Bureau of Fire Protection

Regional Office 1
La Union Provincial Office
Tubao Fire Station
Brgy. Poblacion, Tubao , La Union
(072) 682-2442/ 09171858711

REPORT OF COLLECTIONS AND DEPOSITS

covering the period August 2022
Entity Name : Tubao Fire Station Report No. :
Fund Cluster : SA 151 Sheet No.:
Date: 31-Aug-22

Official Receipt/ Amount

PROVINCE REGION CITY/FIRE STATION Report of Collections Responsibility Center Breakdown of Collections
Payor Particulars MFO/PAP
by Sub-Collections Code Total per OR
Taxes Fees
La Union Region 1 Tubao Fire Station Date Number
Fire Code Construction
1-Aug-22 20096895 628 Richard Cabututan Tax/ Filling Fee/ Hot
Works 1,293.88 593.88 700.00
3-Aug-22 20096896 628 Yolanda Quimado FSI Occupancy 532.50 532.50
Fire Code Construction
5-Aug-22 20096897 628 Franklin Mapanao Jr Tax/ Filling Fee/ Hot
Works 1,309.22 609.22 700.00
11-Aug-22 20096898 628 Vivian Lloren FSI Fee 500.00 500.00
15-Aug-22 20096899 628 Wilfredo Dacayanan FSI Fee 500.00 500.00
16-Aug-22 20096900 628 Estrella Nidoy FSI Fee 500.00 500.00
17-Aug-22 20096901 628 Jetson Fuel Corporation FSI Fee 500.00 500.00
18-Aug-22 20096902 628 Marjhon Aspuria FSI Fee 500.00 500.00
Fire Code Construction
25-Aug-22 20096903 628 Julie Emperador Tax/ Filling Fee/ Hot
Works 1,141.04 441.04 700.00
25-Aug-22 20096904 628 Beverly Olivar FSI Fee 500.00 500.00
26-Aug-22 20096905 628 Caroline Galvez FSI Fee 500.00 500.00

7,776.64 1,644.14 6,132.50

BFP-QSF-FCRM-011 Rev. 00 (04.05.19) Page 1

 Summary of Collection, Deposits and Undeposited Collection, this Month;

RECAP: Collection AMOUNT: RECAP: NATURE OF COLLECTION TOTAL

Region 1 Tubao, La Union 7,776.64 628-01 628-06 628-010
- Tubao, La Union 1,644.14 4,032.50 5,676.64
-
-
TOTAL 7,776.64
TOTAL 1,644.14 4,032.50 - 5,676.64

RECAP: DEPOSITS AMOUNT Breakdown of Deposits with LC Number

Tubao, La Union 7,806.64 Tubao, La Union LC No. Amount
5-Aug-22 Lc no.2022-08-46-A 1,826.38
TOTAL 7,806.64 10-Aug-22 Lc no.2022-08-47 1,309.22
18-Aug-22 Lc no.2022-08-48 2,000.00
RECAP: UNDEPOSITED COLLECTION, last report 26-Aug-22 Lc no.2022-08-49 2,141.04
Tubao, La Union 30.00 31-Aug-22 Lc no.2022-08-49 500.00

Total 30.00

Summary:
Undeposited Collection per last Report
Collections per OR Nos. 7,776.64

Deposits: 7,806.64
UNDEPOSITED COLLECTION, this report (30.00) TOTAL 7,776.64

I hereby certify on my official oath that the above is a true statement of all collections and deposits had by me during
the period stated above for which Official Receipt Nos. 01-20096790-20096822 inclusive were actually issued by me in the amounts
shown thereon. I also certify that I have not received money from whatever source without having issued the necessary Official
Receipt in acknowledgement thereof. Collections received by sub-collectors are recorded above in lump-sum opposite their
respective collection report numbers. I certify further that the balance shown above agrees with the balance appearing in my
cash Receipts Record.

Certified Correct by: Noted by:

FO2 Mark John S Domingo SFO4 Joselito C Rimando

Collecting Agent TEAM LEADER/CO

BFP-QSF-FCRM-011 Rev. 00 (04.05.19) Page 2