Annexes Meaning

Annex 1 - RBCPB-MOOEREGISTRY OF BUDGET,

COMMITMENTS, PAYMENTS AND
BALANCES MAINTENANCE AND
OTHER OPERATING EXPENSES

Annex 1-a - RBCPB-MOOE

REGISTRY OF BUDGET,
COMMITMENTS, PAYMENTS AND
BALANCES MAINTENANCE AND
OTHER OPERATING EXPENSES
(RBCPB-MOOE)

Annex 2 - RBCPB-CO REGISTRY OF BUDGET,

COMMITMENTS, PAYMENTS AND
BALANCES CAPITAL OUTLAY

Annex 2-a - RBCPB-CO REGISTRY OF BUDGET,

COMMITMENTS, PAYMENTS AND
BALANCES CAPITAL OUTLAY

Annex 3 - RSPFCPB-MOOE
REGISTRY OF SPECIFIC PURPOSE
FUND, COMMITMENTS,
PAYMENTS AND BALANCES
MAINTENANCE AND OTHER
OPERATING EXPENSES

Annex 4 - RSPFCPB-CO REGISTRY OF SPECIFIC PURPOSE

FUND, COMMITMENTS,
PAYMENTS AND BALANCES
CAPITAL OUTLAY
Annex 5 - RCRD REGISTER OF CASH RECEIPTS,
DEPOSITS AND OTHER RELATED
FINANCIAL TRANSACTIONS

Annex 6 - RCB REGISTER OF CASH IN BANK AND

OTHER RELATED FINANCIAL
TRANSACTIONS
Annex 7 - DV DISBURSEMENT VOUCHER

Annex 8 - SKCC SK CHAIRPERSON’S

CERTIFICATION

Annex 9 - LR LIQUIDATION REPORT

Annex 10 - SLCA SUBSIDIARY LEDGER FOR CASH
ADVANCES
Annex 11 - LCIC LOGBOOK OF CHECKS ISSUED
AND CANCELLED
Annex 12 - CENRR CERTIFICATION OF EXPENSES
NOT REQUIRING RECEIPTS
Annex 13 - RER REIMBURSEMENT EXPENSE
RECEIPT
Annex 14 - PR PURCHASE REQUEST

Annex 15 - PO PURCHASE ORDER

Annex 16 - IAR INSPECTION AND ACCEPTANCE

REPORT
Annex 17 - SC STOCK CARD

Annex 18 - ARDPESM ACKNOWLEDGEMENT RECEIPT

FOR DONATED PROPERTY AND
EQUIPMENT/SUPPLIES AND
MATERIALS
Annex 19 - RDSM REGISTRY OF DONATED
SUPPLIES AND MATERIALS

Annex 20 - RIS REQUISITION AND ISSUE SLIP

Annex 21 - ICS INVENTORY CUSTODIAN SLIP

Annex 22 - ISDPESM ISSUE SLIP FOR DONATED

PROPERTY AND EQUIPMENT/
SUPPLIES AND MATERIAL
Annex 23 - RRPESM RECEIPT OF RETURNED
PROPERTY AND
EQUIPMENT/SUPPLIES AND
MATERIALS
Annex 24 - IIRUP INVENTORY AND INSPECTION
REPORT OF UNSERVICEABLE
PROPERTY
Annex 25 - PEC PROPERTY AND EQUIPMENT
CARD

Annex 26 - RDPE REGISTRY OF DONATED

PROPERTY AND EQUIPMENT

Annex 27 - PAR PROPERTY ACKNOWLEDGEMENT

RECEIPT
Annex 28 - CIPC CONSTRUCTION IN PROGRESS
CARD
Annex 29 - PTR PROPERTY TRANSFER REPORT
Annex 30 - BRS BANK RECONCILIATION
STATEMENT
Annex 31 - QSRP QUARTERLY STATEMENT OF
RECEIPTS AND PAYMENTS (QSRP)

Annex 32 - RAAF REPORT OF ACCOUNTABILITY

FOR ACCOUNTABLE FORMS
Annex 33 - SBCPB SUMMARY OF BUDGET,
COMMITMENTS, PAYMENTS AND
BALANCES
Annex 34 - SSPFCPB SUMMARY OF SPECIFIC PURPOSE
FUND, COMMITMENTS,
PAYMENTS AND BALANCES
Annex 35 - RIPSM REPORT ON INVENTORY OF
PURCHASED SUPPLIES AND
MATERIALS

Annex 36 - RIDSM REPORT ON INVENTORY OF

DONATED SUPPLIES AND
MATERIALS

Annex 37 - ASRP ANNUAL STATEMENT OF

RECEIPTS AND PAYMENTS (ASRP)

Annex 38 - SCBAA STATEMENT OF COMPARISON OF

BUDGET AND ACTUAL AMOUNT

Annex 39 - RIPPE REPORT ON INVENTORY OF

PURCHASED PROPERTY AND
EQUIPMENT

Annex 40 - RIDPE REPORT ON INVENTORY OF

DONATED PROPERTY AND
EQUIPMENT
 Purpose
The RBCPB-MOOE shall be maintained daily by the Budget Monitoring Officer by Program/Project/Activity to
record the budget (annual and supplemental budget), commitments, payments and balances by object of
expenditures for Maintenance and Other Operating Expenses.

The RBCPB-MOOE shall be maintained daily by the Budget Monitoring Officer by Program/Project/Activity to
record the budget (annual and supplemental budget), commitments, payments and balances by object of
expenditures for Maintenance and Other Operating Expenses

The RBCPB-CO shall be maintained daily by the Budget Monitoring Officer by Program/Project/Activity to
record the budget (annual and supplemental budget), commitments, payments and balances by object of
expenditures for Capital Outlay

The RBCPB-CO shall be maintained daily by the Budget Monitoring Officer by Program/Project/Activity to
record the budget (annual and supplemental budget), commitments, payments and balances by object of
expenditures for Capital Outlay.

