Appendix 44

LIQUIDATION REPORT Serial No.: _________________

Period Covered ________________ Date: _____________________

Entity Name : ____________________________________________ Responsibility Center Code:

Fund Cluster : Regular Agency Fund __________________________

PARTICULARS AMOUNT

To Liquidate Cash Advance granted to ______(school)__________

for ______(purpose of CA)_____________ in the amount of ...

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______
AMOUNT REFUNDED PER OR NO. ________DTD. ___________
AMOUNT TO BE REIMBURSED
A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting documents
above data cash advance duly accomplished complete and proper

________________________ ________________________ ________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name
School Head Asst. Schools Division Superintendent Division Accountant

JEV No.: ___________________

Date: ______________________ Date: _____________________ Date: _____________________
 Appendix 43

CASH DISBURSEMENTS REGISTER

Entity Name: _______________________________________ Name of Accountable Officer: _____________________

Sub-Office/District/Division: __________________________ Official Designation: ____________________________
Municipality/City/Province: ___________________________ Station: _______________________________________
Fund Cluster : ______________________________________ Register No. : __________________________________
Sheet No. : ____________________________________

Advances for
Operating Expenses BREAKDOWN OF PAYMENTS
(19901010)
DV/Payroll/
Date Payee Particulars Amount Travelling OTHER
Check No. Training Office Supplies Electricity Water
Payments Expenses -
Expenses Expenses Expenses Expenses TOTAL
Cash Local
Balance Due to BIR
Advance
(50201010) (50201020) (50203010) (50201010) (50201020)

Totals

Recapitulation:
Account UACS Object
Amount
Description Code

Total

The total of the ‘Advances for Operating Expenses – Payments’ column must always be equal to the sum of the totals of the
‘Breakdown of Payments’ columns.
CERTIFIED CORRECT: RECEIVED BY:

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Disbursing Officer/School Head Senior Bookkeeper Division Accountant
Date: ___________ Date: ___________ Date: ___________
 Appendix 37

CASH IN BANK REGISTER

Sheet No.: ____________________________________

Entity Name: ____________________________________________ Name of Disbursing Officer: _____________________
Sub-Office/District/Division: ________________________________ Station: ______________________________________
Municipality/City/Province:_________________________________ Bank : _______________________________________
Fund Cluster :____________________________________________ Location: _____________________________________

BREAKDOWN OF WITHDRAWALS/PAYMENTS
CASH IN BANK
MAINTENANCE AND OTHER OPERATING EXPENSES OTHERS
Date Check No. Payee Particulars Travelling Office Electricity Transportation
Training Expenses Janitorial
Withdrawals/ Expenses- Supplies and Delivery
Deposits Balance Expenses Services TOTAL Due to BIR
Payments Local Expenses Expenses
(50201010) (50201020) (50203010) (50201010) (50299040) (50212020)
102

TOTALS - - - - - - - - -

PREPARED BY: CERTIFIED CORRECT: RECEIVED BY:

_______________________ ___________
___________
Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
__
Disbursing Officer School Head Senior Bookkeeper Division Accountant
Date: ___________ Date: ___________ Date: ___________ Date: ___________
 CASH IN BANK R

Entity Name: MAGSAYSAY NATIONAL HIGH SCHOOL

Sub-Office/District/Division: TINAMBAC NORTH/CAMARINES SUR
Municipality/City/Province: TINAMBAC, CAMARINES SUR
Fund Cluster :____________________________________________

CASH IN BANK

Date Check No. Payee Particulars

Withdrawals/
Deposits
Payments

MNHS (senior High School) Download for August 2017 50,825.00

8/18/2017 0001662938 Procurement Service Payment for school and office supplies 5,128.20
102

9/07/2017 0001662952 SILICON VALLEY Payment for pocket wifi 2,451.24

9/07/2017 0001662954 BONING'S TRADING Payment for school and office supplies 10,553.00
9/07/2017 0001662955 FREDTREX ENTERPRISE Payment for electrical supplies 8,952.00
12/04/2017 0001662964 Procurement Service Payment for school and office supplies 8,531.14
12/05/2017 0001662965 FREDA M.GIANAN Reim of Traveling expenses from Oct.- Nov, 2017 1,020.00

TOTALS - -

PREPARED BY: CERTIFIED CORRECT:

MARY ANN H. TIANZON TERESITA N. LOPEZ

Signature over Printed Name Signature over Printed Name
Disbursing Officer School Head
Date: ___________ Date: ___________
 Appendix 37

