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City of Belanga 2100 Bataan PHIUPPINES
CHECK DISBURSEMENT RECORD BPSU· CICT Proiect IAccount#
0515·026887·080\
Disbursement for Nov.
1.30,2014
M~RINA T.CLARA~~LL Cashier IV City of BalangaCampus Accountable Officer Official Deslgnatlon Station
Date Check
Name of Payee NCA Receivedl Checks BanklNCA
No Date Released Nature of Pavment DeDosit Made Issued Balance
Oct. 31, 2014 5,961.62
Nov. 3,2014
Service charae200.00
TOTAL
.
200.00 5,761.62CERTIFICATION ""7
I hereby certify that the foregoing Is a correct and complete record of all collections and deposits had b) Certified Correct:
as Cashier IV of BPSU during the period from Nov. 1-30, 2014
MARINA~VAU Dec. 1, 2014
Ca hierlV . Date
