Annex 30

BANK RECONCILIATION STATEMENT

For the month of ________________
(Date)

SK of Barangay: Jose Rizal Bank Name:

City/Municipality: Sta. Cruz Branch:
Province: Davao del Sur Current Account No.:
Particulars RCB Bank Explanatory Comment
Unadjusted Balances xxx xxx
Reconciling Items:
Check Issued not taken up:
In the Books (xx)
By the Bank (xx)
Check Issued Overstated:
In the Books xx
By the Bank xx
Check Issued Understated:
In the Books (xx)
By the Bank (xx)
Deposits not taken up:
In the Books xx
By the Bank xx
Deposits Overstated:
In the Books (xx)
By the Bank (xx)
Deposit Understated:
In the Books xx
By the Bank xx
Bank Debit/Credit Memos, Not taken
up in the books:
Debit Memo
Credit Memo xx
Other Reconciling Items
Adjusted Balances xx xx

Prepared and Certified Correct by: Approved by:

______JOIDY P. ATAWAN___________ ______DELMAR A.

WALAN_________
Signature over Printed Name Signature over Printed Name
of SK Treasurer of SK Chairperson

_________________________
__________________________
Date Date