New COA Forms
New COA Forms
: 2020-01-001
Barangay : City/Municipality: Date:
Payee: Province: Fund:
Address: TIN:
Particulars Amout
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
Total - - -
- - -
A. Certified as to availability B. Certified as to availability of funds, and C. Certified as to validity, propriety and legality of D. Certified that each official/employee whose name
of appropriation for obligation in the amount of completeness and propriety of supporting documents claim and approved for payment appears on the above roll has been paid the amount
P____________ stated opposite his name
E. Accounting Entires
Account Title Account Code Debit Credit Prepared By:
____________
Barangay Bookkeeper Date
Approved By:
PARTICULARS AMOUNT
AMOUNT TO BE REIMBURSED
Submitted by: Received by:
______________________________ ______________________________
Accountable Officer Accounting Unit
_________________ _________________
Date Date
ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit
Transmittal Letter
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 of January 2020 duly acknowledged
by the payees:
B. RCDs/ORs/VDS
Date No. Amount
January 31, 2020 RCD 2020-01-001 235,600.00
C. Other Reports/Others
Date Type of Report
January 31, 2020 Bank Statement (certified true copy)
January 31, 2020 Report of Accountability of Accountable Forms (RAAF)
January 31, 2020 Record of Estimated and Actual Income (REAI)
January 31, 2020 Record of Appropriations and Obligations (RAO)
January 31, 2020 Registry of Special Trust Fund (RSTF)
January 31, 2020 Statement of Appropriations, Obligations and Balances (SAOB)
January 31, 2020 Summary of Supplies and Materials Issued (SSMI)
January 31, 2020 Liquidation Reports
(Dec. 2020 year-end) Report on Inventory of Property and Equipment (RIPE)
(Dec. 2020 year-end) Report on Inventory of Supplies and Materials (RISM)
Barangay Treasurer
B. Without Money
Value
Official Receipts
Checks
CERTIFICATION:
I hereby certify that the foregoing is a true statement of all accountable forms received, issued and transferred by me
during the above-stated period and the correctness of the beginning balances.
Barangay : City/Municipality :
Tel. No. : Province :
Barangay Treasurer /
For which Property Officer is accountable, having assumed accountability on
(Name of Accountable Officer) (Official/Designation) (Date of Assumption)
Signature over Printed Name Signature over Printed Name Signature over Printed Name
Barangay Treasurer Punong Barangay or Representative Punong Barangay
Member, Inventory Committee Chairman, Inventory Committee
____________________________________________
Barangay, City/Municipality, Province
No. ____________
Purpose:
Signature
Printed
Name
Designation
Date
INVENTORY CUSTODIAN SLIP
Barangay : City/Municipality : ICS No.
Tel. No. : Province :
Received by : Issued by :
__________________________________ _____________________________________
(Signature over Printed Name) (Signature over Printed Name)
Recipient Barangay Treasurer
_______________ _______________
Date Date
STOCK CARD
Supplies: ________________________________________ Supplies Number _________________
Description: ______________________________________
Quantity Issuance
Date Reference Balance
Received Quantity Received by
PROPERTY ACKNOWLEDGEMENT RECEIPT
__________________________ ______________________________
Signature over printed name Signature over printed name
Recipient / User Barangay Treasurer
____________ ___________
Date Date
PROPERTY/EQUIPMENT CARD
_______________________________________
Barangay, City/Municipality, Province
