Appendix 37

CASH IN BANK REGISTER

Sheet No.: _________________________________
Entity Name: ____________________________________________ Name of Disbursing Officer: ________________
Sub-Office/District/Division: ________________________________ Station: ___________________________________
Municipality/City/Province:_________________________________ Bank : ____________________________________
Fund Cluster :____________________________________________ Location: _________________________________

BREAKDOWN OF WITHDRAWALS/PAYMENTS
CASH IN BANK
PERSONNEL SERVICES MAINTENANCE AND OTHER OPERATING EXPENSES OTHERS
Check
Date Particulars
No. Travelling
Salaries and Office Electricity Transportation
Expenses- Janitorial
Wages- Supplies Expenses and Delivery Account UACS
Deposits Withdrawals/ Balance Casual Local Services Amount
Expenses Expenses Description Code
Payments
(5020301 (5020101 (5021202
(50101020) (50201010) (50299040)
102

0) 0) 0)

TOTALS - - - - - - - - -
Certified Correct:

Signature Over Printed Name

Disbursing Officer