wets BALINGAN CENTRAL ELEMENTARY SCHOOL
Cash in Bank Local Currency, Current Account
‘Monthly Reconciliation Statement
‘As of DECEMBER 2023
ACCOUNT NO. : 0851-044030-080
‘SCHOOL MOOE
DBP Mangogoy
“ahereet Inoeme
6. Bank Charges/tax
|Adjusted Balances
Prepared by:
ADASAL Contfied Corrects
1/18/2024
ADRIENE B. PLANAS, CPA
/accountort i
DatesDEP Ksngagoy
a
‘BALINOAN BLBUBOTARY SCHOOL
THL.S COLES
AISLIG CIT?
‘SURIGAO DEL SUR, PHLS., 8311
Account Ho. + 0851-044030-080
Haternal Ho, + 00-0-01820-851-0 Period Covered: DEC OL 2023 to DBC 31 2023
TE TC RBR/CHBCE HO. DENT caEDIT BALNCE REP DATE TE BR
Talence Formardeé™ W079
OL DEC 2023 BIC ougddtsase 17,500.00 66,517.29 OL DEC 2028 O8St
UL DBC 2023 DOR 844isz70 3,500.00 $3,017.29 LL DEC 20230851
UL DBC 2023 DC 0084415269 12,485.10 50,532.19 1 DEC 20230851
£3 DBC 2023 DIC OOB4AtS2TL 1,811.51 47,700,621 DEC 2023 0851
15 DBC 2023 DCE 84als273 1,185.16 46,831.46 5 DBC 2023085!
15 DBC 2023 DIC 0084415268 900,00 45,631.46 15 DBC 20230851
5 DBC 2023 Dic g0g4eisz72 13,030.41 32,601.05 15 DBC 20230851
‘2 BRC 1023 DOF 64415274 28,601.05, 4,000.00 21 DBC 2023 0851
‘27 DEC 2023 DOR 84415275 4,500.00 00,00 27 DBC 2023 O85L
39 DRC 2023 NT 0.83 520,23 31 DEC 20230851
19 DRC 2023 TE 40S SUG18 31 DEC 2023 O8St
OTK:REPORT OF CHECKS ISSUED
Period Covered: DECEMBER 2023
Entity Name : BALINGAN CENTRAL ELEMENTARY SCHOOL
Appendix 35
boa {i tcf snBIIAA ESEETESSTBNEG FusSEEEEIOEEEIEENSEEEVEOSENEEON Report No.:
Bank Name/Account No. : DEVELOPMENT BANK OF THE PHILIPPINES/ 0851-044030-080 Sheet No.
Cheek DVPayroll | ORS/BURS | Responsibility Center UACS Object
Date | Serial No. No. No. Code Payee ‘Code Nature of Payment ‘Amount
42/03/2023 | 0084415268 at JAIP/SAIP 900.00}
s2yorrots | oosess2e9 sunsecor november onus
12/07/2023 | 0084415270 {ARIEL B. ASOTIGUE. {SCHOOL GUARD HONORARIUM(NOV.)
sa/s2/a0a3 | oogeaisz71 lecor mc. [DECEMBER BLING
sapiens | oonessz72 burseeos orcener anus
T
22/13/2003 | o9gs415273 loennts . paLAro | [sare reaver expenses oa
]MOWz AND WoNZSCHOOTRLOFTCE 7
s2p2n72023 | vowsersz74 lsurpuies DEPOT. __ [SCHOOL & OFFICE SUPPLIES aneons
saroyors | cosessars we. asomeue sewoo.suaKo HonoraRtAnoeC) ascood
6601729]
CER
1 by cerify on my ofa ath that this
statement fal checks sued by me daring the prod stated above
‘were etualy sued by mein poyment for olREPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS
For the month of DECEMBER 2023
Envy Name : BALINGAN CENTRAL ELEMENTARY SCHOOL
“Kecountable Forms
Beginning Dafance Rexipt Fading Balance
7 Tnclusve Serial Nos Tp, | —lnlusve Seal Noe Tai eTNE inf ee eT
of Form Face v " i
Name of F. ‘Number [Face Value Quant SS Quant =
24 loosaaasa76 | ooeensa00| 8 locwsens2e8 looseansz7s
|A. WITH FACE VALUE Mps- TRUST DBP
JACCOUNT 0851-044030-080
Jmwitnour race vaute
=
LT
CERTIFICATION
Ueceby certify thatthe foregoing is a true statement of all accountable forms received,
hero
Signatur over Printed Naf ofthe Accountable OMicer