Date of
Particulars Cost Improvement/Repairs Transfers/etc. Total
Purchase
__________________________________ _____________________________________
(Signature over Printed Name) (Signature over Printed Name)
Requesting Officer Punong Barangay
_______________ _______________
Date Date
PURCHASE ORDER
Barangay: City/Municipality:
Tel. No.: Province:
Supplier: PO No.:
Address: Date:
TIN: Mode of Procurement :
Gentlemen:
Please deliver to this office the following articles subject to the terms and conditions contained herein:
________________________
Punong Barangay
Existence of Available Appropriations of
Conforme:
__________________________________ __________________________________
(Signature over Printed Name) (Signature over Printed Name)
Supplier Chairman, Committee on Appropriations
_______________ _______________
Date Date
ACCEPTANCE AND INSPECTION REPORT
Barangay : City/Municipality :
Tel. No. : Province :
Supplier : Invoice AIR No.: RIS No.:
PO No. : No.: Date: Date:
Date: Date :
Unit Description Quantity
ACCEPTANCE INSPECTION
__________________________ ___________________________
Signature over printed name Signature over printed name
Barangay Treasurer Authorized Inspector
ACKNOWLEDGEMENT RECEIPT FOR DONATED PROPERTY,
EQUIPMENT, SUPPLIES AND MATERIALS
Address _________________________________________________________________________
Total
Purpose of Donation
________________________________________________________________________________
________________________________________________________________________________
_______________________________________________
Printed Name and Signature of the Punong Barangay/
Authorized Representative
Conforme:
___________________________________________
Printed Name and Signature of the Donor/
Authorized Representative
REPORT ON THE RECEIPT AND UTILIZATION OF DRRMF SOURCED FROM GAA
Barangay _____________________, Iloilo City
Barangay:
Province: Iloilo City
City/Municipality: Iloilo City
Total Budget of LGU:
Gender Issue/ Cause GAD Relevant LGU GAD Performance Target Actual Total Actual Cost Variance/
GAD Mandate of the Gender Objective PPA Activity Indicator Results Approved of Remarks
Issue GAD Budget Expenditure
1 2 3 4 5 6 7 8 9 10 11
Total
Total
_____________________ ___________________________
Accounting Staff Head Accounting Unit
Noted:
_______________________
Punong Barangay
Report of the Receipt and Distribution/Issuance of Donated Relief Goods
Barangay ____________________________
Iloilo City
As of _________________
Continuing Appropriation
Prov. Year's Appropriation
transferred to the
special Trust Fund
Trnsfers/Grants
Total Funds Available
B. Utilization
Medicines
Food Supplies
Repair of Evacuation
Center
Training
Construction of Evacuation
Center
Equipment
Transfers to other
LGUs
Total Utilization
Unutilized Balance
Prepared by: Certified Correct as to Cost and I certify to have inspected each and I certify to have witnessed the disposal
Depreciation: every article enumerated in this report of the articles enumerated in this report
Approved by:
Shortage/Overage
Property Balance On Hand per
Unit of
Article Description /ICS Unit Value PEC Count Remarks
Measure
Number (Quantity) (Quantity) Quantity Value
__________________________ ________________________________
Signature over Printed Name Signature over Printed Name Signature over Printed Name
Barangay Treasurer Punong Barangay or Representative Punong Barangay
Member, Inventory Committee Chairman, Inventory Committee
____________
____________ Date
Date
RECORD OF ESTIMATED AND ACTUAL INCOME
