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Appendix 35 RCI

This document contains 3 cash journals and a report of checks issued for a specific agency and fund. The cash journals track collections, remittances, check disbursements and cash disbursements for a month. The report of checks issued lists checks by date, serial number, payee, nature of payment and amount for a specified period. The accountable officer certifies the accuracy and completeness of the reported checks issued.
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0% found this document useful (0 votes)
1K views6 pages

Appendix 35 RCI

This document contains 3 cash journals and a report of checks issued for a specific agency and fund. The cash journals track collections, remittances, check disbursements and cash disbursements for a month. The report of checks issued lists checks by date, serial number, payee, nature of payment and amount for a specified period. The accountable officer certifies the accuracy and completeness of the reported checks issued.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Appendix _____

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

Officer 106 Acct. Code P Amount Acct. Code P Amount 106


Appendix

CHECK DISBURSEMENTS JOURNAL


Month
Agency
Fund Sheet No.

Serial No. of CREDIT DEBIT


Name of
Checks Disbursing S UND R Y SUNDRY
DATE JEV RCI/DV Officer
No. No. From To Acct. Code P Amount Acct. Code P Amount
21

AO 5-14-02
Appendix ______

CASH DISBURSEMENTS JOURNAL


Month ___________________________
Agency
Fund Sheet No.

CREDIT DEBIT

SUNDRY SUNDRY
DATE JEV No. RD No. Name of Disbursing Officer

Acct. Code P Amount P


Acct. Code Amount
23

AO 5-14-02
Appendix ______

CHECK DISBURSEMENTS RECORD

Agency
Fund Sheet No.

Accountable Officer Official Designation Station


Check NCA
Date Date Name of Payee UACS Code Nature of Payment Received/ Checks Bank/NCA
No. Released Deposit Made Issued Balance

Received

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 35

REPORT OF CHECKS ISSUED


Period Covered: ________________

Name of School
Entity Name : ____________________________________________
Year-Month
Fund Cluster : 01- REGULAR Report No.: __________
Account Number 08-001
Bank Name/Account No. : LBP / Sheet No.: ___________
1 of 1
Check Responsibility UACS Object happe
DV/Payroll No. ORS/BURS No. Payee Nature of Payment Amount
Date Serial No. Center Code Code

100002000
98

TOTAL
C E R T I F I CAT I O N
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 Disbursing Officer/Cashier
_____________________________ ______________
Official Designation Date

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