Republic of the Philippines Annex “D”

Sample SK Annual Budget

Province of Samar (COA HFTSK page 178)
Municipality of Basey
Barangay San Antonio

OFFICE OF THE SANGGUNIANG KABATAAN

REGISTER OF CASH IN BANK AND OTHER RELATED FINANCIAL TRANSACTION

( 1ST Quarter of CY 2024)

SK of Barangay: SAN ANTONIO City/Municipality: BASEY

SK Treasurer: ALIZA MAE R. GULA Province:SAMAR
Fund: 501,934.10 Sheet No:
BREAKDOWN OF WITHDRAWALS/PAYMENTS Withholding Tax
Cash in Maintenance and Other Capital Outlay Advances
Date Reference Name of Particular Bank Operating Expenses (Specify the (Specify the
Payee/Check Travelling (Additional Office (Additional Advances Advances Others type of type of
Number Deposit Withdrawal Balance Expenses payment Equipment payment to SK to SK Withholding Withholding
accounts) accounts) officials officials tax) tax)
NONE

Prepared and Certified Correct by: Noted by:

__ _ALIZA R, GULA________ ___APRIL 26, 2024___ _TYRONE S. CAMPOSANO_ _ APRIL 26, 2024__
Signature over Printed Name Date Signature over Printed Name Date
SK Treasurer SK Chairperson
Note: For the instruction on how to fill out the form, please refer to page 179 of the COA Handbook on the Financial Transaction of SK. The “Noted by” phrase is added for purposes of submission of RCB to the DILG City/Municipal Field Office.