Prescribed Barangay Forms

MATRIX OF REPORTS
Appendix
No.
1
2
8
Title of Forms (Frequency)

Daily
Summary of Collections and
Deposits
Summary of Collections and
Remittances - BT
Summary of Checks Issued
As needed
Summary of Cash Payments
Perpetual
Registry of Appro. And
Commitments - PS
Prepared
by
No. of
Copies
MA
BT
BT
BT
BT
BT
CCA/BRK
3a

Commitments - MOOE
CCA/BRK
3b

Commitments - FE
CCA/BRK
3c

Commitments - CO
CCA/BRK

Commitments - Calamity Fund
CCA/BRK

Commitments - Calamity Fund
CCA/BRK

Commitments - 20%
Development Fund
CCA/BRK
CCA/BRK
BT/BRK
BT/BRK
7
11
13

Commitments - GAD
Supplies Logbook
Property, Plant and Equipments
Register
1
1
MATRIX OF REPORTS
BRK
OTHERS
1
1
MT
Support the
Liquidation of Cash
Advance
CCA
CCA
CCA
CCA
CCA
CCA
CCA
CCA
SUMMARY OF COLLECTIONS AND DEPOSITS

For the Month of _____________________________
Barangay: ___________________________________________________
Municipality: _______________________________
Barangay Treasurer: __________________________________________
Province: __________________________________
BARANGAY
Date
(2012)
OR/VDS/SCR No.
Certification:
Payor/Bank
Particulars
Collections
Deposits
(In)
(Out)
Balance
Acknowledgement:
I hereby certify that the foregoing is the complete and correct records of all my collections and deposits from
____________ to ________________. The duplicate copies of the OR's issued, SCRs and the originals of the VDSs are
hereto attached.
___________________________________
Barangay Treasurer
Date
I hereby acknowledge receipt of the cer

duplicate copies of the OR's issued, SCRs and
Barangay Record Keeper
Appendix 1
____
SCD No.: _______________________
___
Page: _____________________________
AS DEPUTIZED BY MUNICIPALITY
Collections
Deposits
(In)
(Out)
Balance
owledge receipt of the certified SCD complete with the

the OR's issued, SCRs and VDSs covering deposits as reported.
Record Keeper
Date
SUMMARY OF COLLECTIONS AND REMITTANCES - BT

For the Month of _____________________________
Barangay: _________________________
Municipality: _________________
Barangay Treasurer: ________________
Province: ____________________
Date
(2012)
Nature of Collections
OR No.
Payor
CTC - Indv.
Certification:
I hereby certify that the foregoing is the complete and correct records
of all my collections and deposits for ________________ The duplicate copies
of the OR's and remittance of P ________________ are hereto attached.
________________________
Barangay Treasurer
__________________
Date
Appendix 2
TANCES - BT
________
_______
SCR No.: ___________
_______
Page: ______________
of Collections
OTHERS
AMOUNT
Acknowledgement:
I hereby acknowledge receipt of the
cerified SCR complete with the duplicate
copies of the OR's and remittances of ______
________________________________ Pesos.
____________________
Municipal Treasurer
_____________
Date
REGISTRY OF APPROPRIATIONS AND COMMITMENTS

PERSONAL SERVICES
For the Year ____________________________
Barangay: ___________________________________________________
Municipality: __________________________
Tel. No.: ____________________________________________________
Province: _____________________________
Date
(2012)
PREPARED BY:
Particulars
Ref.
APPRORIATIONS
BREAKDOWN
HONORARIA
CASH GIFT
CERTIFIED CORRECT:
Date
Chairman, Committee on Appro.
Appendix 3
_________________________
_________________________
COMMITMENTS
BALANCE
Date

MAINTENANCE AND OTHER OPERATING EXPENSES
For the Year ____________________________
Barangay: ___________________________________________________
Tel. No.: ____________________________________________________
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
TRAVELLING EXPENSES
OFFICE SUPPLIES
CERTIFIED CORRECT:
Date
Appendix 3a
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date

FINANCIAL EXPENSES
For the Year ____________________________
Barangay: ___________________________________________________
Tel. No.: ____________________________________________________
Date
(2012)
PREPARED BY:
Particulars
Ref.
APPRORIATIONS
BREAKDOWN
BANK CHARGES
DOC. STAMP
CERTIFIED CORRECT:
Date
Appendix 3B
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date

CAPITAL OUTLAY
For the Year ____________________________
Barangay: ___________________________________________________
Tel. No.: ____________________________________________________
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
OFFICE EQUIPMENT
OTHER STRUCTURES
CERTIFIED CORRECT:
Date
Appendix 3C
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date

CALAMITY FUND
For the Year ____________________________
Barangay: ___________________________________________________
Tel. No.: ____________________________________________________
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
CERTIFIED CORRECT:
Date
Appendix 4
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date

20% DEVELOPMENT FUND
For the Year ____________________________
Barangay: ___________________________________________________
Tel. No.: ____________________________________________________
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
CERTIFIED CORRECT:
Date
Appendix 5
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date

