REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS
For the Month of _________, 20____
Barangay: ____________
Barangay Treasurer: ____
City/Municipality: ______
Province: ____________
RAAF No. ______
Name of Form and No.
Beginning Balance
Qty
Inclusive Serial No.
From
To
Receipt
Qty
Inclusive Serial No.
From
To
Issued
Qty
Inclusive Serial No.
From
To
Ending Balance
Qty
Inclusive Serial No.
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.
__________________________ (Name and Signature)
Barangay Treasurer