CAMALIG, ALBAY

LGU

Fund: __________________________ Bank Account No. __________________

Accountable Office Official Designation Station

Received By
CHECK
Name of Payee Amount
Date Date
Number Name / Signature Date
Issued Released
For Accountable Officers' Use
 MONTHLY REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS
CAMALIG, ALBAY
Month of _________________, 202__

Accountable Officer: ___________________________ Designation:_________________________

Beginning Balance Receipt
Name of Forn and No. Inclusive Serian Nos. Inclusive Serian Nos.
Qty Qty
From To From To

CERTIFICATION
I hereby certiify that the foregoing is a true statement of all accountable form
during the period above and the correctness of the beginning balances.

Name and Signature of Accountable Officer

Y FOR ACCOUNTABLE FORMS
BAY
______, 202__

______________ Report No. ___________________

Issued Ending Balance
Inclusive Serian Nos. Inclusive Serian Nos.
Qty Qty
From To From To

ement of all accountable formss received, issued ans transferred by me

lances.

Date