Income Accounts
Reference Subsidy Other Grants and
Date Particular Total Clearance and
No. RPT Share from IRA from Other Service Donations in
Cert. Fees
LGUs Revenue Cash
A. Income Estimates
10/21/2019 Annual Budget Appr. 2,953,706.19 1,059,905.64 1,860,000.00 29,300.00 1,300.00 3,200.55
Ord.#02-
2019
B. Actual Collections
1/14/2020 Share from IRA B/S 155,000.00 155,000.00
1/31/2020 Actual Collections RCD#2020- 235,000.00 600.00
235,600.00
01-001
1/31/2020 Total This Month 390,600.00 235,000.00 155,000.00 600.00 - - -
Total Last Month - - -
1/31/2020 Total to Date 390,600.00 235,000.00 155,000.00 600.00 - - -
Barangay _____________________
(District), Iloilo City
Statement of Appropriations, Obligations and Balances
As of December 31, 2020
Appropriations
Code Functions/Programs/Projects Obligations Balances
Original Supplemental Final
Date Date
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality: Iloilo City Page No.: 1
Chairman-Committee on Appropriations: Province: Iloilo
Fund Source: REGULAR APPROPRIATIONS
Total Monetization
Tanod Janitor Clerk Mid-year Year-end
Date No. Honoraria
Allowance Allowance Allowance Bonus Bonus
Cash Gift of Leave PEI
Credits
A. Appropriations
10/21/2019 Appr. Ord.#02-2019 1,184,000.00 780,000.00 42,000.00 24,000.00 36,000.00 65,000.00 65,000.00 55,000.00 62,000.00 55,000.00
Total 1,184,000.00 780,000.00 42,000.00 24,000.00 36,000.00 65,000.00 65,000.00 55,000.00 62,000.00 55,000.00
B. Obligations
1/30/2020 DV# 2020-01-004 73,500.00 65,000.00 3,500.00 2,000.00 3,000.00
1/31/2020 DV# 2020-01-005 5,500.00 5,500.00
TOTAL 79,000.00 70,500.00 3,500.00 2,000.00 3,000.00 - - - - -
RECORD OF APPROPRIA
Barangay: City/Municipality: Iloilo City
Chairman-Committee on Appropriations: Province: Iloilo
Fund Source: REGULAR APPROPRIATIONS
Reference
B. Obligations
1/15/2020 DV# 2020-01-001 36,000.00 20,000.00 16,000.00
1/20/2020 DV# 2020-01-002 15,000.00 15,000.00
TOTAL 51,000.00 20,000.00 16,000.00 15,000.00 - - - - - - - - -
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Page No.: 1
Repair &
Internet Desilting and Repair & Repair & Extraordinary Peace and Other Maint.
Auditing Maint.- Fidelity Bond Insurance Rent Health Care
Subscription Declogging Maint.-Office Maint.-Transp. and Misc. Liga Fee Order & Oper. BCPC Senior Citizen
Services Buildings & Premiums Expenses Expenses Program
Expenses Expenses Eq. Eq. Expenses Program Expenses
Structures
5,000.00 30,000.00 20,386.00 40,000.00 35,000.00 5,000.00 3,500.00 5,000.00 9,815.19 20,000.00 15,000.00 10,000.00 15,000.00 4,475.00 18,600.00 29,537.00
(20,000.00)
5,000.00 30,000.00 20,386.00 40,000.00 15,000.00 5,000.00 3,500.00 5,000.00 9,815.19 20,000.00 15,000.00 10,000.00 15,000.00 4,475.00 18,600.00 29,537.00
- - - - - - - - - - - - - - - -
Drug Abuse
GAD
Program
29,537.00 15,000.00
29,537.00 15,000.00
- -
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay:
Chairman-Committee on Appropriations:
Fund Source: REGULAR APPROPRIATIONS
Total
Date No. Impvt. Of DCC Aircon Computer Set
A. Appropriations
10/21/2019 Appr. Ord.#02- 410,000.00 50,000.00 25,000.00 50,000.00
2019
3/4/2020 Appr. Ord.#01- 70,000.00
2020
Total 480,000.00 50,000.00 25,000.00 50,000.00
B. Obligations
1/27/2020 DV# 2020-01-003 25,000.00 25,000.00
TOTAL 25,000.00 - 25,000.00 -
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality: Iloilo City Page No.: 1
Chairman-Committee on Appropriations: Province: Iloilo
Fund Source: REGULAR APPROPRIATIONS
Financial
Reference Personnel Services Maintenance & Other Operating Expenses Capital Ou
Expenses
Total Welfare
