RECORD OF APPROPRIATIONS AND OBLIGATIONS

Barangay: City/Municipality: Page No.:

Chairman on Committee on Appropriations: Province:
Fund Source:

Reference Personnel Services Maintenance & Other Operating Expenses Financial Expenses Capital Outlay
Total
Date No.
A. Appropriations

B. Obligations
 Barangay __________________
City/Municipality, Province
Statement of Appropriations, Obligations and Balances
As of ____________________
(In Philippine Peso)
Appropriations
Code Function/Program/Project
Original
I. Current Year Appropriations
Personnel Services
Maintenance and Other Operating Expenses
Financial Expenses
Capital Outlay

20% Development Fund

10% Sangguniang Kabataan Fund
5% Local Disaster Risk Reduction and Management Fund

II. Continuing Appropriations

Capital Outlay
20% Development Fund

Certified Correct:

______________________________________
Chairman, Committee on Approprations

____________________
Date
________________
ipality, Province
tions, Obligations and Balances
_______________
ippine Peso)
Appropriations
Obligations Balances
Supplemental Final

Noted by:

__________________________ ________________________________
Committee on Approprations Punong Barangay

_________________ ___________________
Date Date
 CASHBOOK
Barangay ____________________________________
Barangay Treasurer ___________________________
Calendar Year ________________________________

Cah In Local Treasury Cash In Bank Cash Advance Petty Cash

Check Receipt/
Date Particulars Reference Collection Deposit Balance Deposit Issued Balance Receipt Disbursements Balance Replenishment Payments Balance
2022
Bal., Beginning

CERTIFICATION:

I hereby certify that the foregoing is a correct and complete record of all my collections,
deposits/remittances and balances of my accounts in the Cash - In Local Treasury, Cash In
Bank, Cash Advances, and Petty Cash as of ________________.

Name and Signature

Date
 CASHBOOK
(for Disbursing Officer)

_____________________________
Barangay, City/Municipality

Disbursing Officer: _____________________________ Fund: ____________________________

CASH ADVANCES
Date Particulars Reference Debit Credit Balance
 REPORT OF COLLECTIONS AND DEPOSITS
Name of Barangay Treasurer: _________________________________ Date: _________________________
Barangay: __________________________________________________ RCD No.: ______________________

A. COLLECTIONS
Official Receipt/RCR
Payor/DBC Nature of Collection Amounts
Date Number

TOTAL
B. DEPOSITS
Bank/Branch Reference Amount

TOTAL
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Beginning Balance Receipt Issued Ending Balance

Name of Form and Inclusive Inclusive Inclusive Inclusive

No. Qty. Series No. Qty. Series No. Qty. Series No. Qty. Series No.

From To From To From To From To

With Money Value:
Cash Tickets

Without Money Value:

Official Receipts

D. CERTIFICATION:

I hereby certify that this Report of Collections and Deposits, and Accountable Forms including supporting
documents are true and correct.

____________________________ ________________
Barangay Treasurer Date

E. ACCOUNTING ENTRIES
Account Title Account Code Debit Credit

Prepared by: _____________________________ Approved by: ____________________________

 REPORT OF COLLECTIONS AND REMITTANCES
Name of Collecting Officer: ___________________________________ Date: _________________________
Barangay: __________________________________________________ RCD No.: ______________________
City/Municipality: ___________________________________________
Province: __________________________________________________
A. COLLECTIONS
Official Receipt
Payor Nature of Collection Amounts
Date Number

TOTAL
B. SUMMARY OF COLLECTIONS
Beginning Balance __________ 20 ___ P List of Checks
Add: Collections Check No. Payee Amount
Cash
Checks
TOTAL
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Beginning Balance Receipt Issued Ending Balance

Name of Form and Inclusive Inclusive Inclusive Inclusive

No. Qty. Series No. Qty. Series No. Qty. Series No. Qty. Series No.

From To From To From To From To

With Money Value:
Cash Tickets

Without Money Value:

Official Receipts

D. CERTIFICATION: E. ACKNOWLEDGEMENT:
I hereby certify that this Report of Collections and Remittances, and
Accountable Forms including supporting documents are true and I hereby certify that the foregoin Report of Collections
correct. and Remittances and Accountable Forms including cash
and supporting documents have been received.

