Appendix 27

CASH RECEIPTS REGISTER

Entity Name : ___________________________________________ Name of Collecting Officer/Cashier : ______________________

Sub-Office/District/Division : ______________________________ Fund Cluster : _________________________________________
Municipality/City/Province : ______________________________ Sheet No. : ___________________________________________
Date : ________________________________________________

Official Receipt/ Cash - Collecting Officer BREAKDOWN OF RECEIPTS

Deposit Slip (10101010)
OTHERS
Clearance Fines and
Payor Deposits Permit and Penalties -
Receipts Registration UACS
Balance Fees Certificatio Service Amount
Date Number National Fess Account Description Object
AGDB n Fees Income
Treasury Code
(+) (-) (-) (=) (40201010) (40201020) (40201040) (40201140)
81

TOTALS 0 0 0 0 0 0 0 0

CERTIFIED CORRECT:

Signature over Printed Name of Collecting

Officer/Cashier
___________________
Date