Cash Journal: Month - Agency - Fund - Sheet No.
Cash Journal: Month - Agency - Fund - Sheet No.
Cash Journal: Month - Agency - Fund - Sheet No.
CASH JOURNAL
Month ______________________
Agency _________________
Fund _________________ Sheet No. ______________
C O L L E C T I O N S R E M I T T A N C E
Credit Debit
Date RCD No. JEV No. Name of Collecting Debit SUNDRY SUNDRY Credit
AO 5-14-02
Appendix ______
CREDIT DEBIT
SUNDRY SUNDRY
DATE JEV No. RD No. Name of Disbursing Officer
AO 5-14-02
Appendix ______
Agency
Fund Sheet No.
CERTIFICATION
I hereby certify that the foregoing is a correct and complete record of all checks
issued by me in my capacity as ____________________ of ___________________________
______________ during the period from _______________ to _______________, inclusives,
as indicated in the corresponding columns.
___________________________
Name and Signature
________________
Date
For Accountable Officers' Use
Appendix 46
LGU : ___________________________________________________
Fund : __________________________________________________ Report No.: _____________
Bank Name/Account No. : __________________________________ Sheet No.: ______________
Total
I hereby certify on my official oath that this Report of Checks Issued in _________ sheet(s) is
a full, true and correct statement of all checks issued by me during the period stated above for which
Check Nos. ___________ to _____________ inclusive, were actually issued by me in payment for
obligations shown in the attached disbursement vouchers/payroll.
Name and Signature of the Treasurer/Cashier/Disbursing Officer Signature over Printed Name
LGU : ___________________________________________________
Fund : __________________________________________________ Report No.: _____________
Bank Name/Account No. : __________________________________ Sheet No.: ______________
Check DV/Payroll
CAFOA No. Payee Nature of Payment Amount
Date Serial No. No.
Total
I hereby certify on my official oath that this Report of Checks Issued in _________ sheet(s) is
a full, true and correct statement of all checks issued by me during the period stated above for which
Check Nos. ___________ to _____________ inclusive, were actually issued by me in payment for
obligations shown in the attached disbursement vouchers/payroll.
Name and Signature of the Treasurer/Cashier/Disbursing Officer Signature over Printed Name