Appendix 35 RCI
Appendix 35 RCI
Appendix 35 RCI
CASH JOURNAL
Month ______________________
Agency _________________
Fund _________________ Sheet No. ______________
C O L L E C T I O N S R E M I T T A N C E
Credit Debit
Date RCD No. JEV No. Name of Collecting Debit SUNDRY SUNDRY Credit
AO 5-14-02
Appendix ______
CREDIT DEBIT
SUNDRY SUNDRY
DATE JEV No. RD No. Name of Disbursing Officer
AO 5-14-02
Appendix ______
Agency
Fund Sheet No.
Received
CERTIFICATION
I hereby certify that the foregoing is a correct and complete record of all checks
issued by me in my capacity as ____________________ of ___________________________
______________ during the period from _______________ to _______________, inclusives,
as indicated in the corresponding columns.
___________________________
Name and Signature
________________
Date
For Accountable Officers' Use
Appendix 35
Name of School
Entity Name : ____________________________________________
Year-Month
Fund Cluster : 01- REGULAR Report No.: __________
Account Number 08-001
Bank Name/Account No. : LBP / Sheet No.: ___________
1 of 1
Check Responsibility UACS Object happe
DV/Payroll No. ORS/BURS No. Payee Nature of Payment Amount
Date Serial No. Center Code Code
100002000
98
TOTAL
C E R T I F I CAT I O N
I hereby certify on my official oath that this Report of Checks Issued in _________ sheet(s) is a full, true and correct
statement of all checks issued by me during the period stated above for which Check Nos. ___________ to _____________ inclusive,
were actually issued by me in payment for obligations shown in the attached disbursement vouchers/payroll.
____________________________________________
Name and Signature of Disbursing Officer/Cashier
_____________________________ ______________
Official Designation Date