SUMMARY OFCOLLECTIONS AND DEPOSITS

For the period

Barangay:
Barangay Treasurer:

City/Municipality:
Province:

SCD No.:
Page:

Date
OR/VDS/SCR No.

Payor/Bank

Particulars
Collections

2007

Certification:
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 ORs issued, SCRs and the originals of the VDSs are hereto attached.

Signature over Printed Name

Barangay Treasurer
Date

Barangay
Deposits

Balance

As deputized by City/Municipality
Collections Remittances Balance

Acknowledgment:
I hereby acknowledge receipt of the certified SCD complete with the
duplicate copies of the ORs issued, SCRs and the VDSs covering deposits
as reported.

Signature over Printed Name

Barangay Record Keeper
Date