Bank Reconciliation Form

Republic of the Philippines
Department of Education
Region IX,Zamboanga Peninsula
DIVISION OF ZAMBOANG DEL SUR
DUMALINAO DISTRICT
ANONANG ELEMENTARY SCHOOL
STATEMENT OF BANK RECONCILIATION
Name of Bank Account Disbursement Officer Period Covered

ANONANG ELEMENTARY SCHOOL MERIAM SUMAEL july 2022
840050229080
Authorized Depository Address of Depository
DBP PAGADIAN CITY
Book Balance 500.00

Add: I- Items Requiring Adjustment by the Agency
1
2
3
Sub- Total -
Deduct: II- Items Requiring Adjustment by the Agency
1
2
3
Sub- Total -
Adjusted Book Balance 500.00
Balance per Bank Statement 500.00

Add:III- Deposits in transit and Items Requiring Adjustment by the Bank
1
2
Sub- Total -
Deduct: IV- Items Requiring Adjustment by the Bank
1 Interest Income -
2
Deduct:V- Outstanding Checks (Scheduled Attached)
1 Check No.: ,,,,,,, -
2
Sub- Total -
Adjusted Bank Balance 500.00
As of ……. july 2022 -
I hereby certify that this statement and supporting schedules are correct:
Date:
MERIAM SUMAEL HERMES R. BACALSO

SCHOOL HEAD- HT 2 Administrative Assistant III
ANONANG ELEMENTARY SCHOOL
DUMALINAO DISTRICT
OUTSTANDING CHECKS
ACCOUNT NO. #REF!
Period Covered july 2022
DATE OF ISSUE CHECK NO. NAME AMOUNT
TOTAL -
PREPARED BY:
HERMES R. BACALSO
ADAS-III
APPROVED:
MERIAM SUMAEL
SCHOOL HEAD- HT 2
DUMALINAO DISTRICT
KALINGAYAN ELEMENTARY SCHOOL

KALINGAYAN ELEMENTARY SCHOOL MARIA LILIBETH LABAN JUNE 2022
84005023L080
DBP PAGADIAN CITY
Book Balance 500.00

1
2
3
Sub- Total -
1
2
3
Sub- Total -

1
2
Sub- Total -
1 Interest Income -
2
1 Check No.: ,,,,,,, -
2
Sub- Total -
As of ……. JUNE 2022 -
Date:
MARIA LILIBETH LABAN HERMES R. BACALSO

SCHOOL HEAD- Administrative Assistant III
DUMALINAO DISTRICT
OUTSTANDING CHECKS
ACCOUNT NO. #REF!
Period Covered JUNE 2022
TOTAL -
PREPARED BY:
HERMES R. BACALSO
ADAS-III
APPROVED:
MARIA LILIBETH LABAN

SCHOOL HEAD-
DUMALINAO DISTRICT

KALINGAYAN ELEMENTARY SCHOOL MARIA LILIBETH LABAN July 2022
84005023L080
DBP PAGADIAN CITY
Book Balance 500.00

1 CR IOD INTEREST PAID - JULY , 2022

2
3
Sub- Total -
1 TX FEDERAL TAX WITHHELD - JULY ,2022

2
3
Sub- Total -
Balance per Bank Statement 32,331.03

1
2
Sub- Total -
1 Interest Income -
2
1 Check No.: 31,831.03
2 Check No.:
Sub- Total 31,831.03
As of ……. July 2022 -
Date:

SCHOOL HEAD- HT 2 Administrative Assistant III
DUMALINAO DISTRICT
OUTSTANDING CHECKS
ACCOUNT NO. 8400050229080
Period Covered July 2022
7/20/22 74201305 PAUL ALLAINIE GENERAL MERCHANDISE 31,831.03
TOTAL 31,831.03
PREPARED BY:
HERMES R. BACALSO
ADAS-III
APPROVED:

SCHOOL HEAD- HT 2
DUMALINAO DISTRICT

KALINGAYAN ELEMENTARY SCHOOL MARIA LILIBETH LABAN AUGUST 2022
84005023L080
DBP PAGADIAN CITY
Book Balance 500.00

1 CR IOD INTEREST PAID - JULY , 2022

2
3
Sub- Total -
1 TX FEDERAL TAX WITHHELD - JULY ,2022

2
3
Sub- Total -

1
2
Sub- Total -
1 Interest Income -
2
1 Check No.:
2 Check No.:
Sub- Total -
As of ……. AUGUST 2022 -
Date:

SCHOOL HEAD Administrative Assistant III
DUMALINAO DISTRICT
OUTSTANDING CHECKS
ACCOUNT NO. 8400050229080
Period Covered AUGUST 2022
TOTAL 31,831.03
PREPARED BY:
HERMES R. BACALSO
ADAS-III
APPROVED:

SCHOOL HEAD
DUMALINAO DISTRICT

KALINGAYAN ELEMENTARY SCHOOL MARIA LILIBETH LABAN September 2022
84005023L080
DBP PAGADIAN CITY
Book Balance 500.00

1 CR IOD INTEREST PAID - Sept , 2022

2
3
Sub- Total -
1 TX FEDERAL TAX WITHHELD - Sept ,2022

2
3
Sub- Total -

1
2
Sub- Total -
1 Interest Income -
2
1 Check No.:
2 Check No.:
Sub- Total -
As of ……. September 2022 -
Date:

