CASH COUNT SHEET
Name of Agency : Civil Aviation Authority of the Phils. Date of Examination : July 15, 2025
Surigao Airport Time Started :
Name of Accountable Officer : Time Finished :
Official Designation : Collecting Officer Prepared by : JMI / APG
Bond Risk No. : Designation : ATL / ATM
Effective Date :
DEMAND
To:
Demand is hereby made that you produce all your cash and cash items for which you are accountable as
Collecting Officer of CAAP Surigao Airport and any fund, checks, treasury warrants and/ or cash items in your
possession held for deposit or safekeeping.
Noted and Complied With:
JMI / APG
Accountable Officer Auditor/Examiner
Denomination No. of Pieces Amount
Clean Notes 1,000.00 -
500.00 -
100.00 -
50.00 -
20.00 - ₱ -
Coins 10.00 -
5.00 -
1.00
0.25 -
Total Cash on Hand ₱ -
Add: Cash Items Particulars Amount
-
Total Cash and Cash Items per Count -
Accountability as of December 10, 2021 -
Overage/(Shortage) ₱ -
CERTIFICATION
I HEREBY CERTIFY, on my official oath: (1) That upon demand by the auditor I produced all my cash, treasury
warrants, checks, money orders, cash items, paid vouchers unused accountable forms, etc., for which I am officially
accountable; (2) That the inventory of such cash, cash items and unused accountable forms in my possession and
produced to the Auditor /Examiner at the time of cash count today, December 10, 2021 is correctly stated above totaling
_______________________________________of which ₱0.00 was disallowed by the Auditor/Examiner; and (3) That said cash,
cash items and paid vouchers, unused accountable forms etc, were returned to me intact after the cash count.
Accountable Officer's Signature: Position: Agency/Station:
Collecting Officer CAAP - Surigao Airport
Witnesses: