Accountable Forms

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REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS

Accountable Officer: _________________________________


Name of Form & No.

Beginning Balance
Inclusive Serial Nos.
Qty.
From
To

Municipality of M'lang
Month of ________________, 20__
Designation: ________________________

Qty.

Receipt
Inclusive Serial Nos.
From
To

Qty.

Issued
Inclusive Serial Nos.
From
To

CERTIFICATION:
I hereby certify that the foregoing is a true statement of all accountable forms received, issued and transferred by m
during the period above sated and the correctness of the beginning balances.

Name and Signature of the Accountable Officer

Date

MS

Report No.: _______

Qty.

Ending Balance
Inclusive Serial Nos.
From
To

d transferred by me

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