Deputized Barangay Collector Date Barangay Treasurer

Date
 REPORT OF THE BANK DEBIT/CREDIT MEMOS
For the month of

Barangay: City/Municipality:
Barangay Treasurer: Province:

Date Reference Particulars

Accounting Entries
Account Account Code

Prepared by:

Name and Signature

Barangay Bookkeeper
ANK DEBIT/CREDIT MEMOS
r the month of

RBDCM No.:
Bank:

Debit Memo Credit Memo

Amount Amount

counting Entries
Debit Credit

Certified Correct:

Name and Signature

City/Municipal Accountant
 Disbursement Voucher DV No.:
Barangay: City/Municipality: Date:
Payee: Province: Fund:
Address: TIN:
Particulars Amount

A. Certified as to existence of B. Certified As to availability of funds C. Certified as to validity, propriety,

appropriation for obligation for the purpose, and completeness and legality of claim and approved
and propriety of supporting for payment
documents

______________________________ ____________________________ ____________________________

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Chairman, Committee on Barangay Treasurer Punong Barangay
Appropriation
Date: ________________ Date: __________________ Date: __________________
D. Received Payment:
Check No.:
Bank Name: Date:
Signature Over Printed Name OR No.:

E. Accounting Entries
Account Account Code Debit Credit

Prepared By:

Barangay Bookkeeper Date

Approved By:
City/Municipal Accountant Date
 No.: _____________
PETTY CASH VOUCHER
Date: ____________
Barangay: City/Municipality:
Payee: Province:
I. To be filled up upon request
Particulars Amount II. To be filled up upon liquidation
Total Amount Granted -
Total Amount Paid -
Amount Refunded/(Reimbursed) -
A. Requested by: C.
Received Refund

Name of Requestor Reimbursement Paid

Approved by:

Punong Barangay Barangay Treasurer

B. Paid by: D.
Liquidation Submitted by:
Barangay Treasurer Reimbursement Received by:
Cash Received by:

Signature over Printed Name of Payee Signature over Printed Name of Payee
Date: ____________________ Date: ____________________

No.: _____________
PETTY CASH VOUCHER Date: ____________
Barangay: City/Municipality:
Payee: Province:

I. To be filled up upon request

Particulars Amount II. To be filled up upon liquidation
Total Amount Granted -
Total Amount Paid -
Amount Refunded/(Reimbursed) -
A. Requested by: C.
Received Refund

Name of Requestor Reimbursement Paid

Approved by:

Punong Barangay Barangay Treasurer

B. Paid by: D.
Liquidation Submitted by:

Barangay Treasurer Reimbursement Received by:

Cash Received by:

Signature over Printed Name of Payee Signature over Printed Name of Payee
Date: ____________________ Date: ____________________
 PETTY CASH RECORD
Barangay, City/Municipality
Petty Cash Custodian: Fund:

Date Particulars Reference Debit Credit Balance

 Payroll
Period Covered:

Barangay: City/Municipality: Payroll No.:

Barangay Treasurer: Province:
Compensation Deductions

No. Name Position Net Amount Signature of Recipient

Salaries and Wages Honoraria Other Benefits Total BIR Withholding Total Due
Tax

A. Certified as to availability of B. Certified as to availability of funds and completeness and C. Certified as to validity, proprietym and legality of D. Certified that each official employee
appropriation for obligation in the amount of propriety of supporting documents claim and approved for payment whose name appears on the above roll has
been paid the amount stated opposite his
name

Signature Signature Signature Signature

Printed Name Printed Name Printed Name Printed Name
Position Chairman, Com. on Appropriation Position Barangay Treasurer Position Punong Barangay Position Barangay Treasurer
Date Date Date Date

E. Accounting Entries
Accounting Title Account Code Debit Credit Prepared by:

Barangay Bookkeeper Date

Approved by:

City/Municipal Accountant Date

 LIQUIDATION REPORT No.:

Date:
Barangay, City/Municipality, Province

PARTICULARS AMOUNT

TOTAL AMOUNT SPENT →

AMOUNT OF CASH ADVANCE PER DV NO.____DTD.____ →
AMOUNT REFUNDED PER O.R. NO.____ DTD.____ →
AMOUNT TO BE REIMBURSED →
Sumbitted by: Received by:

Accountable Officer Accounting Unit

Date Date

ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit

Prepared by: Approved by:

Barangay Bookkeeper City/Municipal Accountant

Date Date
 Summary of Petty Cash Disbursements
For the period _________________

Barangay City/Municipality
Barangay Treasurer Province

Date OR No./Ref PCV No. Payee Particulars Amount

Certification:

I hereby certify that the foregoing is the complete list of all payments from the Petty Cash for the
period _________________________. The original copies of all paid Petty Cash Vouchers and
supporting documents are hereto attached.