BANK REGISTER

Sheet No.: ____________________________________

Name of Disbursing Officer: MARY ANN H. TIANZON
Station: ______________________________________
Bank : LAND BANK OF THE PHILIPPINES
Location: _____________________________________

BREAKDOWN OF WITHDRAWALS/PAYMENTS
ANK
MAINTENANCE AND OTHER OPERATING EXPENSES OTHERS
Travelling Office Electricity
Training Expenses Electrical Janitorial
Expenses- Supplies
Balance Expenses Supplies Services TOTAL Due to BIR
Local Expenses
(50201010) (50201020) (50203010) (50201010) (50201020) (50212020)

45,696.80 5,128.20 5,128.20 (10.00)

43,245.56 2,451.24 2,451.24 (5.00)
32,692.56 10,553.00 10,553.00
23,740.56 8,952.00 8,952.00
15,209.42 8,531.14 8,531.14 15.00
14,189.42 1,020.00 1,020.00
-
-
-
-

- 1,020.00 - 26,663.58 - 8,952.00 - 36,635.58 -

CT: RECEIVED BY:

LOPEZ JENNIFER MAGNO GIRLIE V. CANAS

nted Name Signature over Printed Name Signature over Printed Name
Senior Bookkeeper Division Accountant
Date: ___________ Date: ___________
 Entity Name: MAGSAYSAY NATIONAL HIGH SCHOOL
Sub-Office/District/Division: TINAMBAC NORTH/CAMARINES SUR
Municipality/City/Province: TINAMBAC, CAMARINES SUR
Fund Cluster :____________________________________________

Date Check No. Payee

MNHS (senior High School)

12/30/2017 0001662962 RANDY H. TIANZON
12/30/2017 0001662963 FELIMON S. TIMBAL
0001662968 SPOILED CHECK
0001662969 SPOILED CHECK
12/30/2017 0001662970 TERESITA N. LOPEZ
12/30/2017 0001662971 RANDY H. TIANZON
12/30/2017 0001662972 TABITHA B. PAYRA
12/30/2017 0001662973 GEORGE T. REBADAJO
12/30/2017 0001662974 Samantha Z. Pollente
12/30/2017 0001662975 FELIMON S. TIMBAL
12/30/2017 0001662976 TERESITA N. LOPEZ
12/30/2017 0001662977 TERESITA N. LOPEZ
12/30/2017 0001662978 MARY ANN H. TIANZON
12/30/2017 0001662979 BODEGA GLASSWARE
12/30/2017 0001662980 WINSIE TRADING
12/30/2017 0001662981 ROWENA B. BANEZ
12/30/2017 0001662982 CASURECO II
12/30/2017 0001662983 GRACE I. ATOLE
0001662984 SPOILED CHECK
12/30/2017 0001662985 ROMA C. SANICO
12/30/2017 0001662986 SHARON N. PALAAD
12/30/2017 0001662987 RENAN BALUCATING
12/30/2017 0001662988 Connie T. Competente
102

12/30/2017 0001662989 CINDY A. BOLO

12/30/2017 0001662991 3GX SOLUTIONS
12/30/2017 0001662992 TERESITA N. LOPEZ
0001662993 SPOILED CHECK
2
0001662995 SPOILED CHECK
0001662996 SPOILED CHECK
12/30/2017 0001662997 San Vicente Hardware
12/30/2017 0001662998 3GX SOLUTIONS
12/30/2017 0001662999 WINSIE TRADING
12/30/2017 0001663000 KB MALLARI
12/30/2017 0001906701 MARY ANN H. TIANZON
12/30/2017 0001906703 HERBERT I. ASIDO
12/30/2017 0001906704 MARY ANN H. TIANZON
12/30/2017 0001906705 Samantha Z. Pollente
12/30/2017 0001906706 FREDA M. GIANAN

12/30/2017 0001906707 MARY ANN H. TIANZON

12/30/2017 0001906708 FRANKLIN R. NEVIAR
12/30/2017 0001906709 SPOILED CHECK
1/16/2018 0001906710 CASURECO II
1/15/2018 0001906711 LEO B. MANAYOBA
0001906712 SPOILED CHECK
1/15/2018 0001906713 ALLAN S. INTERINO
1/15/2018 0001906714 FELIX M. BANEZ
0001906715 SPOILED CHECK
12/30/2017 0001906716 WINSIE TRADING
12/30/2017 0001906717 CELERINO R. JACOB JR.
12/30/2017 0001906718 CELERINO R. JACOB JR.
0001906720 MARY ANN H. TIANZON