‘issued and transferred by me daring the period above-statd and that the beginning and ending balances are correct,Cash in Bank - Local Currency, Current Account
ACCOUNT NO.: 00-0-01846-851:9
SCHOOL MOOE
DBP Mangagoy
BCD SPED CENTER
Monthly Reconciliation Statement
‘As of DECEMBER 2023
Fund Cluster:
JAdd/Deduct: Bank Reconciling Iterns
/1. Unrecorded Deposit / Deposit in
2. Errors which understates the bank
3. Outstanding Checks
4, Errors which overstates the bank
5. Bank Adjustments-Reversion of Net
jof interest income for the Quarter
|Add/Deduct: Agency Book Reconciling
1. Unrecorded Deposit-Interest
12. Cancelled Checks
6. Bank Charges/tax/REVERTED TO
[Adjusted Balance
Prepared by:
SIENNEC CRUZ
ADAS IL
Dat
Date:H
&
DBP Mangegoy
ACD SPED CENTER
ANDRES SORIANO AVE, HANGAGOY
BISLIG CITY
SORTGAO DEL SUR, PHLS., 83LL
Account Ho.
+ 0851-044076-080,
External Bo, + 00-0-01846-851-9
Paget
RunDate: 1/02/24
RunPines (4:10:54
Perivd Covered: DIC 01 2023 to DBC 31 2023,
DATE TC BGF/CHECK ND. DEMIT CREDIT BALANCE REF DATE TH BR
Balance Forsarded 39,185.39
QL Dac 2073 DIC ooez36s073 11,000.00 18,785.39 OL DBC 2023085!
7 Dac 2023 DIC a0e736s080 1,780.31 17,005.08 07 DEC 20230851
{2 DBC 2023 DIC 0067365079 500.00 16,t05.08 12 DBC 2025 08st
{3 -DBC 2023 DIC 0062369081 14,317.29 1,787.79 13 DEC 2023 0851
5 98¢ 2023 DIC 0087369082 159.90 1,027.89 15 DEC 2023 O8SL
‘20 DRC 2023 DOR 92569083 518.49 54.4020 DBC 20230851
29 DBC 2023 INT cer S22.72 31 DBC 20230851
29 DRC 1023 WIE 165 SiL.06 31 DBC 2023 0851
TOTAL 39,772.65 642aed ‘woRBUs}s9q TEOWIO
¥200/61/T teTedjourag
JoTYsU /TOOYJO Fufesngerq Jo sanqeusyg pure oureyy
ZANAN 'O VITA
“tossed /s1ayorion
asuroemaerp povomy evi wy waous euopuByiqo 203 uowAed uy our Aq poneey Afrongow axoMm ‘onysnjouy
“BON 09D HOTA Jo} ovogy parme poyed ous Buranp ou: £q ponssy exooyo [Te Jo uoWONNE
eo | somo] | sane’ | $90-6t0e-Crads| eeo69ece00 |ez0s/ST/et
06'6S4 Ptipses| tet eee) etme IEE tl pg0-ez0t-Cads|zgo6gezs00 |ezou/pt/er
ecu | yomol | oconsuns| |_| sansror- asus ceenav [ooe/en/es
(povees [ aoaol | ousen| || er ns osncrn ln
| aust _| | peeoranalagece
OBHS| MAHLO-LE TS0-£U0U-Citds| 6L069E%800 |£08/T/2t
“Too'06
| “onteneg | eed |
am,
gunomy [vomded sono “ON Tose me] ee |
[Po onsen an euo
qyuodsoy,
YON joys, HOON aaa) wend aa om jo yawE juaidopaneg ——sequiny unosoy /aureN yg
Ton yoda ‘owen pang
x99U00 duds COM ‘oweN AUT
€00% UAANAOAC ‘por9a0y popiod
CUNSSI SHORHO AO LAOdTaaya
ye0e/6t/T
JoIYwO/oOYO Buyesngeig Jo emyeusls pue ourey
bee Ov bi
&
MOA FUBWIBEINIGSTP POYORI Ou} UT UAMOYE
fopobgao ej ou wot pore Ape Bom ‘eqenouy
anv
ooreseze | veossera | ct | eaoeseze Jootesezslezosgeze) zz pe
awe
“Fon og enMauy | MANO Agguario uuog yo owoN
eeuojog Bupa iis
— oO vsoganig pun WANED Gags Goa :OWeN AAU
£202 YAEWITOIA JO YUOWN Dp Joy
‘SINWOd STEVLNNODOY Hod ALNIavINNODDY 4O LHOdaH
WaLNDD ads 098
cs mpuoddyACCOUNT NO. : 0851-04408K-080
SCHOOL MOOE
DBP Mangagoy
Particulars
BEBIANO ALBA ELEMENTARY SCHOOL
Cash in Bank - Local Currency, Current Account
‘Monthly Reconciliation Statement