Barangay Treasurer/Petty
Cash Custodian

Date
 ACKNOWLEDGEMENT RECEIPT FOR DONATED
PROPERTY, EQUIPMENT, SUPPLIES AND MATERIALS
Barangay Date
Province/City/Municipality ARDPESM No.
Donor's Name
Authorized Representative
Address

Quantity Unit Description Value

Total

Purpose of Donation:

Received the donated articles for the purpose stated above.

Printed Name and Signature of the Punong

Barangay/Authorized Representative
Conforme:

Printed Name and Signature of

the Donor/Authorized
Representative
 REQUISITION AND ISSUE SLIP
Barangay: City/Municipality: RIS No.:
Tel.No.: Province: Date:
Requisition Issuance
Unit Particulars Quantity Qty. Remarks

Purpose

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

Signature

Printed Name
Designation
Date
 INVENTORY CUSTODIAN SLIP
Barangay: City/Municipality: ICS No.:
Tel.No.: Province:

Quantity Unit Description Estimated Useful Life

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 Received Quantity Received by: Balance
 PURCHASE REQUEST
Barangay: P.R. No.:
City/Municipality: Date:
Province:

REQUISITION
Item Unit of Estimated
Number Qty Measurement Item Description Unit Cost Estimated Amount

Total Estimated Amount

Purpose:

Requested by: Approved:

_______________________________ _______________________________
Signature over Printed Name Signature over Printed Name
Requesting Officer Punong Barangay
Date Date
 PURCHASE ORDER
Barangay: City/Municipality:
Tel. No.: Province:
Supplier: P.O. No.:
Address: Date:
TIN: Mode of Procurement:

Bidding Negotiated Over the Counter

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 Particulars Quantity Unit Cost Amount

(Total Amount in words)

In case of a failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of
one percent for everyday of delay shall be imposed.
Very truly yours,

Punong Barangay
Conforme: Existence of Available Appropriations of

(Signature over Printed Name) (Signature over Printed Name)

Supplier Chairman, Committee on Appropriations

Date Date
 PROPERTY/EQUIPMENT CARD

Barangay, City/Municipality, Province

Property No.:
Property/Equipment:
Location:

Description Classification

Date of Acquisition
(Purchase/Donation) Particulars Cost Improvements/Repairs Transfers/etc. Total
 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

Date Received: Date Inspected:

Complete Inspected, verified as to quantity

and specifications
Partial
(Pls. specify quantity
received)

Signature over Printed Name Signature over Printed Name

Barangay Treasurer Authorized Inspector
 PROPERTY ACKNOWLEDGEMENT RECEIPT
Barangay: City/Municipality: P.A.R. No.:
Tel. No.: Province:

Quantity Unit Description Property No. Date Acquired Cost

Received by: Issued by:

Signature over Printed Name Signature over Printed Name

Recipient/User Barangay Treasurer

Date Date
 Return and Receipt of Property/Equipment
Date:
This is to acknowledge receipt of the Property/Equipment
Property/Equipment
Description Qty Property No. End user/Office Remarks

Returned by: Received by:

Signature over Printed Name Signature over Printed Name

 Inventory, Inspection and Appraisal Report
Barangay City/Municipality IIAR No.
Tel. No. Province Page

INVENTORY INSPECTION SALE

Date Property Accumulated Mode of
Particulars Qty Unit Cost Total Cost Net Book Value
Acquired No. Depreciation Appraised Value Disposition Remarks OR No. Amount

Prepared by: Certified Correct as to Cost and Depreciation I certify to have inspected each and every article I certify to have witnessed the disposal of the
enumerated in this report articles enumerated in this report

Signature over Printed Name Signatue over Printed Name Signature over Printed Name Signature over Printed Name
Barangay Treasurer City/Municipal Accountant Authorized Inspector Authorized Witness

Date: Date : Date: Date:

Approved by:

Signature over Printed Name Date

Punong Barangay
 Report on Inventory of Property and Equipment
As of

Barangay City/Municipality
Tel. No. Province

For which in accountable

(Name of Accountable Officer/Official Designation)

Property/ICS Unit Balance PEC On Hand per count Shortage/Overage

Article Description Unit of Measure Remarks
Number Value (Quantity) (Quantity)
Quantity Value
Part A - Property and equipment covered by PAR

Part B - Property and equipment covered by ICS

Prepared by: Approved by:

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
 REPORT ON INVENTORY OF SUPPLIES AND MATERIALS
As of

Barangay City/Municipal
Tel. No. Province

For which is accountable, having assumed accountability on

(Name of Accountable Office) (Official/Designation) (Date of Assumption)

