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Cash Disbursement Form

This document is a cash disbursements register for a school from October 2019. It shows advances for operating expenses, breakdown of payments including office supplies, electricity, and amounts due. The total of the 'Advances for Operating Expenses - Payments' column must equal the sum of the 'Breakdown of Payments' columns. It is certified by an administrative assistant.

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Maricel M. Gudoy
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2K views4 pages

Cash Disbursement Form

This document is a cash disbursements register for a school from October 2019. It shows advances for operating expenses, breakdown of payments including office supplies, electricity, and amounts due. The total of the 'Advances for Operating Expenses - Payments' column must equal the sum of the 'Breakdown of Payments' columns. It is certified by an administrative assistant.

Uploaded by

Maricel M. Gudoy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Appendix 43

CASH DISBURSEMENTS REGISTER

Entity Name: Name of Accountable


Sub-Office/District/Division: Official Designation:
Municipality/City/Province: Station:
Fund Cluster : SCHOOL MOOE Register No. :
Sheet No. :
Advances for Operating
Expenses
BREAKDOWN OF PAYMENTS
(19901010)
DV/Payrol Amount Office OTHERS
Date l/ Check Particulars Electricity Due to
Supplies
No. Expenses BIR UACS
Cash Expenses Account
Payments Balance Object Amount
Advance Description
(50203010) (502040200) (20201010) Code

TAX_TYPE
SERVICES_VAT

Totals - - - - -

Recapitulation:
UACS Object
Account Description Amount
Code

Other General Services Err:504 -


HIDE
Page 1 of 4
CASH DISBURSEMENTS REGISTER

Entity Name: Name of Accountable


Sub-Office/District/Division: Official Designation:
Municipality/City/Province: Station:
Fund Cluster : SCHOOL MOOE Register No. :
Sheet No. :
Advances for Operating
Expenses
BREAKDOWN OF PAYMENTS
(19901010)
DV/Payrol Amount Office OTHERS
Date l/ Check Particulars Electricity Due to
Supplies
No. Expenses BIR UACS
Cash Expenses Account
Payments Balance Object Amount
Advance Description
(50203010) (502040200) (20201010) Code

Internet Subscription
5020503000 -
Expenses HIDE
Electricity Expenses 502040200 - HIDE
Office supplies 50203010 -
Due to BIR 2020101000 -
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:

-
- Administrative Assistant III

Date: __________________

Page 2 of 4
IF INEC, ENCODE
DISTRIBUTION AMOUNT
HERE

Page 3 of 4
SUMMARY OF TAX WITHHELD FROM SUPPLIERS
For the month of SEPTEMBER, 2019

Name of School: CATALINO ACOSTA MEMORIAL ES Fund: MOOE SBFP Others(Specify)


Month: SEPTEMBER, 2019

TAX WITHHELD
Net Amount of Cash
SUPPLIER TIN GROSS 2306 2307 2307 2307 TOTAL Tax Payment
5% 3% 2% 1% Withheld

0 0 - - - - - - -

0 0 - - - - - - -

TOTAL - - - - - - -

Prepared By:

0
0

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