DUMALINAO DISTRICT
OUTSTANDING CHECKS
ACCOUNT NO. 8400050229080
Period Covered September 2022
TOTAL 31,831.03
PREPARED BY:
HERMES R. BACALSO
ADAS-III
APPROVED:

SCHOOL HEAD
DUMALINAO DISTRICT

KALINGAYAN ELEMENTARY SCHOOL MARIA LILIBETH LABAN November 2022
84005023L080
DBP PAGADIAN CITY
Book Balance 500.00

1
2
3
Sub- Total -
1
2
3
Sub- Total -

1
2
Sub- Total -
1 Interest Income -
2
1 Check No.:
2 Check No.:
Sub- Total -
As of ……. November 2022 -
Date:

DUMALINAO DISTRICT
OUTSTANDING CHECKS
ACCOUNT NO. 8400050229080
Period Covered November 2022
TOTAL 31,831.03
PREPARED BY:
HERMES R. BACALSO
ADAS-III
APPROVED:

SCHOOL HEAD
DUMALINAO DISTRICT

KALINGAYAN ELEMENTARY SCHOOL MARIA LILIBETH LABAN September 2022
84005023L080
DBP PAGADIAN CITY
Book Balance 500.00

1
2
3
Sub- Total -
1
2
3
Sub- Total -

1
2
Sub- Total -
1 Interest Income -
2
1 Check No.:
2 Check No.:
Sub- Total -
As of ……. September 2022 -
Date:

DUMALINAO DISTRICT
OUTSTANDING CHECKS
ACCOUNT NO. 8400050229080
Period Covered September 2022
TOTAL 31,831.03
PREPARED BY:
HERMES R. BACALSO
ADAS-III
APPROVED:

SCHOOL HEAD

Bank Reconciliation Form

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Republic of the Philippines

STATEMENT OF BANK RECONCILIATION

Name of Bank Account Disbursement Officer Period Covered

Book Balance 500.00

Balance per Bank Statement 500.00

MERIAM SUMAEL HERMES R. BACALSO

DATE OF ISSUE CHECK NO. NAME AMOUNT

STATEMENT OF BANK RECONCILIATION

Name of Bank Account Disbursement Officer Period Covered

Book Balance 500.00

Balance per Bank Statement 500.00

MARIA LILIBETH LABAN HERMES R. BACALSO

DATE OF ISSUE CHECK NO. NAME AMOUNT

MARIA LILIBETH LABAN

STATEMENT OF BANK RECONCILIATION

Name of Bank Account Disbursement Officer Period Covered

Book Balance 500.00

1 CR IOD INTEREST PAID - JULY , 2022

1 TX FEDERAL TAX WITHHELD - JULY ,2022

Balance per Bank Statement 32,331.03

MARIA LILIBETH LABAN HERMES R. BACALSO

DATE OF ISSUE CHECK NO. NAME AMOUNT

7/20/22 74201305 PAUL ALLAINIE GENERAL MERCHANDISE 31,831.03

MARIA LILIBETH LABAN

STATEMENT OF BANK RECONCILIATION

Name of Bank Account Disbursement Officer Period Covered

Book Balance 500.00

1 CR IOD INTEREST PAID - JULY , 2022

1 TX FEDERAL TAX WITHHELD - JULY ,2022

Balance per Bank Statement 500.00

MARIA LILIBETH LABAN HERMES R. BACALSO

DATE OF ISSUE CHECK NO. NAME AMOUNT

7/20/22 74201305 PAUL ALLAINIE GENERAL MERCHANDISE 31,831.03

MARIA LILIBETH LABAN

STATEMENT OF BANK RECONCILIATION

Name of Bank Account Disbursement Officer Period Covered

Book Balance 500.00

1 CR IOD INTEREST PAID - Sept , 2022

1 TX FEDERAL TAX WITHHELD - Sept ,2022

Balance per Bank Statement 500.00

MARIA LILIBETH LABAN HERMES R. BACALSO

DATE OF ISSUE CHECK NO. NAME AMOUNT

7/20/22 74201305 PAUL ALLAINIE GENERAL MERCHANDISE 31,831.03

MARIA LILIBETH LABAN

STATEMENT OF BANK RECONCILIATION

Name of Bank Account Disbursement Officer Period Covered

Book Balance 500.00

Balance per Bank Statement 500.00

MARIA LILIBETH LABAN HERMES R. BACALSO

DATE OF ISSUE CHECK NO. NAME AMOUNT

7/20/22 74201305 PAUL ALLAINIE GENERAL MERCHANDISE 31,831.03

MARIA LILIBETH LABAN

STATEMENT OF BANK RECONCILIATION

Name of Bank Account Disbursement Officer Period Covered

Book Balance 500.00

Balance per Bank Statement 500.00

MARIA LILIBETH LABAN HERMES R. BACALSO

DATE OF ISSUE CHECK NO. NAME AMOUNT

7/20/22 74201305 PAUL ALLAINIE GENERAL MERCHANDISE 31,831.03

MARIA LILIBETH LABAN

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