Tanod Janitor Clerk Travelling Training Office Accountable Drugs and Bank
Date No. Honoraria
Allowance Allowance Allowance Expenses Expenses Supplies
Goods
Medicines Charges
Impvt. Of DCC
Forms Expenses
Expenses
A. Appropriations
10/21/2019 Appr. Ord.#02- 1,178,500.00 780,000.00 42,000.00 24,000.00 36,000.00 50,000.00 30,000.00 15,000.00 1,500.00 25,000.00 50,000.00 50,000.00
2019
3/4/2020 Appr. Ord.#01- 80,000.00 50,000.00 30,000.00
2020
11/25/2020 Res.#08-2020 20,000.00
Total 1,258,500.00 780,000.00 42,000.00 24,000.00 36,000.00 50,000.00 100,000.00 15,000.00 1,500.00 25,000.00 80,000.00 - 50,000.00
B. Obligations
1/15/2020 DV# 2020-01-001 36,000.00 20,000.00 16,000.00
1/20/2020 DV# 2020-01-002 15,000.00 15,000.00
1/27/2020 DV# 2020-01-003 25,000.00
1/30/2020 DV# 2020-01-004 73,500.00 65,000.00 3,500.00 2,000.00 3,000.00
1/31/2020 DV# 2020-01-005 5,500.00 5,500.00
TOTAL 155,000.00 70,500.00 3,500.00 2,000.00 3,000.00 20,000.00 16,000.00 15,000.00 - - - - -
Page No.: 1
Capital Outlay
25,000.00 50,000.00
25,000.00 50,000.00
25,000.00
25,000.00 -
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality: Iloilo City Page No.: 1
Chairman-Committee on Appropriations: Province: Iloilo
Fund Source: 10% SANGGUNIANG KABATAAN FUND
Financial
Reference Personnel Services Maintenance & Other Operating Expenses Capital Outlay
Expenses
Total Other Maint.
Membership Repairs & Fidelity Extraordinar
Date No. Telephone
Dues Maint. Bond
& Oepr.
y & Misc. Expenses
Expenses
A. Appropriations
10/21/2019 Appr. Ord.#02- 295,171.00
2019
Total 295,171.00 - - - - - - - - - - - - -
B. Obligations
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality: Iloilo City Page No.: 1
Chairman-Committee on Appropriations: Province: Iloilo
Fund Source: 5% LDRRMF
Total
Date No.
A. Appropriations
10/21/2019 Appr. Ord.#02-
2019
147,685.00
Total 147,685.00 - - - - - - - -
B. Obligations
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality: Iloilo City Page No.: 1
Chairman-Committee on Appropriations: Province: Iloilo
Fund Source: CONTINUING APPROPRIATIONS
Total Impvt. Of
Const. of Public
Date No. Drainage (CO
Alley (DF 2019)
2019)
A. Appropriations
1/1/2020 FS 2019 400,000.00 100,000.00 300,000.00
B. Obligations
2/4/2020 DV# 2020-01-008 100,000.00 100,000.00
TOTAL 100,000.00 100,000.00 -
RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: City/Municipality: Iloilo City Page No.: 1
Chairman-Committee on Appropriations: Province: Iloilo
Fund Source: 20% DEVELOPMENT FUND
Total
Impvt. Of Public Const. of Impvt. Of Multi-
Date No. Alley Drainage purpose Hall
A. Appropriations
10/21/2019 Appr. Ord.#02- 372,000.00 100,000.00 150,000.00 122,000.00
2019
B. Obligations
REGISTRY OF SPECIAL TRUST FUND
Barangay : City/Municipality: Iloilo City Page No.: 1
Chairman-Committee on Appropriations: Province: Iloilo
Purpose: 5% LDRRMF
Details of Appropriations Details of Charges
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1/1/2020 Unspent DRRMF 2019 FS 2019 110,000.00 2019
2/10/2020 Purchase of Handset DV# 2020-02-009 (20,000.00) 20,000.00
REPORT OF COLLECTIONS AND REMITTANCES
TOTAL
B. SUMMARY OF COLLECTION
List of Checks
Beginning Balance ______________ 20_____ P ________
Add: Collections Check No. Payee Amount
Cash
Check
Total
D. CERTIFICATION: E. ACKNOWLEDGMENT:
I hereby that this Report of Collection and Remittances; and I hereby certify that the foregoing Report of Collection
Accountables Forms including supporting documents are true and Remittances and Accountable Forms including
and correct. cash and supporting documents have been received.
