Appendix 37

CASH IN BANK REGISTER

Sheet No.: 1
Entity Name: BOBORINGAN
Entity Name: BACUNGAN ELEMENTARY
CENTRAL SCHOOL
SCHOOL Name of Disbursing Officer: BEVERLY ANNE B. ZAYAS
Sub-Office/District/Division:
Sub-Office/District/Division:
PINAN DISTRICT/
BACUNGAN ZDNDISTRICT/
DIVISIONZDN DIVISION Station: BACUNGAN
Municipality/City/Province:
Municipality/City/Province:
PINAN, ZAMBO.
LEON B.DEL
POSTIGO,
NORTEZAMBO. DEL NORTE Bank : LAND BANK OF THE PHILIPPINES
Fund Cluster
Fund: MOOE
Cluster : MOOE Location: SINDANGAN

BREAKDOWN OF WITHDRAWALS/PAYMENTS
CASH IN BANK
PERSONNEL MAINTENANCE AND OTHER OPERATING EXPENSES OTHERS
SERVICES Electricity Water
Date Check No. Particulars Expenses Expenses Communicatio Repairs &
Salaries and Travelling Office Other
Other Supplies
n Expense Maintenance - Accountable Maintenance &
Wages-Casual Expenses- Supplies & Materials Reproductio
Forms Expense Operating Account UACS
Deposits Withdrawals/ Balance Expense School n Cost Amount
Local Expenses Expenses Description Code
Payments Building
(5010102000) (5020101000) (5020301000) (5020399000) (5020402000) (5020401000) (5020500000) (5021304002) (5020302000) (5029999099)
01/01/2021 Balance forwarded 143,330.50 143,330.50
"NO DISBURSEMENT/TRANSACTION MADE"

TOTALS 143,330.50 - 143,330.50 - - - - - - - - - - - -

Certified Correct:

BEVERLY ANNE B. ZAYAS

Signature Over Printed Name
Disbursing Officer
 Appendix 35
REPORT OF CHECKS ISSUED
Period Covered: JANUARY 1-31, 2021

Entity Name : BACUNGAN CENTRAL SCHOOL

Fund Cluster : MOOE Report No.: 2021-01-001
Bank Name/Account No. : LBP SINDANGAN / 2552-1130-82 Sheet No.: 001

Check
ORS/BURS Responsibility UACS Object
DV/Payroll No. Payee Nature of Payment Amount
No. Center Code Code
Date Serial No.
"NO DISBURSEMENT/TRANSACTION MADE"

TOTAL: ₱ -

CERTIFICATION
I hereby certify on my official oath that this Report of Checks Issued in ____1____ sheet(s) is a full, true and correct
statement of all checks issued by me during the period stated above for which Check Nos. __________ to __________ inclusive,
were actually issued by me in payment for obligations shown in the attached disbursement vouchers/payroll.

BEVERLY ANNE B. ZAYAS

Name and Signature of Disbursing Officer/Cashier
Administrative Assistant II February 1, 2021
Official Designation Date
 Appendix 67

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS

For the month of JANUARY 2021

Entity Name : BACUNGAN CENTRAL SCHOOL Fund Cluster : MOOE

Accountable Forms Beginning Balance Receipt Issue Ending Balance

Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
Name of Form Number Face Value Quantity Quantity Quantity Quantity
From To From To From To From To
A. WITH FACE VALUE
CHECK 600 65 1091136 1091200 '"NO DISBURSEMENT/TRANSACTION MADE" 65 1091136 1091200

B. WITHOUT FACE VALUE

CERTIFICATION

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

RIZALDO B. CASTILLON
Signature over Printed Name of the Accountable Officer