Annex 31

Republic of the Philippines

________________________________________
( SK of Barangay, City/Municipality, Province)
Quarterly Statement of Receipts and Payments
For the quarter ended _____________

Receipts
Subsidy from Barangay xxx
Subsidy from Other Local Government Units xxx
Subsidy from National Government Agencies xxx
Subsidy from Government-Owned and/or Controlled Corporations xxx
Grants and Donations in Cash
with Specific Purpose xxx
without Specific Purpose xxx
Miscellaneous Income xxx
Other Receipts xxx
Total Receipts for the quarter xxx

Less: Payments
Maintenance and Other Operating Expenses
Travelling Expenses xxx
Training Expenses xxx
Office Supplies Expenses xxx
Semi-Expendable Property Expenses xxx
Fuel, Oil and Lubricants Expenses xxx
Accountable Forms Expenses xxx
Other Supplies and Materials Expenses xxx
Water Expenses xxx
Electricity Expenses xxx
Postage and Courier Services xxx
Telephone Expenses xxx
Internet Subscription Expenses xxx
Prizes xxx
Repairs and Maintenance-Land Improvements xxx
Repairs and Maintenance-Buildings and Other Structures xxx
Repairs and Maintenance-Machinery xxx
Repairs and Maintenance-Office Equipment xxx
Repairs and Maintenance -Information and
Communications Technology Equipment xxx
Repairs and Maintenance-Sports Equipment xxx
Repairs and Maintenance-Transportation Equipment xxx
Repairs and Maintenance-Furniture, Fixtures and Books xxx
Repairs and Maintenance-Other Property and Equipment xxx
Fidelity Bond Premiums xxx
Advertising Expenses
Rent/Lease Expenses xxx
Membership Dues and Contributions to Organizations xxx
 Annex 31
Donation
Honoraria xxx
Bank Charges xxx
Other Maintenance and Operating Expenses xxx
Total Maintenance and Other Operating Expenses xxx

Capital Outlay
Land xxx
Land Improvements xxx
Buildings xxx
Other Structures xxx
Machinery xxx
Office Equipment xxx
Information and Communications Technology Equipment xxx
Sports Equipment xxx
Transportation Equipment xxx
Furniture, Fixtures and Books xxx
Other Property and Equipment xxx
Construction in Progress-Land Improvements xxx
Construction in Progress-Buildings xxx
Construction in Progress-Other Structures xxx
Total Capital Outlay xxx

Cash Advances, Net xxx

Total Payments for the quarter xxx

Increase/(Decrease) in Cash for the quarter xxx
Add/Less: Others xxx
Total Increase/(Decrease) in Cash for the quarter xxx
Cash at beginning of quarter
Cash on Hand xxx
Cash in Bank xxx
Cash at end of quarter xxx

Breakdown of Cash at end of quarter

Cash on Hand xxx
Cash in Bank xxx

Prepared and certified correct by:

____________________________ ___________
SK Treasurer Date

Approved by:

____________________________ ___________
SK Chairperson Date