The RSPFCPB-MOOE shall be maintained daily by the Budget Monitoring Officer by Program/Project/Activity
to record the funds received with specific purpose, commitments, payments and balances by object of
expenditures for Maintenance and Other Operating Expenses

The RSPFCPB-CO shall be maintained daily by the Budget Monitoring Officer by Program/Project/Activity to
record the funds received with specific purpose, its commitments, payments and balances by object of
expenditures for Capital Outlay

The RCRD shall be maintained by the SK Treasurer to record daily receipts/collections and deposits and
monitor the balance of Cash on Hand under his/her accountability. It shall also be used to monitor any
adjustments affecting Cash on Hand and to account for the refund of cash advances which shall be presented in
the Notes to Financial Statements
The RCB shall be maintained by the SK Treasurer to record daily deposits and withdrawals/payments and
monitor the balance of Cash in Bank under his/her accountability. It shall also be used to monitor any
adjustments affecting Cash in Bank and to account for the withholding taxes
This form shall be used by the SK Treasurer to pay individuals/entities/creditors for goods purchased by or
services rendered to the SK
SKCC is prepared by the SK Treasurer, signed by the SK Chairperson and submitted to Government-Owned
Bank/Authorized Government Depository Bank (GOB/AGDB) to enable payees to encash/negotiate the issued
checks of the SK.
This form shall be used to liquidate cash advances made by the accountable SK official
This ledger is used by the SK Treasurer to monitor the grant/reimbursement and liquidation/refund of cash
advances of SK Officials. A separate SLCA shall be maintained for each accountable SK Official.
The Logbook shall be maintained by the SK Treasurer to record all checks issued and cancelled
This form shall be used to support expenses amounting to Three hundred pesos (P300) or less which need not be
issued official receipts/invoice
This form shall be used to support expenses which cannot be conveniently issued official receipts/invoice

This form shall be prepared by the Requesting SK Official for the procurement of supplies and
materials/property and equipment. It shall be the basis in preparing the Purchase Order (PO).
The PO is a form to be prepared by the SK Treasurer and approved by the SK Chairperson addressed to a
supplier, to deliver specific quantity/ies of goods/supplies and materials/property and equipment subject to the
terms and conditions contained therein
This report is prepared by the SK Treasurer on the inspection and acceptance of the purchased and delivered
supplies and materials/property and equipment.
This form shall be maintained by the SK Treasurer for each type of purchased supplies and materials to
record/monitor the receipts and issues/losses/transfers/disposals of the supplies and materials that are within the
custody of SK Treasurer
This form shall be prepared by the SK Treasurer, to be signed by the SK Chairperson or his/her authorized
representative, upon receipt of donated property and equipment, and supplies and materials

The RDSM shall be maintained by the SK Treasurer for each type of donated supplies and materials to
record/monitor the receipt and issues/losses/transfers/disposals about the supplies and materials that are within
the custody of SK Treasurer.
This form shall be prepared by the requesting SK official to request issue of supplies and materials
This form shall be prepared by the SK Treasurer upon issue of supplies and materials (items with unit cost
below P15,000) to establish accountability of the end-users.
This form shall be prepared by the SK Treasurer, to be signed by the SK Chairperson or his/her authorized
representative and SK Treasurer, for issue of donated property and equipment/supplies and materials to
constituents.
This form shall be prepared by the SK Treasurer for returned property and equipment/supplies and materials
whether serviceable or unserviceable

This report shall be prepared by the SK Treasurer to report all unserviceable property and equipment/supplies
and materials (items with unit cost below P15,000) of the SK subject to disposal

This form shall be maintained by the SK Treasurer for each type of purchased property and equipment to
record/monitor the receipts, issues, transfers, losses and disposals and other information about the property and
equipment
The RDPE shall be maintained by the SK Treasurer for each type of donated property and equipment to
record/monitor the receipts, issues, transfers, losses and disposals and other information about the property and
equipment.
This form shall be prepared by the SK Treasurer upon issue of property and equipment to establish
accountability of the end-users
The CIPC shall be kept by the SK Treasurer for each project to record promptly the construction costs and other
information about the property and equipment
This form shall be used when there are transfers of property from one SK to another SK/barangay/government
entity/ies.
This statement shall be prepared to reconcile the cash balance per RCB and per bank statement

The QSRP shall be prepared by the SK Treasurer quarterly based on the Register of Cash Receipts and
Deposits, and Other Related Financial Transactions (RCRD) and Register of Cash in Bank and Other Related
Financial Transactions (RCB).
This report shall be used to report all requisitions and issuances of accountable forms by the SK Treasurer

The SBCPB shall be prepared by the Budget Monitoring Officer quarterly based on the Registry of Budget,
Commitments, Payments and Balances.

The SSPFCPB shall be prepared by the Budget Monitoring Officer quarterly based on the Registry of Specific
Purpose Fund, Commitments, Payments and Balances.

This report shall be prepared semi-annually in the conduct of physical count of purchased supplies and materials
in the custody of SK Treasurer, including unrecorded items and/or found at station. It shows the balances of
supplies and materials per Stock Card (SC), per count and the shortage/overage, if any. It shall be prepared and
certified correct by the Inventory Committee and approved by the SK Chairperson.
This report shall be prepared semi-annually in the conduct of physical count of donated supplies and materials in
the custody of SK Treasurer, including those unrecorded and/or found at station. It shows the balance of
supplies and materials per Registry of Donated Supplies and Materials (RDSM) and per count and the
shortage/overage, if any.
The ASRP shall be prepared annually by the SK Treasurer based on the consolidated amounts of Quarterly
Statement of Receipts and Payments (QSRP)

The SCBAA shall be prepared by the Budget Monitoring Officer annually based on the Statement of Receipt
and Payments, and Summary of Budget, Commitments, Payments and Balances.

This report shall be prepared annually in the conduct of physical count of purchased property and equipment. It
provides information on the physical existence and condition of the property and equipment, including those
unrecorded and/or found at station. It shows the balance of property and equipment per Property and Equipment
Card (PEC) and per count and the shortage/overage, if any. It shall be prepared and certified correct by the
Inventory Committee and approved by the SK Chairperson

This report shall be prepared annually in the conduct of physical count of donated property and equipment. It
provides information on the physical existence and condition of the property and equipment, including those
unrecorded and/or found at station. It shows the balance of property and equipment per Registry of Donated
Property and Equipment (RDPE) and per count and the shortage/overage, if any. It shall be prepared and
certified correct by the Inventory Committee and approved by the SK Chairperson.
 Annex 1

REGISTRY OF BUDGET, COMMITMENTS, PAYMENTS AND BALANCES

MAINTENANCE AND OTHER OPERATING EXPENSES

SK of Barangay: City/Municipality: Sheet No.:

Budget Monitoring Officer: Province:
Program/Project/Activity: YOUTH EMPLOYMENT AND LIVELIHOOD PROGRAM
Breakdown of Object of Expenditures

