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Annex 16

Barangay 11 Poblacion
City/Municipality of Llorente
Province of Eastern Samar
TRANSMITAL LETTER

Date: ________________

To: The City/Municipal Accountant


City/Municipality of Llorente, Eastern Samar

Sir/Madam:
We submit herewith the following documents: a) certified copy of the cashbook; b) copy of PBCs issued;
and c) original of the Disbursement Voucher/payroll issued for the (month and year) duly acknowledged by
the payees:
A. DV/Payroll Check Amount PB Certification
Payee
Date No. Date No. Date No.
12/29/23 12/29/23 86649385 MARY ANN G. ECLEO 78,000.00 12/29/23 5

TOTAL 78,000.00
B. RCDs and RCRs and the duplicate copies of the ORs issued
RCD/RCR Number Period Covered Date Amount
No Collection
C. Other Reports
Types of Report Period Covered

Please acknowledge receipt hereof


Very truly yours

MARY ANN G. ECLEO


Barangay Treasurer

Noted by: Received by:

HON. RICKY G. ASADON ATTY. MARIPAZ B. HUGO, CPA


Punong Barangay Municipal Accountant

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