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Debit Account Advice Report Template

This document appears to be a report listing Advice to Debit Account (ADA) transactions issued within a certain period. It includes details of the transactions such as the date, serial number, responsibility center code, payee, object code, nature of payment, and amount. The disbursing officer or cashier certifies that the listed ADAs were actually issued by them in the stated amounts during the reported period.

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Kelvin Caldino
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295 views2 pages

Debit Account Advice Report Template

This document appears to be a report listing Advice to Debit Account (ADA) transactions issued within a certain period. It includes details of the transactions such as the date, serial number, responsibility center code, payee, object code, nature of payment, and amount. The disbursing officer or cashier certifies that the listed ADAs were actually issued by them in the stated amounts during the reported period.

Uploaded by

Kelvin Caldino
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
  • Report of Advice to Debit Account Issued

Appendix 13

REPORT OF ADVICE TO DEBIT ACCOUNT ISSUED


Period Covered: ________________
Entity Name : ____________________________________________
Fund Cluster : ___________________________________________ Report No.: ____________________________
Bank Name/Account No. : __________________________________ Sheet No.: ____________________________

ADA
Responsibility Center
DV/Payroll No. ORS/BURS No. Payee UACS Object Code Nature of Payment Amount
Code
Date Serial No.
46

CERTIFICATION

I hereby certify on my official oath that the above is a true statement of all ADAs issued by me during
the period stated above for which ADA Nos. ____________ to ___________ inclusive, were actually issued by me in the amounts shown thereon.

______________________________________________
Name and Signature of Disbursing Officer/Cashier
________________________________ ________________________
Official Designation Date

46 Appendix 13 REPORT OF ADVICE TO DEBIT ACCOUNT ISSUED Period Covered: ________________ Entity Name : _____________________
________________________________ ________________________ Official Designation Date

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