Particulars Date Reference Total Amount OTHER SUPPLIES (Insert additional

Training Expenses AND MATERIALS Electricity Expenses Object of
EXPENSES Expenditures)
a. Budget
Totals brought forward
Annual or Supplemental Budget/Adjustments for the
period:
SK RESO. 001,
ANNUAL BUDGET CY 2019 10/20/2018 314,000.00 44,000.00 270,000.00
S.2018
Total Budget carried forward 314,000.00 44,000.00 270,000.00 - -

b. Commitments
Totals brought forward
Commitments/Adjustments for the period:

Total Commitments carried forward

c. Payments
Totals brought forward
Payments/Adjustments for the period:

Total Payments carried forward

Balance, Available Budget (a-b)

Balance, Unpaid Commitments (b-c)
Prepared and Certified Correct by:

________________________________ __________________
Signature over Printed Name Date
Budget Monitoring Officer
 Annex 1-a

REGISTRY OF BUDGET, COMMITMENTS, PAYMENTS AND BALANCES

MAINTENANCE AND OTHER OPERATING EXPENSES

SK of Barangay: City/Municipality: Sheet No.:

Budget Monitoring Officer: Province:
Program/Project/Activity:
Breakdown of Object of Expenditures

Particulars Date Reference Total Amount (Insert additional

Office Supplies
Training Expenses Electricity Expenses Object of
Expenses
Expenditures)
a. Budget
Totals brought forward
Annual or Supplemental Budget/Adjustments for the
period:

Total Budget carried forward

b. Commitments
Totals brought forward
Commitments/Adjustments for the period:

Total Commitments carried forward

c. Payments
Totals brought forward
Payments/Adjustments for the period:

Total Payments carried forward

Balance, Available Budget (a-b)

Reversion of Available Budget
Balance, Available Budget after reversion
Balance, Unpaid Commitments (b-c)
Prepared and Certified Correct by:

________________________________ __________________
Signature over Printed Name Date
Budget Monitoring Officer
 Annex 2

REGISTRY OF BUDGET, COMMITMENTS, PAYMENTS AND BALANCES

CAPITAL OUTLAY

SK of Barangay: City/Municipality: Sheet No.:

Budget Monitoring Officer: Province:
Program/Project/Activity:
Breakdown of Object of Expenditures

Particulars Date Reference Total Amount Information and (Insert additional

Furniture and
Office Equipment Communication Object of
Fixtures
Technology Equipment Expenditures)

a. Budget
Totals brought forward
Annual or Supplemental Budget/Adjustments for the
period:

Total Budget carried forward

b. Commitments
Totals brought forward
Commitments/Adjustments for the period:

Total Commitments carried forward

c. Payments
Totals brought forward
Payments/Adjustments for the period:

Total Payments carried forward

Balance, Available Budget (a-b)

Balance, Unpaid Commitments (b-c)
Prepared and Certified Correct by:

________________________________ __________________
Signature over Printed Name Date
Budget Monitoring Officer
 Annex 2-a

REGISTRY OF BUDGET, COMMITMENTS, PAYMENTS AND BALANCES

CAPITAL OUTLAY

SK of Barangay: City/Municipality: Sheet No.: 19-001

Budget Monitoring Officer: Province:
Program/Project/Activity:
Breakdown of Object of Expenditures

Particulars Date Reference Total Amount Information and (Insert additional

Furniture and
Office Equipment Communication Object of
Fixtures
Technology Equipment Expenditures)

a. Budget
Totals brought forward
Annual or Supplemental Budget/Adjustments for the
period:
Annual Budget f+CY 2019

Total Budget carried forward

b. Commitments
Totals brought forward
Commitments/Adjustments for the period:

Total Commitments carried forward

c. Payments
Totals brought forward
Payments/Adjustments for the period:

Total Payments carried forward

Balance, Available Budget (a-b)

Reversion of Available Budget
Balance, Available Budget after reversion
Balance, Unpaid Commitments (b-c)
Prepared and Certified Correct by:

________________________________ __________________
Signature over Printed Name Date
Budget Monitoring Officer
 Annex 3

REGISTRY OF SPECIFIC PURPOSE FUND, COMMITMENTS, PAYMENTS AND BALANCES

MAINTENANCE AND OTHER OPERATING EXPENSES

SK of Barangay: City/Municipality: Sheet No.:

Budget Monitoring Officer: Province:
Program/Project/Activity:
Breakdown of Object of Expenditures

Particulars Date Reference Total Amount (Insert additional

Office Supplies
Training Expenses Electricity Expenses Object of
Expenses
Expenditures)
a. Specific Purpose Fund
Totals brought forward
Specific Purpose Fund for the period:

Total Specific Purpose Fund carried forward

b. Commitments
Totals brought forward
Commitments/Adjustments for the period:

Total Commitments carried forward

c. Payments
Totals brought forward
Payments/Adjustments for the period:

Total Payments carried forward

Balance, Available Specific Purpose Fund(a-b)

Balance, Unpaid Commitments (b-c)
Prepared and Certified Correct by:

________________________________ __________________
Signature over Printed Name Date
Budget Monitoring Officer
 Annex 4

REGISTRY OF SPECIFIC PURPOSE FUND, COMMITMENTS, PAYMENTS AND BALANCES

CAPITAL OUTLAY

SK of Barangay: City/Municipality: Sheet No.:

Budget Monitoring Officer: Province:
Program/Project/Activity:
Breakdown of Object of Expenditures
Information and
Particulars Date Reference Total Amount (Insert additional
Communication Furniture and
Office Equipment Object of
Technology Fixtures
Expenditures)
Equipment
a. Specific Purpose Fund
Totals brought forward
Specific Purpose Fund for the period:

Total Specific Purpose Fund carried forward

b. Commitments
Totals brought forward
Commitments/Adjustments for the period:

Total Commitments carried forward

c. Payments
Totals brought forward
Payments/Adjustments for the period:

Total Payments carried forward

Balance, Available Specific Purpose Fund (a-b)

Balance, Unpaid Commitments (b-c)
Prepared and Certified Correct by:

