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Monthly Accountability Report for Forms

The document is a report of accountability for accountable forms for a specific month and entity. It lists the beginning and ending balances of forms with and without face value, including serial number ranges. The accountable officer certifies that the reported receipts, issues, and balances are correct for the period. The summary is provided in less than 3 sentences as requested.

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Lovella Lazo
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139 views2 pages

Monthly Accountability Report for Forms

The document is a report of accountability for accountable forms for a specific month and entity. It lists the beginning and ending balances of forms with and without face value, including serial number ranges. The accountable officer certifies that the reported receipts, issues, and balances are correct for the period. The summary is provided in less than 3 sentences as requested.

Uploaded by

Lovella Lazo
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
  • Report of Accountability for Accountable Forms
  • Continuation Page

Appendix 67

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS


For the month of ______________________________, 20___

Entity Name : _______________________________________________ Fund Cluster : ______________________

Accountable Forms Beginning Balance Receipt Issue Ending Balance


Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
Name of Form Number Face Value Quantity Quantity Quantity Quantity
From To From To From To From To
A. WITH FACE VALUE
165

B. WITHOUT FACE VALUE

C E RTIFICATIO N

I hereby certify that the foregoing is a true statement of all accountable forms received,
issued and transferred by me during the period above-stated and that the beginning and ending balances are correct.

_________________________________________________
Signature over Printed Name of the Accountable Officer

165 Appendix 67 REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS For the month of ______________________________,
Signature over Printed Name of the Accountable Officer

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