CASHBOOK

Barangay:
Barangay Treasurer:
Calendar Year:

Cash in Local Treasury Cash in Bank Cash Advances Pettycash

Date Particulars Reference
Check
Collection Deposit Balance Deposit Balance
Issued
2019
Jan. 02 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
Jan. 31 Totals - - - - - -
Jan. 31 Bal. Ending - -
Receipt/
Disburse-
Receipt Balance Replenishme Payments Balance
ments
nt
- -
- -
- -
- -
- -
- -
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- - - - - -
- -

CERTIFICATION:
I hereby certify that the foregoing is a correct and complete record of all my collections,
deposits/remittances and balances of my accounts in the cah - In Local Treasury, Cash in Bank, Cash
advances, and Petty Cash as of January 31, 2019.

Name and Signature

Date
 CASHBOOK
(for Disbursing Officer)
_____________________________
Barangay, City/Municipality

Disbursing Officer: _________________________________ Fund:

CASH ADVANCES
Date Particulars Reference Debit Credit Balance
 REPORT OF COLLECTIONS AND DEPOSITS

Name of Barangay Treasurer: Date:

Barangay: _____
RCD No.:
_________ _____
_____________
A. COLLECTIONS
_________ _____
_
Official Receipt/RCR
_________ Payor Nature of Collection Amount
Date Number

TOTAL -
B. DEPOSITS
Bank/Branch Reference Amount

TOTAL -
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Beginning Balance Receipt Issued Ending Balance
Name of Form and No. Inclusive Serial No. Inclusive Serial No. Inclusive Serial No. Inclusive Serial No.
Qty Qty Qty Qty
From To From To From To From To
With Money Value:
Cash Tickets

Without Money Value:

Official Receipts

D. CERTIFICATION:

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

Barangay Treasurer Date

E. ACCOUNTING ENTRIES
Account Title Account Code Debit Credit

Prepared by: Approved by:

Barangay Bookkeeper City/ Municipal Accountant
 REPORT OF COLLECTIONS AND REMITTANCES

Name of Collecting Officer: Date:

Barangay: _____
RCR No.:
_________ _____
_____________
City/Municipality: _____
_________ _
Province:
_________
A. COLLECTIONS
Official Receipt
Payor Nature of Collection Amount
Date Number

TOTAL -
B. SUMMARY OF COLLECTIONS
Beginning Balance, _____, 20___ P List of Checks
Add: Collections Check No. Payee Amount
Cash
Checks

TOTAL -
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Beginning Balance Receipt Issued Ending Balance
Name of Form and No. Inclusive Serial No. Inclusive Serial No. Inclusive Serial No. Inclusive Serial No.
Qty Qty Qty Qty
From To From To From To From To
With Money Value:
Cash Tickets

Without Money Value:

Official Receipts

D. CERTIFICATION: E. ACKNOWLEDGEMENT:

I hereby certify that this Report of Collections and Remittances; and

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

Deputized Barangay Collector Barangay Treasurer

Date Date
 DISBURSEMENT VOUCHER DV No. :
Barangay: City/Municipality: Date :
Payee: Province: Fund:
Address: TIN :
Particulars Amount

A. Certified as to existence of B. Certified As to availability of C. Certified as to validity, propriety,

appropriation for obligation funds for the purpose, and and legality of claim and approved for
completeness and propriety of payment:
supporting documents

_____________________________ _____________________________ _____________________________

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Chairman, Committee on Appropriation Barangay Treasurer Punong Barangay
Date : _________________________ Date : _________________________ Date : _________________________
D. Received Payment:
Check No.: ________________
___________________________ Bank Name: _______________ Date: ___________________
Signature Over Printed Name OR No.: __________________

E. Accounting Entries
Account Account Code Debit Credit

Prepared By:

____________________________ __________________
Barangay Bookkeeper Date

Approved By:

____________________________ __________________
City/Municipal Accountant Date
 No.:
PETTY CASH VOUCHER
Date:

Barangay: City/Municipality:
Payee: Province:
I. To be filled up upon request II. To be filled up upon liquidation
Particulars Amount Total Amount Granted: P
Total Amount Paid:
Amount Refunded/(Reimbursed)
A. Requested by: C.
Received Refund

Name of Requestor Reimbursement Paid

Approved by:

Punong Barangay Barangay Treasurer

B. Paid by: D.
Liquidation Submitted by:

Barangay Treasurer Reimbursement Received by:

Cash Received by:

Signature over Printed Name of Payee Signature over Printed Name of Payee
Date: Date:
 PETTY CASH RECORD
______________________________
Barangay, City/Municipality

Petty Cash Custodian: Fund:

Date Particulars Reference Debit Credit Balance
-
-
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-
-
-
-
-
-
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 PAYROLL
Period Covered: ________________

Barangay: City/Municipality:
Barangay Treasurer: Province: Payroll No.
Compensation Deductions

No. Name Position BIR Net Amount Due Signature of Recipient

Salaries & Other
Honoraria Total W/holding Total
Wages Benefits
Tax

A. Certified as to availability of appropriation B. Certified as to availability of funds, and C. Certified as to validity, propriety, and legality of claim and D. Certified that each official/employee whose
for obligation in the amount of completeness and propriety of supporting documents. approved for payment name appears on the above roll has been paid the
P_______________. amount stated opposite his name.

Signature: Signature: Signature: Signature:

Printed Name: Printed Name: Printed Name: Printed Name:

Position: Chairman, Com. On Appropriations Position: Barangay Treasurer Position: Punong Barangay Position: Barangay Treasurer

Date: Date: Date: Date:

E. Accounting Entries
Account Title Account Code Debit Credit Prepared by:

Barangay Bookkeeper Date

Approved by:

City/Municipal Accountant Date

 LIQUIDATION REPORT
No.:
________________________________________________________
Barangay, City/Municipality,Province Date:

PARTICULARS AMOUNT

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO. DTD.
AMOUNT REFUNDED PER O.R. NO. DTD.
AMOUNT TO BE REIMBURSED
Submitted by: Received by:

Accountable Officer Accounting Unit

Date Date
ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit

Prepared by: Approved by:

Barangay Bookkeeper City/Municipal Accountant

Date Date
 Barangay _______________________________
City/Municipality _________________________
Province ________________________________

Transmittal Letter

Date : ___________________

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.

B. RCDs and Supporting Documents (RCRs, Ors and VDS)

Date No. Amount

C. Other Reports
Date Type of Report

Please acknowledge receipt hereof.

Very truly yours,

Barangay Treasurer

Noted by: Received by:

 Punong Barangay Signature, Name and Designation
* related to COA Circular 2019-001
 Summary of Petty Cash Disbursements
For the period ____________________

Barangay: City/Municipality:

Barangay Treasurer: Province:

OR PCV
Date No./Ref. No. Payee Particulars Amount

Certification:

I hereby certify that the foregoing is the complete list of all payments from the
Petty Cash for the period _____________________________. The original copies of
all paid Petty cash Vouchers and supporting documents are hereto attached.

Barangay Treasurer/Petty Cash

Custodian
Date
 REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS
For the Month of __________, 20___

Barangay: City/Municipality: RAAF No.:

Barangay Treasurer: Province:

Beginning Balance Receipt Issued Ending Balance

Name of Form Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
QTY. QTY. QTY. QTY.
From To From To From To 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) Date

Barangay Treasurer