________________________________ __________________
Signature over Printed Name Date
Budget Monitoring Officer
 Annex 5

REGISTER OF CASH RECEIPTS, DEPOSITS AND OTHER RELATED FINANCIAL TRANSACTIONS

SK of Barangay: City/Municipality:
SK Treasurer: Province:
Fund: Sheet No.: 2019-001
Cash on Hand BREAKDOWN OF RECEIPTS/DIRECT DEPOSIT
Grants and Donations in Cash
Direct Subsidy (Additional Refund of
Date Reference Name of Payor Particulars Without
Receipt Deposit Balance Deposit from With Specific receipt Cash Others
Barangay Specific accounts) Advances
Purpose
Purpose
Totals/Balance brought
forward 0 0 0 0 0 0 0 0 0 0
Receipts amount of
7/1/2024 OR No. 001 Barangay San 10% share of the SK for 60000 60000 60000
Francisco, Quezon the month of January,
City 2024
Deposited amount of
10% share of the SK for
7/1/2024 VDS No. 001 60000
the month of January,
2024
Receipts amount of
Barangay San 10% share of the SK for
11/2/2024 OR No. 002 60000 60000 60000
Francisco, Quezon the month of Febuary,
City 2024
Deposited amount of
10% share of the SK for
11/2/2024 VDS No. 002 60000
the month of Febuary,
2024
Receipts of amount of
Barangay San 10% share of the SK for
11/3/2024 OR No. 003 60000 60000 60000
Francisco, Quezon the month of March,
City 2024
Deposited amount of
10% share of the SK for
11/3/2024 VDS No. 003 60000
the month of March,
2024

OR No. 004
SK Resolution Donation from ABS-
03/22/2024
No. 001, S- CBN Foundation Inc
150000 150000 150000
2024 ABS-CBN
Foundation Inc

Deposited the donation

03/22/2024 VDS No. 004 150000
of ABS-CBN

Totals for the quarter 330000 330000 0 180000 150000

Totals/Balance carried
forward
Prepared and Certified Correct by:

_____________________________ ____________
Signature over Printed Name Date
SK Treasurer
 Annex 6

REGISTER OF CASH IN BANK AND OTHER RELATED FINANCIAL TRA

SK of Barangay: San Francisco City/Municipality: Quezon City

SK Treasurer: Rene Province:
Fund: Sheet No.
BREAKDOWN OF WITHDRAWA
Cash in Bank
Maintenance and Other Operating Expenses
Name of
Date Reference Particulars
Payee
Electricity (Additional payment
Deposit Withdrawal Balance Office Supplies Water Expenses
Expenses accounts)

Totals/Balance
brought forward
Barangay
San 10% share of the
VDS No.
7/1/2024
001
Francisco, SK for the month of 60000 60000
Quezon January, 2024
City

Barangay
San 10% share of the
VDS No.
11/2/2024
002
Francisco, SK for the month of 60000 120000
Quezon Feb, 2024
City
Check No.
02/27/2024
01111
Meralco Electricity Bill 2450 117550 2450
Check No.
02/27/2024
01112
Maynilad WaterBill 724 116826 724

Check No. The remittance of

02/28/2024
01113
BIR
withholding taxes 148 116678 34 114

Check No. Purchase of office

Hidalgo
2/3/2024
Enterprices
supplies and one 75715 40963 28393
01114 computer set
 Annex 6

Barangay
San 10% share of the
VDS No.
11/3/2024
003
Francisco, SK for the month of 60000 100963
Quezon Mar, 2024
City

ABS-CBN Donation from

VDS No.
03/22/2024
004
Foundation ABS-CBN 150000 250963
Inc. Foundation Inc.

Check No.
The remittance of
03/30/2024
withholding taxes 4285 246678 1607
01115 BIR
Totals for the
quarter 330000 83322 246678 30000 758 2564 0
Totals/Balance
carried forward 246678
Prepared and Certified Correct by:

___________________________ ____________
Signature over Printed Name Date
SK Treasurer

REGISTER OF CASH IN BANK AND OTHER RELATED FINANCIAL TRA

SK of Barangay: City/Municipality:
SK Treasurer: Province:
Fund: Sheet No.
BREAKDOWN OF WITHDRAWA
Cash in Bank
Name of Maintenance and Other Operating Expenses
Date Reference Particulars
Payee Travelling (Additional payment
Deposit Withdrawal Balance Expenses accounts)

Totals/Balance
brought forward 246678
 Annex 6

Barangay
San 10% share of the
VDS No.
10/4/2024
004
Francisco, SK for the month of 60000 0 306678
Quezon April, 2024
City
Barangay
San 10% share of the
VDS No.
10/5/2024
005
Francisco, SK for the month of 60000 0 366678
Quezon May, 2024
City

Cash advances for

travel to the
following SK
officials to attend
the
training/seminar on
the Handbook on
Check No. Maria the Financial
05/15/2024
01116 Reyes Transactions of the 8500 358178
Sangguniang
Kabataan on May
20-24 at the
Professional and
Institutional
Development
Sector, COA
 Annex 6

Cash advances for

travel to the
following SK
officials to attend
the
training/seminar on
the Handbook on
Check No. Rene the Financial
05/15/2024
01117 Santos Transactions of the 8500 349678
Sangguniang
Kabataan on May
20-24 at the
Professional and
Institutional
Development
Sector, COA

Cash advances for

travel to the
following SK
officials to attend
the
training/seminar on
the Handbook on
Check No. Jose the Financial
05/15/2024
01118 Ramos Transactions of the 8500 341178
Sangguniang
Kabataan on May
20-24 at the
Professional and
Institutional
Development
Sector, COA

Barangay
San 10% share of the
VDS No.
10/6/2024
006
Francisco, SK for the month of 60000 0 401178
Quezon June, 2024
City
 Annex 6

Totals for the

quarter 426678 25500 401178 0 0 0 0
Totals/Balance
carried forward 401178
Prepared and Certified Correct by:

___________________________ ____________
Signature over Printed Name Date
SK Treasurer
 Annex 6

THER RELATED FINANCIAL TRANSACTIONS

BREAKDOWN OF WITHDRAWALS/PAYMENTS Withholding Tax

Capital Outlay Advances

Others
Information and VAT EWT
Communication (Additional Advances to SK Advances to SK
Office Equipment
Technology payment accounts) Officials Treasurer
Equipment

114

34

47322 3571 714

 Annex 6

2678

2678 47322 0 0 0 0 3719 714

THER RELATED FINANCIAL TRANSACTIONS

BREAKDOWN OF WITHDRAWALS/PAYMENTS Withholding Tax

Capital Outlay Advances
Others (Specify the type of (Specify the type of
(Additional Advances to SK Advances to SK withholding tax) withholding tax)
Office Equipment
payment accounts) Officials Treasurer
 Annex 6

8500
 Annex 6

8500

8500
 Annex 6

0 0 0 25500 0 0 0 0
 Annex 7

DISBURSEMENT VOUCHER
SK of Barangay: DV No.:
City/Municipality: Date :
Province:
Payee:
Address:
TIN:
Particulars Amount

