Appendix 14

Department of ____________

Statement of Cash Flows

Fiscal Year Ended December ____ , 20 ___

Cash Flow from Operating Activities:

Cash Inflows:
Receipt of Notice of Cash Allocation (NCA)
Collection of Income/Revenues
Collection of Receivables
Receipt of refunds of cash advances and overpayments of expenses
Receipt from sale of goods and other inventories
Receipt of inter-agency cash transfers
Cash receipt of grants and donations
Receipt of cash dividends
Receipt of refund of guaranty deposits
Total Cash Inflows

xxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx

Cash Outflows:
Cash payment of operating expenses
Cash payment of payables incurred in operations
Cash purchase of inventories
Granting of cash advances/petty cash fund
Remittance of withholding taxes except thru Tax Remittance Advice
Remittance of GSIS/PAG-IBIG/PHILHEALTH Payable
Refund of Performance/Bidders/Bail Bonds Payable
Release of funds as inter-agency cash transfers
Reversion of Unused NCA
Total Cash Outflows
Cash Provided by Operating Activities

(xxx)
(xxx)
(xxx)
(xxx)
(xxx)
(xxx)
(xxx)
(xxx)
(xxx)
(xxx)
xxx

114

Cash Flow from Investing Activities:

Cash Inflows:
Receipt of proceeds from sale of propertyt, plant and equipment
Proceeds from sale of marketable stocks and bonds
Redemption of long term investments or repayment
of long term-loans by GOCC / GFI
Total Cash Inflows

xxx
xxx
xxx
xxx

Cash Outflows:
Cash Purchase of Property, Plant and Equipment
Investment in Stocks / Bonds
Investment in GOCC/ GFI
Other Long Term Investments
Total Cash Outflows

(xxx)
(xxx)
(xxx)
(xxx)
(xxx)

Cash Provided by Investing Activities

xxx

Cash Flow from Financing Activities:

Cash Inflows:
Cash received from domestic and foreign loans
Total Cash Inflows

xxx
xxx

Cash Outflows:
Payment of Domestic and Foreign Loans
Payment of cash dividend
Total Cash Outflows

(xxx)
(xxx)
(xxx)

Cash Provided by Financing Activities

xxx

Total Cash provided by Operating, Investing and Financing Activities

xxx

Add: Cash Balance, Beginning January 1, 20___

xxx

Cash Balance, Ending December 31, 20__

xxx

115