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Appendix 67 RAAF

This document is a report template for accountability of accountable forms for a specified month and year. It includes sections for recording the entity name, fund cluster, and details of forms with face value and without face value, along with their balances. The report concludes with a certification statement by the accountable officer confirming the accuracy of the information provided.

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Rosette Diane Palacpac
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4 views2 pages

Appendix 67 RAAF

This document is a report template for accountability of accountable forms for a specified month and year. It includes sections for recording the entity name, fund cluster, and details of forms with face value and without face value, along with their balances. The report concludes with a certification statement by the accountable officer confirming the accuracy of the information provided.

Uploaded by

Rosette Diane Palacpac
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 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

CERTIFICATION

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

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