As of DECEMBER 2023
Agency
Fund Cluster
Explanatory Comment
1. Unrecorded Deposit /
Deposit in Tronsit
2. Errors which understates
the bonk balence
3. Outstanding Checks
5. Bank Adjustments - Reversion of
Net of Interest Income for the __
JQvarter
6. Unused Cash Advance
JAdd/Deduet: Agency Book
Reconciling tems
1. Unrecorded Deposit - Interest
2. Cancelled Checks
3. Errors which understotes
the book balance
4. Returned Check Deposits
Centfied Correct:
ADI
Date:
'BPLANAS, CPA
‘Accountant IlH Bs
TBP Kangagoy
L
tort
21206
‘BEBIAND ALBA BLEMBNTARY SCEOOL
STBAROT
BISLIG CITT
SURIGAO DEL SUR, PELS., 8311
Account Ho. + 0851-04408E-060
Hxternal No. + (0-0-01851-851-2 Period Covered: DEC O1 2023 to DEC 31 2028
UT TC RBR/CHBCE HO. DeBIT capt BALANCE HBF DATE = TE OB
Balance Fornarded 16,255.96
OL DEC 2023 DCR 4046053 2,500.00 13,755.96 OL DEC 2023 O8st
1 DC 2023 DIC obeen4s0s2 3,051.53 10,704.43 OL DEC 2023 085%
U4 Dec 2023 DIC o0ada4s0ss 45,596.87 Ts1OT.S6 14 DBC 2023 08St
5 DBC 2025 DIC usdadGas4 300.00 6,207.56 15 BEC 2023 0851
an pBC 2023 DOR 84046057 3,207.56 3,000.00 20 DEC 2023 851
2 DRC 2023 DCE G40460S6 2,500.00 ‘$00.00 21 DEC 2023 0881
29 DRC 2028 INT 3.3 S013 $1 OBC 2023 085L
DiC 2003 HIT 0.68 502.5031 DEC 20230851
Toma: 15,156.59 3.13ea
‘vopeutisod FOO
‘avai 100H98
‘ean
u perst soaig jo vodey sa ye ae
Nolivorsinw3>
eee ‘Ts0RrHS—_|ELOTOTTT
aR AT
Sao
fesisoe
fe =p00 “oN SunTeuO | ON TOMTeaTAG
2120 Atareuodsoy
Zi FON yous (080-480%r0-1580 : “ON qunoDoy/oWeN 4ueG
= aaysnig pung
£202 H3EINTOIA :Pesenod pouied
GANSSI SHD3HO 4O 1LHOdTy
JOOHOS ANVLN3I373 VET ONVIG3E : eweN AnUS-Roqjo eaenneooy ojo BUEN pany Ho NEUES
NUNTYA’8 13S)
"yoauice we seouejeg Supe pus SuuaBaq ov oig puR po¥ms-onoge poyod ety Bump oul Aq paubysu ‘ponanes suey ageuncace ye yo Awan ans ws] BUDO, ax ey Aion AgaHON |
NOLLVDISILNaD
SRIVASOWs IORI]
aS
(oorsrora —|ss0arars Taravore— [esoarore 15 [porrore —_|eocarora | we BWA Sova RAY]
OL umes | AAEM [OL wal | nveTG | OL wag aR] OL Wek —RRUENG| SEA SET] — SATA ID ]0 OUEN
TEN LS arfsmuT BON EES SABABUL ON Mg SAIBMBUT "SONTSS ASMAUL
eoueres BURR ‘ares dioaou, ‘ounreg BuyUUIB maaay
‘Dao eOrrO-1SB0 ON WuMODSyrOWEN THER
aspen puna ‘TOOHDS ANVANSHETTS Ver ONES :owoN AS
£202 MBGWSOA Jo you OM 40-4
‘SWHOd FIAVLNNODOV NOs ALITIBVINNODOV 40 LUOdaH
19 xpueddy
(an sui emoy 0 AmcennEY 0 vod 59 payBISLIG CENTRAL ELEMENTARY SCHOOL/ SSES
EEE: Cash in Bank - Local Currency, Current Account
Monthly Reconciliation Statement
As of DECEMBER 2023
ACCOUNT NO. : 0851-044343-080
SCHOOL MOOE
DBP Mangagoy
Fund Cluster:
. Unrecorded Deposit /
Deposit in Transit
2. Errors which understates
the bank balance
3. Outstanding Checks
4, Errors whch overstates the
bank balance
5, Bank Adjustments -
Reversion of Net of Interest
income for the _ Quarter
1. Unrecorded Deposit - Interest
12. Cancelled Checks ~
13. Errors which understates
the book balance
4. Returned Check Deposits
5. Bank Adjustments -
Reversion of Net of interest
Income for the __ Quarter.