A. Certified as to availability of the B. Certified as to availability of C. Certified as to necessity,

budget or funds received for specific cash, and completeness and validity, propriety, and legality of
purpose propriety of supporting claim; and Approved for payment:
documents

_________________________ _________________________ ________________________

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Budget Monitoring Officer SK Treasurer SK Chairperson

Date : ____________ Date : _____________ Date : ______________

D. Received Payment: Check No.:
Date:
__________________________________ Bank Name:
Signature Over Printed Name of Payee/
Bank Branch:
Authorized Representative
___________________ OR No.:
Date Date:
 Annex 8

SK of Barangay _____________________
City/Municipality ____________________
Province __________________________

SK CHAIRPERSON'S CERTIFICATION

SKTCC No.:________
Date: ______________

To: The Bank Manager

(Name of Bank)
(Address)

Sir/Madam:
This is to certify that the following checks were duly issued by SK of Barangay _____________,
(Ito ay pagpapatunay na ang mga tseke na nakalista sa ibaba ay na-isyu ng SK ng Barangay _________,

complete with respective Disbuesement Vouchers and supporting documents.

na kompleto ng kani-kanilang Disbursement Vouchers at kalakip na mga dokumento.)

Account No. Check No. Date Payee Amount Purpose

The undersigned attests to the truthfulness of the foregoing facts, under pain of
(Pinapatotohanan ng may lagda ang mga nakasaad sa itaas batid ang

liability for falsification, pursuant to Article 171(4) of the Revised Penal Code of the Philippines
pananagutan sa kasong "Falsification", sang-ayon sa Artikulo 171(4) ng Revised Penal Code ng Pilipinas)

Very truly yours,

__________________________
SK Chairperson

Delivered by: Received by:

_____________________ _________________________
SK Treasurer Bank Representative

Date: _________________ Date: ______________________

 Annex 9

LIQUIDATION REPORT LR No.:

_______________________________________________
SK of Barangay, City/Municipality, Province Date:
PARTICULARS AMOUNT

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____

AMOUNT REFUNDED PER O.R. NO.________DTD.__________

AMOUNT TO BE REIMBURSED

A. Certified: Correctness of the B. Certified: Purpose of cash advance C. Certified: Supporting

above data duly accomplished documents are complete and
proper

____________________________ __________________________ _________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 Annex 10

SUBSIDIARY LEDGERS FOR CASH ADVANCES

SK of Barangay :
City/Municipality:
Province:
SK Treasurer:
Accountable SK Official:
Position/Designation:
Amount
Date Particulars Reference Cash Advance/ Liquidation/
Balance
Reimbursement Refund

Prepared and Certified Correct by:

________________________________ _______________
Signature over Printed Name Date
SK Treasurer
 Annex 11

LOGBOOK OF CHECKS ISSUED AND CANCELLED

____________________________________________________
SK of Barangay, City/Municipality, Province

Name of Signature of
Signature of
Date Check No. Particulars Name of Payee Date Received Authorized Authorized Date Received
Payee
Representative Representative
 Annex 12

__________________________________________________________
SK of Barangay, City/Municipality, Province

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant of COA Circular No. 2017-001 dated June 19, 2017

Name

Particulars Amount

TOTAL
Purpose

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose,
that above goods and services were acquired from parties not issuing receipts. And that I am fully
aware that willful falsification of statements is punishable by law.

Certified Correct by: Noted by:

Signature

Printed
Name
SK Official SK Chairperson
Date Date
 Annex 13

REIMBURSEMENT EXPENSE RECEIPT

SK of Barangay: RER No.:

City/Municipality: Date:
Province:

RECEIVED from ____________________________________________,

(Name)
_________________________________________________ the amount
(Official Designation)
of ___________________________________________ (P____________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
___________________________________________________________
rental or transportation should show inclusive dates,
___________________________________________________________
purpose, distance, inclusive points of travel, etc.)

PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________
 Annex 14

PURCHASE REQUEST
SK of Barangay:.______________________________________ PR No.: ______________
City/Municipality: _____________________________________ Date: _________________
Province: ____________________________________________
Unit of Estimated Estimated
Item No. Qty. Item description
Measurement Unit Cost Amount

Total Estimated Amount

Purpose:

Requested by: Approved by:

____________________________ ___________________________
Signature over Printed Name Signature over Printed Name
SK Requesting Official SK Chairperson

_____________ _____________
Date Date
 Annex 15

PURCHASE ORDER
SK of Barangay: City/Municipality:
Tel. No.: Province:
Supplier: ___________________________________________ PO No.: ____________________________
Address: __________________________________________ Date: ______________________________
Tel. No.:____________________TIN: ___________________ Mode of Procurement: _________________
Gentlemen: Please deliver to this office the following articles subject to the terms and conditions contained herein:
Place of Delivery: ___________________________ Delivery Term: _____________________________
Date of Delivery: ___________________________ Payment Term: _____________________________
Unit of
Item No. Item Description Quantity Unit Cost Amount
Measurement

(Total Amount in words)

In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day of delay shall be imposed
on the undelivered item/s.
Conforme: Very truly yours,

____________________________________ ___________________________________________
Signature over Printed Name of Supplier Signature over Printed Name of SK Chairperson

__________________ ____________________
Date Date
Availability of the budget or funds received for specific purpose:

_________________________________________________________ ____________________
Signature over Printed Name of Budget Monitoring Officer Date
 Annex 16

INSPECTION AND ACCEPTANCE REPORT

SK of Barangay: IAR No.:
City/Municipality: Date:
Province:
Supplier: ___________________________________________ Invoice No.: ___________
PO No.: ___________________ Date: ___________________ Date: _________________
Requesting SK Official: _______________________________
Unit of
Item No. Item Description Quantity
Measurement

INSPECTION ACCEPTANCE

Date Inspected: _____________________ Date Received:___________________

Inspected, verified as to quantity Complete

and specifications

Partial (Pls. specify quantity

Received)

________________________________ ____________________________
Signature over Printed Name Signature over Printed Name
Head, Inspection and Appraisal Committee SK Treasurer
 Annex 17

STOCK CARD

Sheet No.:
SK of Barangay : San Francisco Article:
002
SK Treasurer : Rene Santos Item Description: Office Supplies
City/Municipality: Quezon City Unit of Measurement: Reams
Province: Metro Manila Stock No.: 002
Issues/Losses/
Receipts Transfers/Disposals Balance
Date Reference Particulars (a) (b) (Balance+a-b) Remarks
Total Total Total
Quantity Unit Cost Quantity Quantity
Cost Cost Cost
Totals/Balance brought forward

