENT RECEIPT
Barangay: _______________ City/Municipality: _________________ PAR No.:______________
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:
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
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:
Credit
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality:
Chairman: Province:
A.
Appropriations
B. Obligations
D OBLIGATIONS
Page No.:
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
ctions,
ry, Cash in Bank and
DOCUMENTARY REQUIREMENTS FOR COMMON BARANGAY TRANSACTIONS
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
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.
Submitted by:
Barangay Treasurer
Approved by:
Barangay Captain
PURCHASE REQUEST
_____________ _____________
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
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
____________________________ _____________________________
t. Useful Life:
ate of Depreciation:
Balance