CASH DISBURSEMENTS RECORD (CDR)

INSTRUCTIONS

A. This form shall be accomplished as follows:

1. Agency –name of the agency

2. Accountable Office/Official Designation/Station – name of the
Accountable /Disbursing Officer, designation and station
3. Date – date of the source documents
4. Reference/Payroll No./DV No. – reference document used as
the basis in the recording of the granting/replenishment and
utilization of cash advance
5. Name of Payee – name of the payee
6. Nature of Payment – brief description of the nature of payment
7. Cash Advance Received – amount of cash advance received by
the Disbursing Officer
8. Disbursements – amount of expenses paid by the Disbursing
Officer
9. Cash Advance Balance – the difference between the Debit and
Credit columns which shall be equal to the amount of cash in the
hands of the Disbursing Officer

B. The record shall be certified by the Disbursing Officer at the

end of each month, or when required to do so by proper
competent authority.
C. Each Disbursing Officer/Accountable Officer/Petty Cash
Custodian shall maintain this record to monitor the cash
advance/Petty Cash Fund balance. All transactions for the day
shall be recorded immediately.

88