6. Bank Charges/tax
lAdjusted Balances
Prepared by:
cinpy FP, Binar
AO-I Certified Correct:
DATE: January 18, 2024
ADRII . CPA
‘Accountant Ill
Date:DE Sangagoy Pt
BISLIG CENTRAL ELEMENTARY SCHOOL
POBLACION
BISLIG CITE
SURIGAO DEL SUR, PHLS., 8311
Account Ho, + 0851-044343-080
Internal No, : 00-0-01872-851-0
Page: f
BunDste: 1/02/24
RuaTines 14:16:56
Period Covered: DEC 01 2023 to DEC 31 2023
DATE TC HEF/CHECL NO. DET caEDIT BALANCE REP DATE = TL AR
Tnlance Porvarded Toi, 7.05
OL DEC 2025 DIC cug7osssus 16 161,072.79 OL DBC 2023 0851
OL BBC 2023 Dic ona703sa34 10,500.00, 150,572.79 OL DBC 2073 085t
I DEC 2023 BIC oua703s¥s0 33,453.91 117,116.88 OL DBC 2023 0851
OS BBC 2023 DOR 87035854 1,109.46 114,985.42 05 DBC 20230851
5 DC 2023 DOW 87038853 5,408.14 109,525.68 05 DBC 2023 085i
0S DBC 2023 DOR 87035855, 18,928.57 90,S97.1L 05 DEC 2023 9851
5 DEC 2023 DOF B703S952 2,500.00 $8,097,105 DBC 2023 0851
Os BEC 2023 Die 0087035851 1,967.81 86,129.30 06 DBC 2023 085i
{1 DBC 2023 DCE 87035859 2,020.55 4,108.75 EL DBC 2023 0851
{2 BRC 2023 DOR 87035860 14,515.00 63,833.75 12 DBC 20230851
{1 DBC 2023 Dic 90e703s8s6 £800.00 61,733.15 {2 DBC 20280851
14 BBC 2023 Dic 0087035862 tt 67,659.49 U4 DBC 20230851
{4 DEC 2023 DIC 0087035861 33,915.14 33,744.25 U4 DBC 1023 085i
15 DRC 2023 DOR 87035863 LA 31,324.60 15 DBC 20230851
15 DBC 2023 DiC 0087035864 1,067.81 30,356.79 £5 DBC 2028085!
15 BRC 2023 Dic 0087035858 9,092.15 10,864.60 £5 DEC 2023 085!
10 DEC 2023 DCE 87035865 2,700.01 18,164.59 20 DBC 20230851
10 DEC 2023 DOE 87035968 1,790.00 15,374.59 20 DEC 20230851
37 DEC 2023 DOW 87035869 11,817.36 3,897.13 27 DEC 1023851
17 DRC 2023 DOH 87035867 2,500.00 1,087.23 27 DEC 2023 08st
17 DEC 2073 BOE 87035866 529.00 $08.23 27 DBC 2023 O8St
29 BC 1023 TAT 3.01 $60.55 31 DEC 20230851
19 DEC 2003 HME 66 554,09 31 DBC 20230851
TOTAL:
160,625.28 20tc fpaseataseaeces
teers Se ee
arise ee eens
aan aaa
ae
aus
RS
= Say
aa ran mT Cm |
: a
ow06ue _ STATE) SS
coos IUM Jo} ahoge payeys pouad aif Bulnp aul Aq panss] 9pay>
Ur pnge een ope ee ED eH AUD Ae foe
NOMLWOISILYSD
ypauoo pue eng ‘nye
97256 jf Bion e zuH| lyzeoszee
S608, ‘OO3SuNS| lezsoozee
BaIeOUED| [ezooazes
osr006 I) :zeoazee
jer voce, ‘Ooasuns| ozgo9ces
wa! sayu89 Ay “ON “ON “ON |PHeS
nol uawke, eunge| aake,
hamiteeed ae sovn 7 1qisuodsey | Suna/SUO | 1osKed/AG 49849.