CERTIFICATION
I hereby certify that the foregoing is a correct and complete record of all my collections,
deposits and balances of my accounts in the Cash - In Local Treasury, Cash in Bank,
Cash Advances, and Petty Cash as of January 31, 2020.
1/31/2020
Date
REPORT OF COLLECTIONS AND DEPOSITS
A. COLLECTIONS
Official Receipt
Payor/DBC Nature of Collection Amounts
Date Number
1/2/2020 202006 John Lapuz Brgy. Clearance 200.00
1/13/2020 202007 Sheila Mansano Brgy. Clearance 200.00
1/22/2020 202008 Daniel Ramos Brgy. Clearance 200.00
1/24/2020 202009 CTO RPT 1st Qtr 235,000.00
TOTAL 235,600.00
B. DEPOSITS
Bank/Branch Reference Amount
Devt. Bank of the Philippines VDS 2020-001 600.00
Devt. Bank of the Philippines VDS 2020-002 235,000.00
TOTAL 235,600.00
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Beginning Balance Receipt Issued Ending Balance
Inclusive Serial
Name of Form and No. Inclusive Serial No.
No.
Inclusive Serial No. Inclusive Serial No.
Qty Qty Qty Qty
From To From To From To From To
With Money Value:
Without Money
Value:
Official Receipts 45 202006 202050 4 202006 202009 41 202010 202050
D. CERTIFICATION
I hereby certify that this Report of Collections and Deposits; and Accountable Forms including supporting documents
are true and correct.
1/31/2020
Barangay Treasurer Date
E. ACCOUNTING ENTRIES
Account Title Account Code Debit Credit
Cash - In Local Treasury 1-01-01-010 235,600.00 235,600.00
Cash in Bank - Local Currency, Current A 1-01-02-010 235,600.00
Clearance and Certification Fees 4-04-01-010 600.00
Real Property Taxes 4-01-01-010 235,000.00
PEI Disallowance:
Due to Officers and Employees 2-01-01-020
BIR Overpayment:
Due to BIR 2-02-01-010
Appropriation Ord. No. 02 dated Oct. 21, 2019 Approp. Ord. No. 01 dated 3/4/2020
EXPENDITURES: APPROP.:
Personnel Services (PS) MOOE
Honoraria 5-01-02-050 780,000.00 Training Expenses 50,000.00
Pag-IBIG Cont. 5-01-03-020 - Drugs and Medicines Expenses 30,000.00
PhilHealth Cont. 5-01-03-050 - Capital Outlay (CO)
Year-end Bonus Steel Cabinet 70,000.00
Mid-year Bonus 5-01-02-060 65,000.00 TOTAL 150,000.00
Year-end Bonus 5-01-02-060 65,000.00
Cash Gift 5-01-02-070 55,000.00
Other Personnel Benefits
Monetization 5-01-04-990 62,000.00
Productivity Enhancement Incentive (PEI) 5-01-04-990 55,000.00
Other Bonuses and Allowances
Tanod Allowance 5-01-02-990 42,000.00
Janitor Allowance 5-01-02-990 24,000.00
Clerk Allowance 5-01-02-990 36,000.00
TOTAL 1,184,000.00
TOTAL 2,953,706.19
-
SAMPLE EXERCISES:
COLLECTIONS / DEPOSITS:
DISBURSEMENTS:
1/15/2020 Punong Barangay C/A- Gen. Assembly-Cebu City 1/20-22/20 DV# 2020-01-001 0001 2020-Brgy.No.- 26,000.00
Registration Fee-P16,000.00 001
Travelling Expenses-P10,000.00
1/20/2020 ABC Enterprises Payment for Office Supplies DV# 2020-01-002 0002 2020-Brgy.No.- 14,400.00
