Annex A-3

Barangay ____AYA___________________
Municipality of La Libertad
Province of Negros Oriental

TRANSMITTAL LETTER

To: The City/Municipal Accountant Date

City/Municipality of La Libertad

Sir/Madam:

We submit herewith tha original copies of the disbursement vouchers issued: ______________________ duly
acknowledged by the payees:

DV Check PBC/S ISSUED

Date No. Date No. Payee Particulars Amount Date No.
12/1/20212021/12/008 12/21/2021 483007 St. Vincent ferrer enterprise

TOTAL -

Please acknowledge receipt hereof. Very truly yours,

MANILY A. GOMEZ
BRGY. TREASURER
Date:______________
Noted by: Received by:

JEAN B. FUENTES
SK CHAIRPERSON
STEVEN V. AGRAVIADOR
MUN. ACCOUNTANT
 Annex "B"
SANGGUNIANG KABATAAN OF BARANGAY AYA
Municipality of LA LIBERTAD
Province of Negros Oriental

TRANSMITTAL LETTER
Date:__________________
To: The City/Municipal Accountant
City/Municipality of La Libertad

Sir/Madam:

We submit herewith the following financial transaction documents and reports covering the period of November 1, 2021 to
NOVEMBER 30, 2021.

A. DV/Payroll Check PBC Certification

Payee Amount
Date No. Date No. Date No.
12/1/2021 2021/12/007 12/1/2021 483007 st. Vincent ferrer enterprise 9,464.28 12/1/2021 2021/12-005
12/1/2021 2021-12-008 12/1/2021 483008 st. Vincent ferrer enterprise 18,739.28 12/1/2021 2021-12-005
12/6/2021 2021-12-009 12/6/2021 483009 st. Vincent ferrer enterprise 17,035.72 12/6/2021 2021-12-006
12/6/2021 2021-12-010 12/6/2021 483010 st. Vincent ferrer enterprise 28,392.85 12/6/2021 2021-12-006

B. RCDs and RCR's and the duplicate copies of the OR's issued
RCD/RCR Number Period Covered Date Amount

C. Other Receipts
Type of Report Period Covered

Pleas acknowledge receipt hereof.

Very truly yours,

MANILYN A. GOMEZ
 SK Treasurer

Noted by: Received by:

JEAN B. FUENTES STEVEN V. AGRAVIADOR

SK Chairperson Municipal Accountant
BAYLON BAYLON

BAYLON BAYLON

BAYLON BAYLON

BAYLON BAYLON

BAYLON BAYLON

BAYLON BAYLON