Republic of the Philippines

Department of Environment and Natural Resources

PROVINCIAL ENVIRONMENT & NATURAL RESOURCES OFFICE
Brgy. Road, Balogo, Sorsogon City

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS

DENR - PENRO
Agency

Month of February ,2020

Accountable Forms Beginning Balance Receipt / Purchase Issuance Ending Balance

QTY Inclusive Serial Nos. QTY Inclusive Serial Nos. QTY Inclusive Serial Nos. QTY Inclusive Serial Nos.
Name of Form
Used From To From To From To From To
A. WITHOUT FACE VALUE
LBP Checks MDS
2078-9000-37 (101) 96 1120005 1120100 12 1120005 1120016 84 1120017 1120100

TRUST FUND
0782-1029-74 (101) 91 1338610 1338700 - - - - - - 91 1338610 1338700

0782-1130-20 (101) 94 0876407 0876500 - - - - - - 94 0876407 0876500

0782-1130-11 (101) 99 0876302 0876400 - - - - - - 99 0876302 0876400

CERTIFICATION
I hereby certify that the foregoing is a true statement of all accountable issued and transferred by me during the period above-stated
forms received, during the period above-stated and that the beginning and ending balances are correct.

FLORINA L. CAYABAN
Name & Signature of Accountable