SK FUND
For the Year ____________________________
Barangay: ___________________________________________________
Tel. No.: ____________________________________________________
Date
(2012)
PREPARED BY:
BREAKDOWN
Particulars
Ref.
APPRORIATIONS
CERTIFIED CORRECT:
Date
Appendix 6
Municipality: _______________________________
Province: __________________________________
COMMITMENTS
BALANCE
ommittee on Appro.
Date
SUMMARY OF CHECKS ISSUED

For the Month of _____________________________
Barangay: ___________________________________
Municipality: _____________________
Barangay Treasurer: __________________________
Province: ________________________
Date
(2012)
Check No.
DV No.
FUND
Payee
PARTICULARS
GROSS AMOUNT
Certification:
Acknowledgement:
I hereby certify that the foregoing is the complete and correct records of all checks issued
from _____________________. The carbon copies of the checks issued and originals of all paid DVs/
I hereby acknowledge receipt of the certi

complete with carbon copies of all checks issued a
payrolls are hereto attached.

______________________________
Barangay Treasurer
of all paid DVs/ayrolls and supporting documents.
Date
_______________________________
Appendix 8
CkDReg. No.: _______________________

Page: _____________________________
DEDUCTIONS
NET AMOUNT
y acknowledge receipt of the certified SCkl

rbon copies of all checks issued and originals
yrolls and supporting documents.
__________________________
arangay Record Keeper
_______________
Date
SUMMARY OF CASH PAYMENTS

For the Month of _____________________________
Barangay: _________________________
Municipality: _________________
Barangay Treasurer: ________________
Province: ____________________
Date
DV/Payroll No.
(2012)
Payee
PARTICULARS
GROSS AMOUNT
Certification:
Acknowledgement:
I hereby certify that the foregoing is the complete and correct

records of all cash payments for the period ________________.
The originals of all paid DVs/payrolls and supporting documents
are hereto attached.
I hereby acknowledge rece

complete with the originals of al
supporting documents.
________________________
Barangay Treasurer
_______________
Date
_________________________
Appendix 9
SCP No.: _________

Page: ____________
DEDUCTIONS
NET AMOUNT
ent:
knowledge receipt of the certified SCP

e originals of all paid DVs/payrolls and
ments.
_______________
Record Keeper
_______________
Date
SUPPLIES LOGBOOK
Date
(2012)
Issuance
Ref.
Description
Qty. Received
Qty
Appendix 11
suance
Received by
BALANCE
PROPERTY, PLANT AND EQUIPMENT REGISTER

As of ____________________________
Barangay: ___________________________________________________
Municipality: _____________________________
Tel. No.: ____________________________________________________
Province: ________________________________
Date
(2012)
Particulars
Qty.
Ref.
LAND
OFFICE BLDG.
OFFICE
EQUIPMENTS
FURNITURE AND
FIXTURES
Appendix 13
Page: ___________________
MOTOR VEHICLES
Location/Accountable
Officer

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MATRIX OF REPORTS

Title of Forms (Frequency)

Registry of Appro. And

Registry of Appro. And

Registry of Appro. And

Registry of Appro. And

Registry of Appro. And

Registry of Appro. And

Registry of Appro. And

SUMMARY OF COLLECTIONS AND DEPOSITS

Barangay Treasurer: __________________________________________

I hereby acknowledge receipt of the cer

Barangay Record Keeper

SCD No.: _______________________

owledge receipt of the certified SCD complete with the

SUMMARY OF COLLECTIONS AND REMITTANCES - BT

Barangay Treasurer: ________________

SCR No.: ___________

REGISTRY OF APPROPRIATIONS AND COMMITMENTS

Tel. No.: ____________________________________________________

Barangay Record Keeper

Chairman, Committee on Appro.

REGISTRY OF APPROPRIATIONS AND COMMITMENTS

Barangay Record Keeper

Chairman, Committee on Appro.

REGISTRY OF APPROPRIATIONS AND COMMITMENTS

Barangay Record Keeper

Chairman, Committee on Appro.

REGISTRY OF APPROPRIATIONS AND COMMITMENTS

Barangay Record Keeper

Chairman, Committee on Appro.

REGISTRY OF APPROPRIATIONS AND COMMITMENTS

Barangay Record Keeper

Chairman, Committee on Appro.

REGISTRY OF APPROPRIATIONS AND COMMITMENTS

Barangay Record Keeper

Chairman, Committee on Appro.

REGISTRY OF APPROPRIATIONS AND COMMITMENTS

Barangay Record Keeper

Chairman, Committee on Appro.

SUMMARY OF CHECKS ISSUED

Barangay Treasurer: __________________________

I hereby acknowledge receipt of the certi

payrolls are hereto attached.

of all paid DVs/ayrolls and supporting documents.

CkDReg. No.: _______________________

y acknowledge receipt of the certified SCkl

yrolls and supporting documents.

SUMMARY OF CASH PAYMENTS

Barangay Treasurer: ________________

I hereby certify that the foregoing is the complete and correct

I hereby acknowledge rece

SCP No.: _________

knowledge receipt of the certified SCP

PROPERTY, PLANT AND EQUIPMENT REGISTER

Tel. No.: ____________________________________________________

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