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Annex 3

REGISTRY OF SPECIFIC PURPOSE FUND, COMMITMENTS, PAYMENTS AND BALANCES


MAINTENANCE AND OTHER OPERATING EXPENSES

SK of Barangay: City/Municipality: Sheet No.:


Budget Monitoring Officer: Province:
Program/Project/Activity:
Breakdown of Object of Expenditures

Particulars Date Reference Total Amount (Insert additional


Office Supplies
Training Expenses Electricity Expenses Object of
Expenses
Expenditures)
a. Specific Purpose Fund
Totals brought forward
Specific Purpose Fund for the period:

Total Specific Purpose Fund carried forward

b. Commitments
Totals brought forward
Commitments/Adjustments for the period:

Total Commitments carried forward

c. Payments
Totals brought forward
Payments/Adjustments for the period:

Total Payments carried forward

Balance, Available Specific Purpose Fund(a-b)


Balance, Unpaid Commitments (b-c)
Prepared and Certified Correct by:

________________________________ __________________
Signature over Printed Name Date
Budget Monitoring Officer

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