IAR No.
### Paper, Bond, Standard/A-4 50 105 5250 0 0 50 5250
2019-03-001

RIS No.
### Paper, Bond, Standard/A-5 50 105 5250 50 5250 0 0
2019-03-001

Totals/Balance carried forward

 Annex 18

ACKNOWLEDGEMENT RECEIPT FOR DONATED PROPERTY AND

EQUIPMENT/SUPPLIES AND MATERIALS

SK of Barangay: ARDPE/SM No.:

City/Municipality: Date:
Province:
Donor's Name: _______________________________________________
Authorized Representative:______________________________________
Address: ____________________________________________________

Unit of
Quantity Article Item Description Value
Measurement

Total
Purpose of Donation:
____________________________________________________________________________________
____________________________________________________________________________________

Received the donated articles for the purpose stated above.

______________________________________ __________________________
Signature over Printed Name Date
SK Chairperson/Authorized SK Official

Conforme:

______________________________________ __________________________
Signature over Printed Name Date
Donor/Authorized Representative
 Annex 19

REGISTRY OF DONATED SUPPLIES AND MATERIALS

SK of Barangay: Article: Sheet No.:

SK Treasurer: Item Description:
City/Municipality: Unit of Measurement:
Province: Stock No.:
Issues/Losses/
Receipts Transfers/Disposals Balance
Date Reference Particulars (a) (b) (Balance+a-b) Remarks
Total Cost/ Total Cost/ Total Cost /
Quantity Unit Cost Quantity Quantity
Fair Value Fair Value Fair Value
Totals/Balance brought
forward

Totals/Balance carried
forward
 Annex 20

REQUISITION AND ISSUE SLIP

SK of Barangay: RIS No.:
City/Municipality: Date:
Province:
Requisition Issue
Unit of
Stock No. Item Description Quantity Quantity Remarks
Measurement

Purpose:

Requested by: Approved by: Issued by: Received by:

Signature
Printed Name
Designation
Date
Annex 20
 Annex 21

INVENTORY CUSTODIAN SLIP

SK of Barangay: ICS No.:
City/Municipality: Date:
Province:
Amount
Unit of
Quantity Unit Total Item Description Stock No.
Measurement
Cost Cost

Received by: Issued by:

__________________________________ _________________________________
Signature over Printed Name and Signature over Printed Name
Designation of Recipient/End-User SK Treasurer

_________________ _________________
Date Date
 Annex 22

ISSUE SLIP FOR DONATED PROPERTY AND EQUIPMENT/

SUPPLIES AND MATERIALS

SK of Barangay: ISDPE/SM No.:

City/Municipality: Date:
Province:
Recipient: ___________________________________________________
Address: ____________________________________________________

Unit of
Quantity Article Item Description Value
Measurement

Total
Purpose of Donation:
____________________________________________________________________________________
____________________________________________________________________________________

Approved by:

_________________________________________ __________________________
Signature over Printed Name Date
SK Chairperson/Authorized SK Official

Issued by:

_______________________________________ __________________________
Signature over Printed Name Date
SK Treasurer

Received by:

_______________________________________ __________________________
Signature over Printed Name Date
 Annex 23

RECEIPT OF RETURNED PROPERTY AND EQUIPMENT/SUPPLIES AND MATERIALS

SK of Barangay: RRPE/SM No.:
City/Municipality: Date:
Province:
This is to acknowledge receipt of the Property and Equipment/Supplies and Materials
Item Description Quantity PAR/ICS No. End-user Remarks

Returned by: Received by:

______________________________ ________________________________________
Signature over Printed Name Signature over Printed Name

___________________ ___________________
Date Date
 Annex 24

INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY

As at ______________
SK of Barangay: IIRUP No.:
City/Municipality:
Province:
INVENTORY INSPECTION AND APPRAISAL DISPOSAL
Record of Sale
Date Property/ Date of
Particulars Qty. Unit Cost Total Cost Fair Value Mode of Disposal Remarks OR No. and
Acquired Stock No. Disposal Amount
Date

Prepared and Certified Correct by: We certify to have inspected and appraised each and every article I certify to have witnessed the disposal of the articles
enumerated in this report. enumerated in this report.

______________________________ _________________________________ _____________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name
SK Treasurer Head of the Inspection and Appraisal Committee COA Authorized Representative

Date: ________________ Date: _________________ Date: ________________

Approved by:

_____________________________________ _____________________
Signature over Printed Name Date
SK Chairperson
 Annex 25

PROPERTY EQUIPMENT CARD

SK of Barangay : Article: Sheet No.:
SK Treasurer : Item Description:
City/Municipality: Unit of Measurement:
Province:
Transferred/
Receipts Property Issues Balance Lost/Disposed Balance Repair History
Date Reference Particulars (a) (b) (Balance+a-b) (c) (Balance+a-c) Remarks
Unit Total Total Total Total Total Nature of
Qty. No. Description Qty. Qty. Qty. Qty. Amount
Cost Cost Cost Cost Cost Cost Repair
Totals/Balances
brought forward

Totals/Balances
carried forward
 Annex 25

REGISTRY OF DONATED PROPERTY AND EQUIPMENT

SK of Barangay : Article: Sheet No.:
SK Treasurer : Item Description:
City/Municipality: Unit of Measurement:
Province:
Transferred/
Receipts Property Issues Balance Lost/Disposed Balance Repair History
(a) (b) (Balance+a-b) (c) (Balance+a-c)
Date Reference Particulars Remarks
Total Total Total Total Total
Unit Nature of
Qty. Cost/Fair No. Description Qty. Cost/Fair Qty. Cost/Fair Qty. Cost/Fair Qty. Cost/Fair Amount
Cost Repair
Value Value Value Value Value
Totals/Balances
brought forward

Totals/Balances
carried forward
 Annex 27

PROPERTY ACKNOWLEDGEMENT RECEIPT

SK of Barangay: PAR No.:
City/Municipality: Date:
Province:
Unit of
Quantity Item Description Property No. Date Acquired Amount
Measurement

Received by: Issued by:

___________________________ ____________________________
Signature over Printed Name Signature over Printed Name
and Designation of Recipient/End-User SK Treasurer

