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ADA Issuance Report for Salary Slip

This document is a report of authority to debit accounts issued by a local government unit covering a certain period. It lists payees, the nature of payments, and amounts. The local treasurer certifies that the report is a true statement of all accounts debit authority numbers issued during the period.

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33 views2 pages

ADA Issuance Report for Salary Slip

This document is a report of authority to debit accounts issued by a local government unit covering a certain period. It lists payees, the nature of payments, and amounts. The local treasurer certifies that the report is a true statement of all accounts debit authority numbers issued during the period.

Uploaded by

hehehedontmind me
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

Appendix 37

REPORT OF AUTHORITY TO DEBIT ACCOUNT ISSUED


Period Covered: ________________

LGU : _____________________________
Fund : ____________________________ Report No.: ___________________________
Bank Name/Account No. : ____________ Sheet No.: ____________________________
ADA DV/Payroll CAFOA
Payee Nature of Payment Amount
Date Serial No. No. No

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 Local Treasurer
___________
Date

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