Appendix 4

CHECK DISBURSEMENTS JOURNAL

Month __________________

Entity Name : _____________________________________

Fund Cluster : ____________________________________ Sheet No. : ______________________

CREDIT DEBIT
Serial No. of Checks Name of SUNDRY SUNDRY
DATE JEV No. RCI/DV No. Disbursing
Officer UACS Object UACS Object
From To P Amount P Amount
Code Code
7

Totals

Recapitulation:
Amount
Account Code P
Debit Credit

Total

Certified Correct:

(Signature over Printed Name)

Chief Accountant/Head of the Accounting Division/Unit