Appendix 17

FAR No. 1
STATEMENT OF APPROPRIATIONS, ALLOTMENTS, OBLIGATIONS, DISBURSEMENTS AND BALANCES
As of the Quarter Ending _______________

Department: __________________________________
Entity Name:__________________________________
Operating Unit:________________________________
Organization Code (UACS):_____________________ Current Year Appropriations
Funding Source Code (as clustered) :_____________ Supplemental Appropriations
(e.g. Old Fund Code: 101,102, 151) Continuing Appropriations
Appropriations Allotments Current Year Obligations Current Year Disbursements Balances
Unpaid Obligations
1st 2nd 3rd 4th 1st 2nd 4th (15-20) = (23+24)
UACS Adjustments 3rd
Particulars Authorized Adjustments Quarter Quarter Quarter Quarter Quarter Quarter Quarter
CODE (Transfer Adjusted Allotments Transfer Transfer Adjusted Total Quarter Unreleased Unobligated
Appropriatio (Withdrawal, Ending Ending Ending Ending Total Ending Ending Ending Total Not Yet Due
F To)/From, Appropriations Received To From Allotments Ending Appropriations Allotment Due and
n Realignment) March June Sept. Dec. March June Dec. and
i Realignment) Sept. 30 Demandable
n 31 30 30 31 31 30 31 Demandable
E 15=(11+12+1 20=(16+17+1
1 2 3 4 5=(3+4) 6 7 8 9 10=[{6+(-)7}-8+9] 11 12 13 14 16 17 18 19 21=(5-10) 22=(10-15) 23 24
x 3+14) 8+19)
I. Agency
p Specific Budget 1 01 101
.
General Administration and Support
( General Administration and Supervision 1 00 000000
i
f PAP 1 00 010000
54

PS
a MOOE
p Fin Exp.(if applicable)
p
F
l CO
Support
i to Operations 2 00 000000
ncM PAP 2 00 010000
aO PS
P
O
E
b
S
E
xl MOOE
pe Fin Exp.(if applicable)
.)
C CO
(O
Operations 3 00 000000
F
i
fi MFO 1 - [MFO Description] 3 01 000000
n PAP 3 01 01 0000
M
a PS
E
pO
xP MOOE
pO
pS
lE
Fin Exp.(if applicable)
i. CO
(M
c …continue down to the last PAP
iO
a
P
fbO …continue down to the last MFO
Locally-Funded S Project(s)
lE
ea PAP
p) PS
C
p
lO MOOE
i… Fin Exp.(if applicable)
M
c CO
aO …continue down to the last PAP
P
bO
Foreign-Assisted S Project(s)
lE
e PAP
)C PS
O MOOE
… Fin Exp.(if applicable)
CO
…continue down to the last PAP
Sub-Total, Agency Specific Budget
PS
MOOE
Fin Exp.(if applicable)
CO
Page 1 of 2
 Appendix 17
FAR No. 1
STATEMENT OF APPROPRIATIONS, ALLOTMENTS, OBLIGATIONS, DISBURSEMENTS AND BALANCES
As of the Quarter Ending _______________
Department: ___________________________________________
Entity Name: __________________________________________
Operating Unit: ________________________________________
Organization Code (UACS): ______________________________ Current Year Appropriations
Funding Source Code (as clustered): _______________________ Supplemental Appropriations
(e.g. Old Fund Code: 101,102, 151) Continuing Appropriations

Appropriations Allotments Current Year Obligations Current Year Disbursements Balances

Unpaid Obligations
1st 2nd 3rd 4th 1st 2nd 3rd 4th (15-20) = (23+24)
UACS Adjustments Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter
Particulars Adjustments
CODE Authorized (Transfer Adjusted Allotments Transfer Transfer Adjusted Total Ending Ending Ending Ending Ending Ending Ending Ending Unreleased Unobligated
(Withdrawal, Total Total Not Yet Due
Appropriation To)/From, Appropriations Received To From Allotments March June Sept. 30 Dec. March June Sept. Dec. Appropriations Allotment Due and
Realignment) and
Realignment) 31 30 31 31 30 30 31 Demandable
Demandable

1 2 3 4 5=(3+4) 6 7 8 9 10=[{6+(-)7}-8+9] 11 12 13 14 15=(11+12+13+14) 16 17 18 19 20=(16+17+18+19) 21=(5-10) 22=(10-15) 23 24

II. Automatic Appropriations
C
RLIP 1 04 102
O
Special Account in the General Fund (Please specify)
Motor Vehicle Users Charge Fund `
MOOE
CO
Sub-Total, Automatic Appropriations
PS
MOOE
Fin Exp.(if applicable)
55

CO
III. Special Purpose Fund (Please specify)
MPBF-PS 1 01 406
PGF-PS (Pension Benefits) 1 01 407
Sub-Total, Special Purpose Fund
PS
MOOE
Fin Exp.(if applicable)
CO
GRAND TOTAL
PS
MOOE
Fin Exp.(if applicable)
CO
Recapitulation by MFO:
MFO 1
MFO 2
…continue down to the last MFO
OF WHICH:
Major Programs/Projects
KRA No. 1 - Anti-Corruption, Transparent,
Accountable and Participatory Governance
Program Budgeting:
MPP
Other Major Programs and Projects
and monitored by the President through
PMS
PAP
…continue down to the last PAP
…continue down to the last Program Budgeting
…continue down to the last KRA

Certified Correct: Certified Correct: Recommending Approval: Approved By:

__________________________________________ ___________________________________________ _____________________________________ ______________________________________

Budget Officer Chief Accountant Director, FMS Agency Head/Department Secretary
Date: ____________________________________ Date: ____________________________________ Date: _________________________________ Date: _____________________________
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