Annex 9.2




REPORT OF COLLECTIONS AND REMITTANCES


Name of Collecting Officer: ____________
Barangay: _________________________
City/Municipality: ____________________
Province: __________________________
Date:____________
RCD No.:_________

A. COLLECTIONS
Official Receipt
Date number
Payor Nature of Collection Amounts

























TOTAL
B. REMITTANCES
Name of Accountable Officer Reference Amount






_TOTAL
C. SUMMARY OF COLLECTION AND REMITTANCES
Beginning Balance _________________ 20 ___ ___-- P xxx
Add: Collections
List of Checks
Check No. Payee Amount
Cash xx



Checks xx



Total
xx


Less: Remittance
xx


Ending Balance
xx




xx


D. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
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
With Money Value:











Cash Tickets
























Without Money Value:











Official Receipts
























D. CERTIFICATION:

I hereby certify that this Report of Collections and Remittances; and Accountable Forms including supporting documents are true and correct

_________________________ ________ __________
Deputized Barangay Collector __________Date




E. ACKNOWLEDGMENT:

I hereby certify that the foregoing Report of Collections and Remittances and Accountable Forms including supporting documents have been received.

________________________
Barangay Treasurer

Date ____________

F. ACCOUNTING ENTRIES
Account Title Account Code Debit Credit










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