Annex 17



Summary of Petty Cash Disbursements

For the period _______________


Barangay: ______________________
Barangay Treasurer: ______________


City/Municipality: _________________
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



Back | Next

| Table of Contents | Home |