PREPARED BY:

MARY ANN H. TIANZON

Signature over Printed Name
Disbursing Officer
Date: ___________
 CASH IN BANK REGISTER

NATIONAL HIGH SCHOOL

NORTH/CAMARINES SUR
CAMARINES SUR
___________________

CASH IN BANK

Particulars
Withdrawals/
Deposits Balance
Payments

Download for August 2017 251,818.70

Payment for salary for the month of October, 2017 5,000.00 246,818.70
Payment for salary for the month of October, 2017 5,000.00 241,818.70

Reim of Traveling expenses from December, 2017 3,770.00 238,048.70

Payment for salary for the month of Nov.- Dec, 2017 10,000.00 228,048.70
Reim of Traveling expenses from Oct. - Dec. 2017 3,225.00 224,823.70
Reim of Traveling expenses from Oct.- Dec. 2017 4,285.00 220,538.70
Reim of Traveling expenses October - Nov. 2017 1,632.00 218,906.70
Payment for salary for the month of Nov.- Dec, 2017 10,000.00 208,906.70
Reim of Traveling expenses from November, 2017 3,440.00 205,466.70
Reim of Traveling expenses from October, 2017 5,345.00 200,121.70
Reim of Traveling expenses from Sept. - Dec. 2017 7,305.00 192,816.70
Payment for the office equipment 33,681.50 159,135.20
Payment for the good lumber 16,978.92 142,156.28
Reim of Traveling expenses from Oct. - Nov. 2017 2,505.00 139,651.28
Payment for electric bill for the month of Nov. 2017 1,466.40 138,184.88
Reim of Traveling expenses from Sept. - Nov. 2017 4,075.00 134,109.88

Reim of Traveling expenses from Sept. - Nov. 2017 4,175.00 129,934.88

Reim of Traveling expenses from Sept. - Nov. 2017 3,945.00 125,989.88
Reim of Traveling expenses from Sept. - Nov. 2017 4,931.00 121,058.88
Reim of Traveling expenses from Sept. - Nov. 2017 4,305.00 116,753.88
Reim of Traveling expenses from Sept. - Nov. 2017 2,385.00 114,368.88
Payment for Digital Camera 8,016.25 106,352.63
Reimbursement for the repair of CPU and Printer 900.00 105,452.63
Payment for the hardware materials 23,262.29 82,190.34
Payment for memory card 64GB 1,354.35 80,835.99
Payment for the hardware materials 11,962.85 68,873.14
Payment for clear glass 649.90 68,223.24
Payment for the hauling of goods from Naga-Magsaysay 5,000.00 63,223.24
Reimb of Traveling expesnses from Oct.- Nov 2017 3,665.00 59,558.24
Reimbursement for the payment of elec. Bill for Oct. 2017 1,760.51 57,797.73
Reim of Traveling expenses for the month of Dec. 2017 856.00 56,941.73
Reim of Traveling expenses for the month of Dec. 2017 600.00 56,341.73
Reimbursement of the expenses during the repair of elec. Wiring
connectiion in the school 700.00 55,641.73
Reimb of Traveling expesnses from October 2017 1,785.00 53,856.73
53,856.73
Payment for electric bill for the month of Dec. 2017 1,436.08 52,420.65
Payment for the installation of window grill 2,500.00 49,920.65
49,920.65
Payment for the Installation of Partition to the school office 10,580.00 39,340.65
Payment for the repair of school perimeter fence 2,500.00 36,840.65
36,840.65
Payment for the purchase of padlock 5,137.21 31,703.44
Reim of Traveling expenses for the month of Jan.-May. 2017 16,404.00 15,299.44
Reim of Prepaid Plan from Jan- May 2017 3,462.00 11,837.44
Reim of the payment for Bamboo ladder 500.00 11,337.44

TOTALS - - -

CERTIFIED CORRECT:

TERESITA N. LOPEZ
Signature over Printed Name
School Head
Date: ___________
ANK REGISTER

Sheet No.: ____________________________________

Name of Disbursing Officer: MARY ANN H. TIANZON
Station: ______________________________________
Bank : LAND BANK OF THE PHILIPPINES
Location: _____________________________________

