Barangay _________________

City/ Municipal ______________

Province __________________

Transmittal Letter
To: The City/Municipal Accountant
City/ Municipality_____________

Sir/Madam:

We submit herewith the following documents: a) certified copy of the cashbook; b) copy of PBCs issued; and c) original of the
Disbursement Voucher/payroll issued for the (month and year) duly acknowledged by the payees:

A. DV/Payroll Check PB Certification

Payee Amount
Date No. Date No. Date No.

Please acknowledge receipt hereof.

Very truly yours,

Barangay Treasurer
Noted by: Received by:
Punong Barangay Signature, Name and Designation