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Appendix 3

CASH DISBURSEMENTS JOURNAL


Month _________________

Entity Name : ___________________________


Fund Cluster : __________________________ Sheet No. : __________

CREDIT DEBIT

Advances Advances to SUNDRY SUNDRY


Name of Office Transportation Fuel, Oil and
RCDisb
DATE JEV No. Disbursing Advances for for Special
Supplies and Delivery Lubricants
Water
No. Payroll Operating Disbursing UACS Expenses UACS
Officer Account Expenses Expenses Expenses Account
(19901020) Expenses Officer Object P Amount (50204010) Object P Amount
Title (50203010) (50299040) (50203090) Title
(19901010) (19901030) Code Code

AO 5-14-02
Recapitulation:
Amount
Account Code P
Debit Credit

Total

Certified Correct:

(Signature over Printed Name)


Chief Accountant/Head of Accounting Division/Unit

Document Code: SDO-QF-SDOP-ACC-04 SDO TARLAC PROVINCE


Revision No.: 00
Effectivity Date: 05-25-2018

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