BREAKDOWN OF WITHDRAWALS/PAYMENTS
MAINTENANCE AND OTHER OPERATING EXPENSES
Travelling Office Electricity Repair Main.
Repair Main. Expenses Janitorial
Expenses- Supplies Hauling Off.
Sch. Bldg. Services
Local Expenses Equipment
(50201010) (5021304002) (50203010) (50201010) (50201020) (50212020) 5021305002

5,000.00
5,000.00

3,770.00
10,000.00
3,225.00
4,285.00
1,632.00
10,000.00
3,440.00
5,345.00
7,305.00
33,681.50
16,978.92
2,505.00
1,466.40
4,075.00

4,175.00
3,945.00
4,931.00
4,305.00
2,385.00
8,016.25
900.00
 23,262.29
1,354.35
11,962.85
649.90
5,000.00
3,665.00
1,760.51
856.00
600.00

700.00
1,785.00

1,436.08
2,500.00

10,580.00
2,500.00

5,137.21
16,404.00

500.00

78,633.00 69,133.96 48,689.31 4,662.99 5,000.00 30,000.00 900.00

RECEIVED BY:

JENNIFER MAGNO GIRLIE V. CANAS

Signature over Printed Name Signature over Printed Name
Senior Bookkeeper Division Accountant
Date: ___________ Date: ___________
 Appendix 37

H. TIANZON

MENTS
SES OTHERS

Com.
Expenses TOTAL Due to BIR
(5020502001)

5,000.00 (10.00)
5,000.00 (5.00)
-
-
3,770.00
10,000.00
3,225.00 15.00
4,285.00
1,632.00
10,000.00
3,440.00
5,345.00
7,305.00
33,681.50
16,978.92
2,505.00
1,466.40
4,075.00
-
4,175.00
3,945.00
4,931.00
4,305.00
2,385.00
8,016.25
900.00
-
 -
-
23,262.29
1,354.35
11,962.85
649.90
5,000.00
3,665.00
1,760.51
856.00
600.00

700.00

1,785.00
-
1,436.08
2,500.00
-
10,580.00
2,500.00
-
5,137.21
16,404.00
3,462.00 3,462.00
500.00

3,462.00 240,481.26 -

GIRLIE V. CANAS
Signature over Printed Name
Division Accountant
 CASH I

Entity Name: MAGSAYSAY NATIONAL HIGH SCHOOL

Sub-Office/District/Division: TINAMBAC NORTH/CAMARINES SUR
Municipality/City/Province: TINAMBAC, CAMARINES SUR
Fund Cluster :____________________________________________

Date Check No. Payee

102

MNHS (senior High School)

8/18/2017 0001662966 LUCKY EDUCATIONAL SUPPLY
9/07/2017 0001662967 BODEGA GLASSWARE
9/07/2017 0001662990 PRIME GALAXY GAZ MKTG.
9/07/2017 0001662994 LUCKY EDUCATIONAL SUPPLY
0001906702 3GX SOLUTIONS

12/04/2017 0001906719 MARY ANN H. TIANZON

12/05/2017 0001906721 MARY ANN H. TIANZON

PREPARED BY:

MARY ANN H. TIANZON

Signature over Printed Name
Disbursing Officer
Date: ___________
 CASH IN BANK REGISTER

IONAL HIGH SCHOOL

ORTH/CAMARINES SUR
AMARINES SUR
__________________

BREAKD
CASH IN BANK
MAINTENANCE A
Particulars Travelling
Withdrawals/ Expenses-
Deposits Balance Local
Payments
(50201010)
Download for December, 2017 50,825.00
Payment for school and office supplies 13,621.96 37,203.04
Payment for Kitchen wares and utensils 6,515.22 30,687.82
Payment for gas stove and solane tank 4,409.89 26,277.93
Payment for school and office supplies 9,685.05 16,592.88
Payment for the purchase of printer 7,614.02 8,978.86
Reim of payment for labor on installation of wirings in the
ICT LAB. ROOM 1,000.00 7,978.86
Reim of fare of goods from PSDBM to Magsaysay NHS 600.00 7,378.86
TOTALS - - - -

CERTIFIED CORRECT:

TERESITA N. LOPEZ
Signature over Printed Name
School Head
Date: ___________
 Appendix 37

Sheet No.: ____________________________________

Name of Disbursing Officer: MARY ANN H. TIANZON
Station: ______________________________________
Bank : LAND BANK OF THE PHILIPPINES
Location: _____________________________________

