Annex A

Municipality’s Confirmation on the Receipt of 2018 AM Fund

LETTERHEAD OF THE LOCAL GOVERNMENT UNIT

CONFIRMATION OF FUND RECEIPT

Date

Director ___________
DILG Regional Office __
Address

Dir.__________:

We would like to inform you that the Municipality of __________________ has

received the amount of ₱ _______________ through the Notice of ADA Issued
(NADAI) No._______ dated _________________ intended for the implementation
of the following projects under the FY 2018 AM Program:

No. Name of Project Allocation

1.
2.
3.
…
…
TOTAL

The said funds have been transferred from the General Fund to the Municipality’s
Trust Account No._________ and recorded as Trust Fund with separate subsidiary
ledger per project. Attached are certified true copies of proof of fund transfer into
separate subsidiary ledgers.

Rest assured that we are committed to implement the above projects in accordance
with the FY 2018 AM Guidelines No. ___, Series____.

Prepared by:
(Signature Over Printed Name)

Municipal Treasurer

Conformed by: Noted by:

(Signature Over Printed Name) (Signature Over Printed Name)

Municipal Accountant Local Chief Executive

Cc: DILG-MLGOO, DILG-PO