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    RAAF

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    samuelbutac30
    The document is a report of accountability for accountable forms for the month of January 2024. It lists the beginning balance, receipts, issues, and ending balance of checks for two entities - Colorado and Villa Teresita. The accountable officer of each entity certifies that the report is a true statement of accountable forms received, issued, and transferred during the period.

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    RAAF

    Uploaded by

    samuelbutac30
    4 views23 pages
    The document is a report of accountability for accountable forms for the month of January 2024. It lists the beginning balance, receipts, issues, and ending balance of checks for two entities - Colorado and Villa Teresita. The accountable officer of each entity certifies that the report is a true statement of accountable forms received, issued, and transferred during the period.

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    The document is a report of accountability for accountable forms for the month of January 2024. It lists the beginning balance, receipts, issues, and ending balance of checks for two entities - Colorado and Villa Teresita. The accountable officer of each entity certifies that the report is a true statement of accountable forms received, issued, and transferred during the period.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    4 views23 pages

    RAAF

    Uploaded by

    samuelbutac30
    The document is a report of accountability for accountable forms for the month of January 2024. It lists the beginning balance, receipts, issues, and ending balance of checks for two entities - Colorado and Villa Teresita. The accountable officer of each entity certifies that the report is a true statement of accountable forms received, issued, and transferred during the period.

    Copyright:

    © All Rights Reserved
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    of 23

    Appendix 67

    REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS


    For the month of JANUARY 2024

    Entity Name: COLORADO

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT ISSUE ENDING BALANCE


    Face Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Name of Form Number Qty Qty Qty Qty
    Value From To From To From To From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK 31 12242370 12242400 1 12242370 12242370 30 12242371 12242400
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accountable forms received,
    issued and transferre by me during the period above-stated and that the beginning and
    ending balances are correct

    ALEXIS V. DUMBRIGUE
    Signature over Printed Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: VILLA TERESITA

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer
    REPORT OF ACCOUNTABILITY FOR ACCOUNT
    For the month of JANUARY

    Entity Name: COLORADO

    ACCOUNTABLE FORMS BEGINNING BALANCE RECEIPT


    Face Inclusive Serial Nos.
    Name of Form Number Qty Qty
    Value From To
    A. WITH FACE VALUE

    B. WITHOUT FACE VALUE


    CHECK
    AF#51

    CERTIFICATION

    I hereby certify that the foregoing is a true statement of all accoun


    issued and transferre by me during the period above-stated and th
    ending balances are correct

    _________
    Signature over Printed Name of the Accountable O
    Appendix 67
    LITY FOR ACCOUNTABLE FORMS
    month of JANUARY

    RECEIPT ISSUE ENDING BALANCE


    Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
    Qty Qty
    From To From To From To

    TIFICATION

    a true statement of all accountable forms received,


    he period above-stated and that the beginning and
    balances are correct

    _________
    d Name of the Accountable Officer

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