BALANCE ON HAND SHORTAGE/

STOCK UNIT OF UNIT OVERAGE
ARTICLE DESCRIPTION PER CARD PER COUNT REMARKS
NUMBER MEASURE VALUE (Quantity) (Quantity)
Quantity Value

Prepared by: Approved by:

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 Date

 SUMMARY OF SUPPLIES AND MATERIALS ISSUED

Barangay, City/Municipality, Province

For the Period to 20
No:

Requisition and Issue Slip Numbers Total

ITEM Unit of Quantity Issued Unit
Quantity Total Cost
Measurement Cost
Issued
No. Description (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

Prepared by: Certified by: Posted in the SLC by/date:

Clerk Supply Officer Accounting Clerk

 CITY GOVERNMENT MUNTINLUPA CITY GOVERNMENT MUNTINLUPA

(Barangay) (Barangay)

PROPERTY INVENTORY TAG PROPERTY INVENTORY TAG

(Do not detach) (Do not detach)
Department Department
Description Description
Brand Serial No. Brand Serial No.
Date Acquired Acquisition Cost Date Acquired Acquisition Cost
Property No. Inventory Date Property No. Inventory Date

Print Name/MMCPPEID Inspector Signature Print Name/MMCPPEID Inspector Signature

CITY GOVERNMENT MUNTINLUPA CITY GOVERNMENT MUNTINLUPA

(Barangay) (Barangay)
PROPERTY INVENTORY TAG PROPERTY INVENTORY TAG
(Do not detach) (Do not detach)
Department Department
Description Description
Brand Serial No. Brand Serial No.
Date Acquired Acquisition Cost Date Acquired Acquisition Cost
Property No. Inventory Date Property No. Inventory Date

Print Name/MMCPPEID Inspector Signature Print Name/MMCPPEID Inspector Signature

 CERTIFICATE OF EMERGENCY PURCHASE

This is to certify that the emergency purchase of the said items, contained in Purchase Request
No. and/or Sales Invoice dated was restored to the following
reasons.

1. ble to
to the public service.

2. That there was no material time to conduct public bidding due to the urgency of
the need.

3. That the price obtained for the said items purchased is fair and reasonable in
light of current prices in the open market at the time of purchase.

4. That the items requisitioned were not available stock of the Supply and Property
Division.

That certification is made to comply with the requirements, section 6, Executive Order No.
302 series 1840.

City of Muntinlupa, Metro Manila.

Barangay Chairman
Barangay
Muntinlupa City
REIMBURSEMENT/PURCHASE OF GOODS AND SERVICES

Purchase Request

Canvass

Abstract of Canvass

Purchase Order/Contract

Inspection Report

Certificate of Emergency Purchase

Pre-repair Inspection

Report of Waste Materials

Invoice/OR

Property Acknowledgement Receipt (PAR)

Disbursement Voucher
 Appendix 65
WASTE MATERIALS REPORT
Entity Name: _______________________ Fund Cluster: _____________
Place of Storage: _____________________ Date: _____________________
ITEMS FOR DISPOSAL
Item Quantity Unit Description Record of Sales
Official Receipt
No. Date Amount
1
2
3
4
5
6
7
8
9
10
TOTAL
Certified Correct : Disposal Approved
____________________________________ ____________________________________
Signature over Printed Name of Supply Signature over Printed Name of Head of
and/or Property Custodian Agency/Entity or his/her Authorized
Representative

Receivied Noted By:

By:

PORTENIO M. MERCADO BENNIE M. EVANGELISTA

ADMIN AIDE III HEAD, PROP, MGT.
(BODEGERO) SPMO SECTION SPMO

Date: Date:
CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follows:
Item __________ Destroyed
Item __________ Sold at private sale
Item __________ Sold at public auction
Item __________ Trasfered without cost to (Name of the Agency/Entity)

Certified Correct: Witness to Disposal:

_____________________________ ____________________________
Signature over Printed Name of Inspection Signature over Printed Name of Witness
Officer
 CITY GOVERNMENT OF MUNTINLUPA
BARANGAY ______________

PRE-REPAIR INSPECTION REPORT

Item / Description:
Property Number: Property Accountability Receipt
Acquisition Cost : Acquisition Date:
Nature and Scope of Last Repair , if any :

Complaints/Defects :

Parts /components to be Repaired / Replaced:

FINDINGS / OBSERVATIONS:

Property Inspector

Date :

POST - REPAIR INSPECTION REPORT

Job Order No. Amount : Invoice No. Amount :

Findings/Comments:

Property Inspector

Date :