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Instructions: Please supple the required information below by filling—n the blanks and ticking appropriate information in the

selections. Date of Submission: ________________

CASH FLOW STATEMENT OF FARM MACHINERY OPERATION PER CROPPING


Name od FCA: _____________________________________________ Address: _____________________________________________
Contact Person: ____________________________________________ Contact Number: ______________________________________

Cropping Period: 1st Cropping 2nd Cropping 3rd cropping Inclusive Months: ______ to ______ Year: ______

Machinery 1: Machinery 2: Machinery 3: Machinery 4: Machinery 5:


___________________ ___________________ ___________________ ___________________ ___________________
Operating cash- Beginning (a)
___________________ ___________________ ___________________ ___________________ ___________________
Cash Inflows (INCOME)
Total Service Fee Collected ___________________ ___________________ ___________________ ___________________ ___________________
Other income ___________________ ___________________ ___________________ ___________________ ___________________

Total Cash Inflows (b) ___________________ ___________________ ___________________ ___________________ ___________________


Total Source of Cash (c) = a + b ___________________ ___________________ ___________________ ___________________ ___________________
Cash Outflows (EXPENSES)
Fuel expense (diesel, etc.) ___________________ ___________________ ___________________ ___________________ ___________________
Labor Cost/Honorarium ___________________ ___________________ ___________________ ___________________ ___________________
Repair and Maintenance ___________________ ___________________ ___________________ ___________________ ___________________
Other expenses ___________________ ___________________ ___________________ ___________________ ___________________

Total Cash Outflows ___________________ ___________________ ___________________ ___________________ ___________________


Net Cash Flow per machinery (e) = c – d Php ___________________ ___________________ ___________________ ___________________ ___________________

Prepared by: ____________________________ / ____________________ Reviewed/Approved by: ________________________________


Name and Signature Position or Designation Name and Signature of Chairman/President

Disclaimer: The contents of this form will be used solely for monitoring purposes of PhilMech and will be treated with utmost confifentiality.
This form is form enrollment to PhilMech-IMS
Cash Flow Statement of Farm Machinery Operation per Cropping
______________________________________
Type of Farm Machinery

Name of FCA: _________________________________________________ Address: _______________________________________


Contact Person: _______________________________________________ Contact No.: ____________________________________
Cropping Period: □ 1st Cropping □ 2nd Cropping □ 3rd Cropping Inclusive Months of cropping period: ______ to ________ Year: ______

Beginning Cash (Panimulang Pondo)


Add (Idagdag): Inflows (Mga pumasok nap era)
Kabuang Natanggap na Bayad sa Serbisyo (C1)
Mga nakolektang bayad mula sa singilin (C2)
Iba pang kita ng Makinarya (C3) *if applicable
TOTAL CASH INFLOW (Kabuang halaga ng pumasok na pera)
Less (bawas): Outflows (Mga lumabas nap era)
Fuel and Oil Expense (diesel, langis, etc.)
Labor Cost (Bayad sa Operator at helper)
Per Diem (insensitibo sa bawat ektarya/sq.m./oras na naserbisyuhan)
Repair and Maintenance (change oil, overhaul, pagpapalit ng gulong)
Office Supplies (Ballpen, lapis, at papel)
Communication Expense (bayad sa tubig o kuryente)
Sundries o iba pang gastos kaugnay sa operasyon ng makinarya
TOTAL CASH INFLOW (Kabuang halaga ng pumasok na pera)
Ending Cash (Total Cash Inflow-Total Cash Outflow)
Naiwan na pondo pagkatapos ng cropping period
Machinery: ____________________________________________________________ Month of Cropping Period: ________________________________ Year:
____________________
Name of Ass: ___________________________________________________________

Farmer Clients Transaction Record/Talaan ng Transaksyon ng mga Kliyente

Name of Client Farm Location Category Approved Actual Date of Service Fee Area Serviced Number of Total Amount of Cash Collection Receipt Number Accounts
(Pangalan ng (Lokasyon ng (Kategorya ng Schedule of Farm Farm Machinery (Kada (Lawak ng Operating Hours Service of Fees (C1) Received
Kliyente) palayan/bukid ng Kliyente) Machinery Service ektarya/sq.m./oras) naserbisyuhan) (Bilang ng oras ng (Kabuuang halaga (Mga nakolektang (Collectible o mga
kliyente) M-Member; NM- Service Ha. / sq.m. pagseserbisyo) ng serbisyo) bayad) singilin
Non-Member *if applicable Php
Machinery: ____________________________________________________________ Month of Cropping Period: ________________________________ Year:
____________________
Name of Ass: ___________________________________________________________

List of Collectibles/Talaan ng mga singilin

Name of Client Remaining Balance/Accounts Cash Collection of Fees (C2) Date of Payment Receipt Number Remaining balance after
(Pangalan ng Kliyente) Receivable (Petsa ng pag bayad) payment
(Natirang balance sa (Nakolektang bayad mula sa (natitirang balance pagkatapos)
bayarin/mga singilin) mga singilin o accounts
receivable)
Machinery: ____________________________________________________________ Month of Cropping Period: ________________________________ Year:
____________________
Name of Ass: ___________________________________________________________

List of Expenses/Talaan ng mga Ginastos

Halaga ng Ginastos Para sa:


Per Diem
Repair and
(Insensitibo sa
Labor Cost Maintenance Administrative Expense
Date (Petsa Particulars Fuel & Oil bawat
Reference Total Amount (Bayad sa (change oil,
kung kailan (mga detalye (diesel, langis, ektarya/sq.m Sundries (Iba Amount
Number (Cash CR) Operator at overhaul, Office Communicatio Utilities
ginastos) ng gastos) etc.) oras na pang (Halaga ng
helper) pagpapalit ng Supplies n Expense expense
naserbisyuha gastusin) Sundries)
gulong) (Ballpen, (cellphone (bayad sa
n)
Lapis, at load tubig o
papel) allowance) kuryente)

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