BREAKDOWN OF WITHDRAWALS/PAYMENTS
MAINTENANCE AND OTHER OPERATING EXPENSES OTHERS
Office Electricity
Repair Expenses Janitorial
Supplies Hauling
/Maintenance Services TOTAL Due to BIR
Expenses
(50201020) (50203010) (50201010) (50201020) (50212020)

13,621.96 13,621.96 (10.00)

6,515.22 6,515.22 (5.00)
4,409.89 4,409.89
9,685.05 9,685.05
7,614.02 7,614.02

1,000.00 1,000.00 15.00

600.00 600.00
1,000.00 41,846.14 - 600.00 - 43,446.14 -

RECEIVED BY:

JENNIFER MAGNO GIRLIE V. CANAS

Signature over Printed Name Signature over Printed Name
Senior Bookkeeper Division Accountant
Date: ___________ Date: ___________
 Entity Name: MAGSAYSAY NATIONAL HIGH SCHOOL
Sub-Office/District/Division: TINAMBAC NORTH/CAMARINES SUR
Municipality/City/Province: TINAMBAC, CAMARINES SUR
Fund Cluster :____________________________________________

Date Check No. Payee

MNHS
03/23/2018 0001906722 FELIMON S. TIMBAL
03/24/2018 0001906723 CASURECO II
0001906724 SPOILED CHECK
03/24/2018 0001906725 CASURECO II
03/24/2018 0001906726 TERESITA N. LOPEZ
03/24/2018 0001906727 TERESITA N. LOPEZ
03/26/2018 0001906728 PROCUREMENT SERVICE
03/27/2018 0001906729 MARY ANN H. TIANZON
03/27/2018 0001906730 LUCKY EDUC. SUPPLY
03/27/2018 0001906731 LUCKY EDUC. SUPPLY
03/28/2018 0001906732 MARY ANN H. TIANZON
03/31/2018 0001906733 CINDY A. BOLO
03/31/2018 0001906734 MARY ANN H. TIANZON
03/31/2018 0001906735 SAMANTHA Z. POLLENTE
03/31/2018 0001906736 TERESITA N. LOPEZ
102

03/31/2018 0001906737 SPOILED CHECK

03/31/2018 0001906738 SHARON N. PALAAD
03/31/2018 0001906739 SHARON N. PALAAD
03/31/2018 0001906740 TABITHA B. PAYRA
03/31/2018 0001906741 ROWENA B. BAÑEZ
03/31/2018 0001906742 ROMA C. SANICO
03/31/2018 0001906743 FELECITTO E. BIBON JR.
03/31/2018 0001906744 RENAN A. BALUCATING
03/31/2018 0001906745 GRACE I. ATOLE
03/31/2018 0001906746 ROMA C. SANICO
03/31/2018 0001906747 CONNIE T. COMPETENTE
03/31/2018 0001906748 HERBERT I. ASIDO
03/31/2018 0001906749 CINDY A. BOLO
03/31/2018 0001906750 TABITHA B. PAYRA
03/31/2018 0001906751 SPOILED CHECK
03/31/2018 0001906752 MARY ANN H. TIANZON
03/31/2018 0001906753 CASURECO II
03/31/2018 0001906754 WINSIE TRADING
03/31/2018 0001906755 MARY ANN H. TIANZON
0001906756 SPOILED CHECK
03/31/2018 0001906757 JOEL CANELAS
03/31/2018 0001906758 MARY ANN H. TIANZON
03/31/2018 0001906759 GEORGE T. REBADAJO
03/31/2018 0001906760 FRANKLIN R. NEVIAR
0001906761 FELIMON S. TIMBAL

PREPARED BY:

MARY ANN H. TIANZON

Signature over Printed Name
Disbursing Officer
Date: ___________
 CASH IN BANK REGISTER

