Annex A

SCHEDULE OF ALLOTMENTS RECEIVED 1/

For the _____ Quarter 19____

Bureau/Agency : ____________________ Fund Code: ____________________

Department : ____________________

Particular J. V. No. Released By 2/

Purpose 3/
Amount

1. Regular Appropriations
ABM
SARO No. _____
Sub-SARO No. _____
L.A.A. No. _____

2. Special Purpose Funds

SARO No.
Sub-SARO No. _____
L.A.A. No. _____

T O TALS
Note: 1.Include only the allotment received for the quarter.
2. Indicate whether fund is released by DBM-Central Office or DBM Regional Office or Sub-alloted by Agency Central Office or Regional Office
3. Indicate in the column the purpose for which the allotment was released as shown in the SARO.

Prepared by: Certified Correct by:

____________________ ____________________
Name Chief Accountant

______________ ______________
Designation Date