—— on 3804S 080-P}Sh¥0-1S80: “ON juNooDyjeweN yueR
YON Hodey BOON: J8}snjp puny
JOOHOS ‘WATd O.LONG: eweN AQUy,
GANSSI SM93SHO AO LYOdayroams
now emeunscoy ane
Pro eoHDe- O93 RNGNTH
‘youn on seu Buys pur Bayag oe pus pams-anoge poyed ag Bu eu Ka panaa ‘pavca! suo oRooGe Feo aR ON Bunn A AD F9 A
Nolivorsitaa
SRWASOVIINONIN
L250 SO BL ewe —|“eeta00) ——s oo o8665eReCO| —— 0
SA Se AY]
a Tega —a ag | es —| eg ana ‘wae | anes arn OST | Sa te Ua
NFS eon aS ST Ton as SAT ens Der
Sue BO cot eee eoteeg Sug sae
soem pn ‘ootos kaviaaHETTa Lona WEN A
20% Jequie0eq jo qquOW ox 104
SWHO4 TTAVANNODOW NOS ALMIGYANNODOW 40 LUOdTY
7a xipuaddi
pred s0BUCTO ELEM. SCHOOL i
Bislig City Division :
Bislig City
OUTSTANDING CHECKS DBP FOR THE MONTH OF December 2023
CHECK NO. PAYEE.
Salva Hardware & Const.
Supply.
Salva Hardware & Const.
‘Supply.
72264372|
72264373|BUCTO NATIONAL HIGH SCHOOL
‘Cash in Bank - Local Currency, Current Account
‘Monthly Reconcltation Statement
193 of DECEMBER 31, 2023
ACCOUNT NO. 0851-04405%.080
SCHOOL MOOE
DBP Mangagoy
Fund Clustere___
aa
500.00 |__|
1. Unrecorded Deposit - interest
2, Concelled Checks
6, Bonk Charges/tox
adjusted Balances
Prepared byy
sontalc. COLENA
ADMINISTRATIVE ASSISTANT-IIL Certified Correct:
Date: January 19,2023
ADRI ILANAS, CPA
/accountart Ill
Date:H
‘TBP Kengagoy Pager
Bundates 1/02/24
RunTines 14:08:34
‘HUCTO NATIONAL HIGR SCHOOL
cro
BISLIG CITY
SURIGAO DBL SUR, PELS., 8311
Account No, + 085t-04405P-080
External Wo. : 00-0-01637-851-0 Period Covered: DEC OL 202% to DBC 31 2023,
ATE ‘TC RBR/CHBCK HO, DEBIT CHIT BALNCE REF DATE TL BR
Balance Forwarded 10,803.18
Of DBC 2023 DCE 29034509 3,000.00 17,803.18 OL DBC 2023 8st
Of DBC 2073 DIC oes0u3ee7 3,800.00 14,305.18 OL DBC 2023 oRst
Of DRC 2023 DIC wossosesoe 5,495.00 8,028.18 OL DBC 2023 O85L
12 DBC 2023 DIC vosg0a4sit 500.00 1,918.18 12 DEC 2073 85!
14 pa 2023 DIC ooegea4si2 4,4. 3,500.46 13 DRC 2023 O8St
19 DBC 2023 DCE 59034813. 3,000.00 $00.46 19 DEC 20730851
29 DRC 1023 NT 5.10 S616 31 DBC 20230851
29 DEC 2073 WIE Lu $05.02 31 DEC 2073 085i
‘TOTAL: 10,303.86 5.10£02 UAEADIM 7220109 POLE
(GANSSI SHOAHD 10 LOTTA
we Ta BRITT WOTTON DaVAROD TRATION
a Gaareia0 TmaomaTWOF NTN ODES
05 oxo a DN aMOwE
= GTiBAV
mi av BRIT WOU TEV EONH SaannOD GRATION
aD 30_| og
omy sromieg 0 amex pat00 song 2999.1 examI,
sova fred
POS
NOEeo etgauressy ou jo eu plas ono omnoub
“ous 1 5109 Bap pun Baws au 14s pdfs avec pee au
‘payesos tay INE fp Jo ewe en 8 5 BOBS} ey.