NATIONAL HIGH SCHOOL

NORTH/CAMARINES SUR
CAMARINES SUR
___________________

CASH IN BANK

Particulars
Withdrawals/
Deposits Balance
Payments

Download for March 2018 116,336.00

Payment for salary for the month of Jan-March 2018 15,000.00 101,336.00
Payment for electrical expenses for the month of January 2018 1,250.45 100,085.55
100,085.55
Payment for electrical expenses for the month of Feb. 2018 2,603.61 97,481.94
Reim of Traveling expenses from Jan. 2018 4,024.00 93,457.94
Reim of Traveling expenses from Feb. 2018 5,028.00 88,429.94
Payment for the purchase of school supplies 2,749.20 85,680.74
Reim for printing of certificates expenses 2,600.00 83,080.74
Payment for the purchase of medals 823.41 82,257.33
Payment for the purchase of school supplies 8,197.41 74,059.92
Reimbursement for fidelity bond 3,375.00 70,684.92
Reim for printing of tarpaulin 2,304.00 68,380.92
Reim for the purchase of ribbons 1,464.00 66,916.92
Reim of Traveling expenses from 3,288.00 63,628.92
Reim of Traveling expenses from March 2018 4,230.00 59,398.92
59,398.92
Reim of Traveling expenses from 2,408.00 56,990.92
Reimbursement for fidelity bond 1,220.64 55,770.28
Reim of Traveling expenses for the month of March, 2018 1,570.00 54,200.28
Reim of Traveling expenses for the month of March, 2018 600.00 53,600.28
Reim for the purchase of geena's cloth and flowers(decoration) 1,687.02 51,913.26
Payment for the sound system 2,000.00 49,913.26
Reim of Traveling expenses for the month of March, 2018 600.00 49,313.26
Reim of Traveling expenses for the month of March, 2018 600.00 48,713.26
Reim of Traveling expenses for the month of March, 2018 600.00 48,113.26
Reim of Traveling expenses for the month of March, 2018 600.00 47,513.26
Reim of Traveling expenses for the month of March, 2018 980.00 46,533.26
Reim of Traveling expenses for the month of March, 2018 2,900.00 43,633.26
Reim for the purchase of token 647.50 42,985.76
42,985.76
Reimbursement for CPU reformat 500.00 42,485.76
Payment for electrical expenses for the month of March 2018 2,218.97 40,266.79
Payment for the purchase of electrical supplies 14,336.50 25,930.29
Reim of Traveling expenses for the month of January -March, 2018 3,530.00 22,400.29
22,400.29
Payment for the labor for the repair of electrical wirings 3,500.00 18,900.29
Reimbursement for the food expenses 1,904.55 16,995.74
Reim of Traveling expenses for the month of March, 2018 600.00 16,395.74
Reim of Traveling expenses for the month of March, 2018 1,040.00 15,355.74
Payment for salary for the month of April 2018 5,000.00 10,355.74
10,355.74

TOTALS - - -

CERTIFIED CORRECT:
1440
TERESITA N. LOPEZ
Signature over Printed Name
School Head
Date: ___________
N BANK REGISTER

Sheet No.: ____________________________________

Name of Disbursing Officer: MARY ANN H. TIANZON
Station: ______________________________________
Bank : LAND BANK OF THE PHILIPPINES
Location: _____________________________________

BREAKDOWN OF WITHDRAWALS/PAYMENTS
MAINTENANCE AND OTHER OPERATING EXPENSES
Travelling Office Electricity Repair Main.
Repair Main. Expenses Janitorial Graduation
Expenses- Supplies Hauling Off.
Sch. Bldg. Services expenses
Local Expenses Equipment
(50201010) (5021304002) (50203010) (50201010) (50201020) (50212020) 5021305002 (5020502001)

15,000.00
1,250.45

2,603.61
4,024.00
5,028.00
2,749.20
2,600.00
823.41
8,197.41

2,304.00
1,464.00
3,288.00
4,230.00

2,408.00 13,282.00

1,570.00
600.00
1,687.02
2,000.00
600.00
600.00
600.00
600.00
600.00
 2,900.00
647.50
3,500.00
500.00
2,218.97
14,336.50
3,530.00

600.00 5,000.00
1,040.00

27,048.00 17,836.50 24,228.61 6,073.03 - 15,000.00 500.00 11,525.93

RECEIVED BY:

JENNIFER MAGNO GIRLIE V. CANAS

Signature over Printed Name Signature over Printed Nam
Senior Bookkeeper Division Accountant
Date: ___________ Date: ___________
 Appendix 37

S
OTHERS

Fidelity Bond
TOTAL Due to BIR

15,000.00 (10.00)
1,250.45 (5.00)
-
2,603.61
4,024.00
5,028.00
2,749.20 15.00
2,600.00
823.41
8,197.41
3,375.00 3,375.00
2,304.00
1,464.00
3,288.00
4,230.00
-
15,690.00
1,220.64 1,220.64
1,570.00
600.00
1,687.02
2,000.00
600.00
600.00
600.00
600.00
600.00
 2,900.00
647.50
3,500.00
500.00
2,218.97
14,336.50
3,530.00
-
-

5,600.00

106,807.71 -

GIRLIE V. CANAS
nature over Printed Name
Division Accountant