GENERAL FORM NO.

16 (A) AC C O U N TAB LE FORMS

(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 31 January 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39815 39900 86
DEBITS
(
1. On hand Last report (Line 16): 31 December (
2013 (
(
2. » Received from: LBP-PEZA Branch 39901 40000 100 40001 40100 100 40101 40200 100
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 86 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39815 39820 6
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 31 January 2014 - - - - - (
(
(
39821 39900 80 39901 40000 100 40001 40100 100 40101 40200 100
T O T A L: - - - - - - - - - - - - - - - - - - - -

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 31 January 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 28 February 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39821 39900 80 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16): 31 January (
2014 (
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 80 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39821 39829 9
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 28 February 2014 - - - - - (
(
(
39830 39900 71 39901 40000 100 40001 40100 100 40101 40200 100
T O T A L: - - - - - - - - - - - - - - - - - - - -

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 28 February 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 31 March 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39830 39900 71 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16): 28 February (
2014 (
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 71 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39830 39833 4
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 31 March 2014 - - - - - (
(
(
39834 39900 67 39901 40000 100 40001 40100 100 40101 40200 100
T O T A L: - - - - - - - - - - - - - - - - - - - -

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 01 April 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 30 April 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39834 39900 67 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16): 31 March (
2014 (
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 67 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39834 39845 12
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 30 April 2014 - - - - - (
(
(
39846 39900 55 39901 40000 100 40001 40100 100 40101 40200 100
T O T A L: - - - - - - - - - - - - - - - - - - - -

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 30 April 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 31 May 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39846 39900 55 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16): 30 April 2014 (
(
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 55 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39846 39853 8
11.
12.
13.
14.
15.
(
(
.16 Balance now on hand 31 May 2014 - - - - - (
(
(
39854 39900 47 39901 40000 100 40001 40100 100 40101 40200 100
T O T A L: - - - - - - - - - - - - - - - - - - - -

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 01 June 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 30 June 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39854 39900 47 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16):31 May 2014 (
(
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 47 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39854 39858 5
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 30 June 2014 - - - - - (
(
(
39859 39900 42 39901 40000 100 40001 40100 100 40101 40200 100
T O T A L: - - - - - - - - - - - - - - - - - - - -

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 01 July 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 31 July 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39859 39900 42 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16):30 June 2014 (
(
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 42 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39859 39862 4
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 31 July 2014 - - - - - (
(
(
39863 39900 38 39901 40000 100 40001 40100 100 40101 40200 100
T O T A L: - - - - - - - - - - - - - - - - - - - -

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 31 July 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 31 August 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39863 39900 38 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16):31 July 2014 (
(
(
2. » Received from: LBP-PEZA Branch 78001 78200 200
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 238 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 39863 39897 35
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 31 August 2014 - - - - - (
(
(
39898 39900 3
T O T A L: - - - - - - - - - - - - - - - - - - - - 78001 78200 200 39901 40000 100 40001 40100 100 40101 40200 100

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 01 September 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 30 September 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39898 39900 3 39901 40000 100 40001 40100 100 40101 40200 100
DEBITS
(
1. On hand Last report (Line 16):31 August 2014 (
(
(
2. » Received from: LBP-PEZA Branch 78001 78200 200
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 203 100 100 100
CREDITS
9. » {Issued/Transferred} to:
10. Various 0 0 0 40101 40128 28
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 30 September 2014 - - - - (-
(
(
39898 39900 3
T O T A L: - - - - - - - - - - - - - - - - - - - - 78001 78200 200 39901 40000 100 40001 40100 100 40129 40200 72

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 01 October 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 31 October 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 39898 39900 3 39901 40000 100 40001 40100 100 40129 40200 72
DEBITS
( 78001 78200 200
1. On hand Last report (Line 16):30 September (
2014 (
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 203 100 100 72
CREDITS
9. » {Issued/Transferred} to:
10. Various 39898 39900 3 0 0 0
11. 78001 78050 50
12.
13.
14.
15.
(
(
16. Balance now on hand 31 October 2014 - - - - - (
(
(

T O T A L: - - - - - - - - - - - - - - - - - - - - 78051 78200 150 39901 40000 100 40001 40100 100 40129 40200 72

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 31 October 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 30 November 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 78051 78200 150 39901 40000 100 40001 40100 100 40129 40200 72
DEBITS
(
1. On hand Last report (Line 16):31 October (
2014 (
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 150 100 100 72
CREDITS
9. » {Issued/Transferred} to:
10. Various 78051 78145 95 40001 40001 1 0 0 0
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 30 November 2014 - - - - -(
(
(

T O T A L: - - - - - - - - - - - - - - - - - - - - 78146 78200 55 39901 40000 100 40002 40100 99 40129 40200 72

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 01 December 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer
GENERAL FORM NO. 16 (A) AC C O U N TAB LE FORMS
(Revised October, 1941)

MONTHLY REPORT OF ACCOUNTABILITY

(SEE INSTRUCTIONS ON THE BACK OF THIS FORM)

`
DFA PROVIDENT FUND LOURDES FRANCIS M. MORALLOS 31 December 2014
(Office) (Accountable Officer) (Month or period for which report is made)
LBP LBP LBP LBP
Serial Numbers Serial Numbers Serial Numbers Serial Numbers
Checks Checks Checks Checks
From To 1 From To 2 From To 3 From To 4
( 78146 78200 55 39901 40000 100 40129 40200 72
DEBITS
(
1. On hand Last report (Line 16):30 November (
2014 (
(
2. » Received from: LBP-PEZA Branch
3.
4.
5.
6.
7.
8.
T O T A L: - - - - - - - - - - - - - - - - - - - - 55 100 0 72
CREDITS
9. » {Issued/Transferred} to:
10. Various 78146 78168 23 0 0 0
11.
12.
13.
14.
15.
(
(
16. Balance now on hand 31 December 2014 - - - - -(
(
(

T O T A L: - - - - - - - - - - - - - - - - - - - - 78169 78200 32 39901 40000 100 40129 40200 72

1 I CERTIFY that the foregoing is a true statement of

* Insert number of the general form, Show quantity under it. -1 all accountable forms received, issued and transferred by
» State from whom received or to whom issued and inclusive numbers me during the period stated above:

DFA Provident Fund, Manila 31 December 2014

(Station) (Date) LOURDES FRANCIS M. MORALLOS
18------198 Treasurer