Annex “A”

Barangay __________________
City/Municipality of __________
Province of __________________

SK CHAIRMAN’S CERTIFICATION (SKCC)

SKcNO.: _______
Date: _______

To: The Bank Manager

___________________________
Name of Bank

___________________________
Address

Sir/ Madam:

This is to certify that the following checks were duly issued by Sangguniang Kabataan barangay
___________.
(Ito ay pagpapatunay na ang mga cheke na nakalista sa ibaba ay na -isyo ng Sangguniang Kabataan ng Barangay
_____________)
complete with respective Disbursement Voucher and supporting documents.
(na kompleto ng kanya-kanyang Disbursement Vouchers at kalakip na mga document)
Account No. Check No. Date Payee Amount Purpose

This cerification is issued, pursuant to COA Circular 2018-001 dated January 30, 2019
(Itong patunay ay ginawa alinsunod sa COA Circular 2018 na may petsang January 30, 2019)
as a condition for the encashment of said checks.
(bilang kondisyon para sa pagpapapalit ng mga nasabing cheke)
The undersigned attests to the truthfulness of the foregoing fact, under pain of
(Pinapatotohanan ng may lagda ang mga nakasaad sa itaas batid ang
Liability for falcification, fursuant to article 171(4) of the Revised Penal Code.
(panana gutan sa kasong “Falcification” sang ayon sa Article 171(4) ng Revised Penal Code.

Very truly yours,

_____________________
SK Chairperson
Delivered by: Received by:

___________________ ___________________________
Barangay Treasurer Bank Representative
Date: ______________ Date: ______________________