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STATEMENT OF INDEBTEDNESS, FY

Barangay
Municipality of
Province of

Previous Payment Amount Due for the


Creditor (1) Date Term Purpose (4) Principal Made Budget Year Balance of
Contracted (3) Amount Principal Interest Total Principal Interest Total the
(6) (7) (8) (9) (10) (11)
(2) (5) Principals
(12)

Prepared by: Approved by:

Marian Rivera Jericho Rosales


Barangay Treasurer Punong Barangay

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