Nowrotaiss>
HWA Dvd NOFA
‘09PE068 | visveOEs | 9B | CieveoeN | sosbeoGe | = ‘omre0Ks | cosvEoss | 16 HivADenaNy|
cy we ap [= po
‘Atpuon ‘kano - * Avon | on, wo, sequen ‘uui0g eu
“amie en NERF “Somer one
= EES ey
ser pn ‘ORS HORTTWNOUVWTOIST on A
$200 “te AgaNDaG 1 HOW O04
+ swuoasTa¥LNnoDoW You ALNIBVINNODOV 40 AHOACCOUNT NO. : 0851-04405¢-080
SCHOOL MOOE
DBP Mangagoy
Partieulars
Unadjusted Balances
Add /Deduct: Bank
Reconciling items
1. Unrecorded Deposit /
Deposit in Transit
2. Errore which understotes
the bonk balance
3. Ourstanding Checks
2. Cancelled Checks
3. Errors which understotes
the book belonce
BURBOANAN ELEMENTARY SCHOOL
Cash in Bank - Local Currency, Current Account
‘Monthly Reconciliation Statement
‘As of DECEMBER 2023
Fund Cluster.
Explonotory Comment
IAS, CPA
countant il‘BURBOANAM ELEMENTARY SCHOOL
PRK HIREOARAN
| H
TAP aangegey
:
-—AISLIG CITY
SURIGAO DEL SUR, PHLS., 8311
Account No, + O85t-044050-080
External! Wo, + 00-8-01836-851-3
Pages
RunDate:
Runtine:
1
1yoajts
08:23
Period Covered: DBC Of 2023 to DEC 31 2023
OnE TC BEF/CHECK 0, bent CREDIT BALNCE REP DATE TKR
islance Fornarded 0S
{4 DBC 2023 DIC ooge7az2st 3,062.47 14,010.08 14 DRC 20230851
14 DRC 7023 DIC gogs72za50 4,861.95 9,148.15 14 DBC 2023 08st
15 DEC 2023 DC ooge7a249 500.00 S,ME15 5 DEC 2023 8st
0 DEC 2023 OY 86722254 1,141.58 ‘SU0,ST 20 DEC 20230851
39 BRC 2023 TT 4 S049 31 DEC 20230851
29 ORC 1023 HTT 0.87 S040 31 DEC 70230851
‘TOTUL: 16,572.45 434Entity Name : BURBOANAN ELEMENTARY SCHOOL
Fund Cluster :
Bank Name/Account No. : 0851-04405C-080
REPUKI UF CHECKS ISSUED
Period Covered: DECEMBER 2023,
heck
‘Responslbity Center|
Date [ SeriaiNo.| _ovirayrono._| _onsBuns No. ‘Code Payoo LUACS Object Code Nature of Payment Amount
zp 23120578 lore omien nan are Ssazos0i002 meal and nace 2000]
sunscco Ssezoxoi002 4951934
3] 96722251 sunseco sazoxo002 308207
szpsns) _e6r22254 levanuens Ssezosoi002 zur
shoot) ul, tue and corect
soen-24‘Arpad Rap fA Amr Foes (AAR,
Appendix 67
REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS:
For the month of DECEMBER 2028
Entity Namo : BURBOANAN ES Fund Chstor:
‘Sank Neme/Account No, :085.044050-080
Forme ag BS asa Ta TSI
ees Tee Soa Siaie saa toate Soma
we otfom | rsrtar_| Fco vie | See te omy [ren | To a
Lcwinvene Vato SE BaP aa] — Sara S| aa] — Bar
RE
OUTED EE]
"hereby catty tat th foregoing se tue etaement ofa accountable forms recived, sued
ERTIFIGATION
sored by me dung the peed above sated and tat be becioning and ending balances ere coect.