_____________ _____________
Date Date
Annex 27
 Annex 28

CONSTRUCTION IN PROGRESS CARD

SK of Barangay: Construction in progress:

SK Treasurer: Contract Period: ________ to ________
City/Municipality: Contract Amount:
Province: Contractor:
Name of Project: Address:

C O S T S
Date Reference Particulars Direct Direct
Overhead Consultancy Others Total Remarks
Materials Labor
 Annex 29

PROPERTY TRANSFER REPORT

SK of Barangay: PTR No.:
City/Municipality: Transfer From:
Province: Transfer To:
Condition of the
Date Acquired Property Number Description Amount Property and
Equipment

Reason for transfer:

Approved by: Released by: Received by:

_____________________ _____________________________ __________________________

Signature over printed name Signature over printed name Signature over printed name
SK Chairperson SK Treasurer Designation
Date _______________ Date _______________ Date_____________
 Annex 30

BANK RECONCILIATION STATEMENT

For the month of ________________
(Date)

SK of Barangay: Bank Name:

City/Municipality: Branch:
Province: Current Account No.:
Particulars RCB Bank Explanatory Comment
Unadjusted Balances xxx xxx
Reconciling Items:
Check Issued not taken up:
In the Books (xx)
By the Bank (xx)
Check Issued Overstated:
In the Books xx
By the Bank xx
Check Issued Understated:
In the Books (xx)
By the Bank (xx)
Deposits not taken up:
In the Books xx
By the Bank xx
Deposits Overstated:
In the Books (xx)
By the Bank (xx)
Deposit Understated:
In the Books xx
By the Bank xx
Bank Debit/Credit Memos, Not taken up
in the books:
Debit Memo (xx)
Credit Memo xx
Other Reconciling Items
Adjusted Balances xx xx
Prepared and Certified Correct by:
Approved by:

____________________________ _________________________________
Signature over Period Name Signature over Printed Name
of SK Treasurer of SK Chairperson

______________ _________________
Date Date
 Annex 31

Republic of the Philippines

SK of Barangay San Francisco, Quezon City
( SK of Barangay, City/Municipality, Province)
Quarterly Statement of Receipts and Payments
For the quarter ended March 31, 2019

Receipts
Subsidy from Barangay
Grants and Donations in Cash
with Specific Purpose
without Specific Purpose
Total Receipts for the quarter

Less: Payments
Maintenance and Other Operating Expenses
Office Supplies Expenses
Water Expenses
Electricity Expenses
Total Maintenance and Other Operating Expenses

Capital Outlay
Information and Communications Technology Equipment
Total Capital Outlay

Cash Advances, Net

Total Payments for the quarter

Increase/(Decrease) in Cash for the quarter
Add/Less: Others
Total Increase/(Decrease) in Cash for the quarter
Cash at beginning of quarter
Cash on Hand
Cash in Bank
Cash at end of quarter

Breakdown of Cash at end of quarter

Cash on Hand 0
Cash in Bank 278,792.00

Prepared and certified correct by:

____________________________ ___________
SK Treasurer Date

Approved by:

____________________________ ___________
SK Chairperson Date
 Annex 31

ic of the Philippines
San Francisco, Quezon City
y, City/Municipality, Province)
ent of Receipts and Payments
ter ended March 31, 2019

180,000.00

150,000.00

330,000.00

30,000.00
758.00
2,450.00
33,208.00

18,000.00
18,000.00

51,208.00
278,792.00
-
278,792.00

-
-
278,792.00

___________
Date

___________
Date
 Annex 32

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS

For the quarter ended _________, 20____

SK of Barangay: _____________________ City/Municipality:___________________________ RAAF No.___________

SK Treasurer: _______________________ Province:_________________________________

Beginning Balance Receipt Issued Ending Balance

Name of Form Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
Qty. Qty. Qty. Qty.
From To From To From To From To
A. With Money Value
Cash Tickets

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.

__________________________________ __________________
SK Treasurer Date
 Annex 33

SK of Barangay San Francisco

City/Municipality Quezon City
Province NCR

SUMMARY OF BUDGET, COMMITMENTS, PAYMENTS AND BALANCES

As at March 31, 2019

Balance, Balance, Unpaid

Particulars Budget Commitments Payments Available Budget Commitments
(a) (b) ('c) (a-b) (b-c)
I. Current Year Budget
1. General Administration Program
MOOE 225,000.00 33,322.00 33,322.00 191,678.00 -
CO 70,000.00 18,000.00 18,000.00 52,000.00 -
2. Priority Program
2.a PPA
MOOE
CO
Sub-total

II. Continuing Budget

1. Priority Program
1.a.PPA
CO
2. Priority Program
2.a PPA
CO
Sub-total
Grand Total
Prepared and Certified Correct by: Approved by:

________________________________________________ ______________ _________________________________________ ______________

Signature over Printed Name of Date Signature over Printed Name of Date
Budget Monitoring Officer SK Chairperson
 Annex 34

SK of Barangay ___________________
City/Municipality _________________
Province _______________________

SUMMARY OF SPECIFIC PURPOSE FUND, COMMITMENTS, PAYMENTS AND BALANCES

As at ______________, 20___

Balance, Available Balance, Unpaid

Particulars Specific Purpose Fund Commitments Payments Specific Purpose Fund Commitments
(a) (b) (c) (a-b) (b-c)
1. Priority Program
1.a. PPA
MOOE
CO
2. Priority Program
2.a PPA
MOOE
CO
3. Priority Program
3.a. PPA
MOOE
CO

Grand Total
Prepared and Certified Correct by: Approved by:

______________________________________ ______________ _________________________________ ______________

Signature over Printed Name Date Signature over Printed Name Date
of Budget Monitoring Officer of SK Chairperson
 Annex 35

REPORT ON INVENTORY OF PURCHASED SUPPLIES AND MATERIALS

As at ______________, 20___

SK of Barangay: _______________________
City/Municipality: ______________________
Province: _____________________________

For which _______________________________, _________________ is accountable, having assumed such accountability on ___________________.
(Name of Accountable SK Official) (Official Designation ) (Date of Assumption)

Balance On Hand Shortage/Overage

Unit of Per Stock Card Per Count
Article Item Description Stock No. Measurement Unit Cost (Quantity) (Quantity) Quantity Value Remarks
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Prepared and Certified Correct by: Approved by:

_________________________ ___________________________ ___________________________ ____________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
Member, Inventory Committee Member, Inventory Committee Head, Inventory Committee SK Chairperson
Date:________________ Date:_________________ Date:___________________ Date:_________________
 Annex 36

