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


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


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