Annex 14






Barangay: _________________________
Barangay Treasurer: _________________
Payroll
Period Covered: ___________________________

City/Municipality: __________________
Province: ________________________



Payroll No. ______________________
No. Name Position Compensation
Salaries & Wages Honoraria Other Benifits Total
Deduction
BIR Wholding Tax
Total
Net Amount Due Signature of Recipient




















































































A. Certified:

As to availability of appropriation

For obligation in the amount of _____.

Signature: ____________________________

Printed Name: _________________________

Position: Chairman, Com. On Appropriations

Date: ____________________
B. Certified:

All supporting documents valid and complete.



Signature: ____________________________

Printed Name: _________________________

Position: Barangay Treasurer

Date: ____________________
C. Certified:

As to validity, propriety and legality of claim.

Approved for Payment:

Signature: ____________________________

Printed Name: _________________________

Position: Punong Barangay

Date: ____________________
D. Certified:

Each official/employee whose name appears on the above roll has been paid the amount stated opposite his name

Signature: ____________________________

Printed Name: _________________________

Position: Punong Barangay

Date: ____________________

E. Accounting Entries

Account Title







Account Code







Debit







Credit








Prepared By:
_________________ _______
Barangay Bookkeeper __ Date

Approved by:
______________________ _______
City/Municipal Accountant __ Date


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