REPORT ON INVENTORY OF DONATED SUPPLIES AND MATERIALS

As at ______________, 20___

SK of Barangay: _______________________
City/Municipality: ______________________
Province: _____________________________

For which _______________________________, _______________ is accountable, having assumed such accountability on _______________.
(Name of Accountable SK Official) (Official Designation ) (Date of Assumption)

Balance On Hand Shortage/Overage

Unit of Per RDSM Per Count
Article Item Description Stock No. Measurement Unit Cost (Quantity) (Quantity) Quantity Value Remarks
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Prepared and Certified Correct by: Approved by:

_________________________ ___________________________ ___________________________ ____________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
Member, Inventory Committee Member, Inventory Committee Head, Inventory Committee SK Chairperson
Date:________________ Date:_________________ Date:___________________ Date:_________________
 Annex 37

Republic of the Philippines

______________________________________________
(SK of Barangay, City/Municipality, Province)
Annual Statement of Receipts and Payments
For the year ended _____________

Receipts
Subsidy from Barangay xxx
Subsidy from Other Local Government Units xxx
Subsidy from National Government Agencies xxx
Subsidy from Government-Owned and/or Controlled Corporations xxx
Grants and Donations in Cash
with Specific Purpose xxx
without Specific Purpose xxx
Miscellaneous Income xxx
Other Receipts xxx
Total Receipts for the year xxx

Less: Payments
Maintenance and Other Operating Expenses
Travelling Expenses xxx
Training Expenses xxx
Office Supplies Expenses xxx
Semi-Expendable Property Expenses xxx
Fuel, Oil and Lubricants Expenses xxx
Accountable Forms Expenses xxx
Other Supplies and Materials Expenses xxx
Water Expenses xxx
Electricity Expenses xxx
Postage and Courier Services xxx
Telephone Expenses xxx
Internet Subscription Expenses xxx
Prizes xxx
Repairs and Maintenance-Land Improvements xxx
Repairs and Maintenance-Buildings and Other Structures xxx
Repairs and Maintenance-Machinery xxx
Repairs and Maintenance-Office Equipment xxx
Repairs and Maintenance -Information and
Communications Technology Equipment xxx
Repairs and Maintenance-Sports Equipment xxx
Repairs and Maintenance-Transportation Equipment xxx
Repairs and Maintenance-Furniture, Fixtures and Books xxx
Repairs and Maintenance-Other Property and Equipment xxx
Fidelity Bond Premiums xxx
Advertising Expenses
Rent/Lease Expenses xxx
Membership Dues and Contributions to Organizations xxx
Donation
Honoraria xxx
Bank Charges xxx
 Annex 37
Other Maintenance and Operating Expenses xxx
Total Maintenance and Other Operating Expenses xxx

Capital Outlay
Land xxx
Land Improvements xxx
Buildings xxx
Other Structures xxx
Machinery xxx
Office Equipment xxx
Information and Communications Technology Equipment xxx
Sports Equipment xxx
Transportation Equipment xxx
Furniture, Fixtures and Books xxx
Other Property and Equipment xxx
Construction in Progress-Land Improvements xxx
Construction in Progress-Buildings xxx
Construction in Progress-Other Structures xxx
Total Capital Outlay xxx

Cash Advances, Net xxx

Total Payments for the year xxx

Increase/(Decrease) in Cash for the year xxx
Add/Less: Others xxx
Total Increase/(Decrease) in Cash for the year xxx
Cash at beginning of year
Cash on Hand xxx
Cash in Bank xxx
Cash at end of year xxx

Breakdown of Cash at end of year

Cash on Hand xxx
Cash in Bank xxx

Prepared and certified correct by:

______________________________ __________
SK Treasurer Date

Approved by:

______________________________ __________
SK Chairperson Date
Annex 37
 Annex 38

SK of Barangay _______________
City/Municipality_______________
Province ____________________

STATEMENT OF COMPARISON OF BUDGET AND ACTUAL AMOUNT

For the year ended ______________

Difference
Particulars Actual Amounts Final Budget Original Budget Actual and Final Budget
(a) (b) (a-b)
CASH INFLOWS
Subsidy from barangay (10% of the general fund)
Receipts from other sources of revenue:
Grants and Donations in Cash w/out Specific Purpose
Miscellaneous Income
Other Receipts
Total Receipts

CASH OUTFLOWS
General administration program
Equitable access to quality education
Environmental protection
Climate change adaptation
Disaster risk reduction and resiliency
Youth employment and livelihood
Health and anti-drug abuse
Gender sensitivity
Sports development
Capability building
Total Payments
NET CASH FLOWS
Prepared and Certified Correct by: Approved by:

______________________________________________ ______________ ______________________________________ ____________

Signature over Printed Name of Budget Monitoring Officer Date Signature over Printed Name of SK Chairperson Date
 Annex 39

REPORT ON INVENTORY OF PURCHASED PROPERTY AND EQUIPMENT

As at ______________, 20___

SK of Barangay: ________________________
City/Municipality: ______________________
Province: _____________________________

For which _______________________________, __________________ is accountable, having assumed such accountability on ___________________.
(Name of Accountable SK Official) (Official Designation ) (Date of Assumption)

Balance On Hand Shortage/Overage

Unit of Per PEC Per Count
Article Item Description Property No. Measurement Unit Cost (Quantity) (Quantity) Quantity Value Remarks
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Prepared and Certified Correct by: Approved by:

_________________________ ___________________________ ___________________________ ____________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
Member, Inventory Committee Member, Inventory Committee Head, Inventory Committee SK Chairperson
Date:________________ Date:_________________ Date:___________________ Date:_________________
 Annex 40

REPORT ON INVENTORY OF DONATED PROPERTY AND EQUIPMENT

As at ______________, 20___

SK of Barangay: ________________________
City/Municipality: ______________________
Province: _____________________________

For which _______________________________, _______________ is accountable, having assumed such accountability on _______________.
(Name of Accountable SK Official) (Official Designation ) (Date of Assumption)

Shortage/Overage
Balance On Hand
Unit of Per RDPE Per Count
Article Item Description Property No. Measurement Unit Cost (Quantity) (Quantity) Quantity Value Remarks
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Prepared and Certified Correct by: Approved by:

__________________________ ___________________________ ___________________________ ____________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
Member, Inventory Committee Member, Inventory Committee Head, Inventory Committee SK Chairperson
Date:________________ Date:_________________ Date:___________________ Date:_________________