BARANGAY (name of barangay)

Municipality / City
Province

PUNONG BARANGAY'S CERTIFICATION

PBC NO.: 23-01-003

Date: January 30, 2023
To: The Bank Manager
(name of the bank)
(address)

Sir/Madam:

This is to certify that the following checks were duly issued by Barangay Tambac, complete with
respective Disbursement Vouchers and supporting documents.

Account No. Check No. Date Payee Amount Purpose

1-12345-678-9 0097931185 1/30/2023 Dela Cruz Enterprises 9,400.00 Payment of Office Supplies
0097931186 1/30/2023 Brgy. Treasurer 64,060.00 C/A Hon. Brgy. Officials
0097931187 1/30/2023 Manila Electric Coop., Inc. 1,282.81 Payment of Electricity Bill
0097931188 1/30/2023 Brgy. Treasurer 1,000.00 Reim. Of Water Bill

TOTAL 75,742.81

This Certification is issued, pursuant to COA Circular 2019-01, dated January 30, as a condition
for the encashment of said checks.

The undersigned attests to the truthfulness of the foregoing facts, under pain of liability for falsification,
pursuant to Article 171(4) of the Revised Penal Code.

Very truly yours,

(name signature of PB)

_______________________
Punong Barangay

Delivered by: Received by:

(name & Sign of brgy Treasurer)

________________________ ___________________________
Barangay Treasurer Bank Representative

Date: ________________ Date: _______________