Gross - P20,000.00 002
BIR 1% - P150.00
BIR 3% - P450.00
1/27/2020 XYZ Enterprises Payment for Aircon DV# 2020-01-003 0003 2020-Brgy.No.- 24,000.00
Gross - P25,000.00 003
BIR 1% - P250.00
BIR 3% - P750.00
1/30/2020 Brgy. Treasurer C/A-Honoraria and allowances-Jan. 2020 DV# 2020-01-004 0004 2020-Brgy.No.- 73,500.00
Breakdown: 004
Honoraria-P65,000.00
Tanod Allow.-P3,500.00 8,500.00
Janitor Allow.-P2,000.00
Clerk Allow.-P3,000.00
1/31/2020 Brgy. Kagawad Payment -Honoraria-Jan. 2020 DV# 2020-01-005 0005 2020-Brgy.No.- 5,500.00
005
1/31/2020 BIR Payment -W/ Tax - BIR Form 0619-E DV# 2020-01-006 0006 2020-Brgy.No.- 400.00
006
1/31/2020 BIR Payment -W/ Tax - BIR Form 1600 DV# 2020-01-007 0007 2020-Brgy.No.- 1,200.00
007
LIQUIDATIONS:
1/31/2020 Brgy. Treasurer C/A-Honoraria and allowances-Jan. 2020 LR No. 2020-01-002 73,500.00
continuation…………………………………
DISBURSEMENTS - FEBRUARY 2020:
2/4/2020 YES Const. & Supply Payment for Impvt. Of Drainage DV# 2020-02-008 0008 2020-Brgy.No.- 93,750.00
(Cont. App.-CO 2019) 008
Gross - P100,000.00
BIR 2% - P1,785.71
BIR 5% - P4,464.29
2/10/2020 NO Marketing Payment for Handset DV# 2020-02-009 0009 2020-Brgy.No.- 19,200.00
(Unspent DRRMF 2017) 009
Gross - P20,000.00
BIR 1% - P200.00
BIR 3% - P600.00
Republic of the Philippines
BARANGAY MOLO BOULEVARD, MOLO
Iloilo City
TOTAL 21,766,261.47
Certified Correct:
MICHELLE O. LOPEZ
City Accountant
Credit FOR BALANCING GLSL
- 11,753,719.30 14,824,692.35 ###
130.00 (130.00)
- -
- 5,527,325.37
- 389,751.57
- -
- -
- -
- -
- -
- -
- -
- 2,090,293.16
47,035.98 47,035.98
- -
- -
- -
- -
- -
- -
- -
- -
- 399,498.05
191,248.60 191,248.60
- 3,005,735.32
102,961.25 102,961.25
- 49,980.00
28,507.05 28,507.05
- 39,841.64
- -
- -
- -
- 1,253,583.56
630,949.72 630,949.72
- -
- -
- 643,349.00
287,601.74 287,601.74
- 313,639.00
129,889.50 129,889.50
- 674,034.99
441,250.58 441,250.58
- 544,927.00
164,952.90 164,952.90
- 75,000.00
67,500.00 67,500.00
- 170,396.00
57,996.75 57,996.75
- -
- -
- 190,000.00
- -
- 99,500.00
54,369.57 54,369.57
- 480,930.00
215,039.65 215,039.65
- -
- -
- -
- -
- -
- 1,919,181.68
900,048.47 900,048.47
39,756.55 39,756.55
19,565.00 19,565.00
- -
- -
- -
- -
- -
- -
1,113.80 1,113.80
- -
- -
- -
- -
- -
16,249.82 16,249.82
11,563,102.85 11,563,102.85
1,300.00 1,300.00
- -
825,380.56 825,380.56
5,953,548.00 5,953,548.00
- -
14,390.00 14,390.00
12,373.13 12,373.13
- 1,978,070.00
- 149,406.00
- 60,000.00
- -
- -
- -
- 300,713.00
- 92,970.00
- 181,800.00
- 34,911.00
- -
- -
- 149,315.02
- -
- -
- -
- -
- -
- -
- -
- -
- 48,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 8,307.00
- -
- 4,890.00
- -
- -
- -
- 15,000.00
- -
- -
- 123,271.25
- 510.00
- 5,479.92
- 23,783.88
- 174,145.68
- 231,295.77
- 12,792.84
- 56,315.46
- 248,318.31
21,766,261.47 -
- -
LLE O. LOPEZ
Accountant