Appendix 3

CASH DISBURSEMENTS JOURNAL

Month _________________

Entity Name : ___________________________

Fund Cluster : __________________________ Sheet No. : __________

CREDIT DEBIT

Advances to SUNDRY SUNDRY

Name of Advances for Fuel, Oil and
RCDisb Advances for Special Office Supplies Transportation and
DATE JEV No. Disbursing Operating Lubricants Water Expenses
No. Payroll Disbursing UACS Expenses Delivery Expenses
Officer Expenses Expenses (50204010) UACS Object
(19901020) Officer Account Title Object P Amount (50203010) (50299040) Account Title P Amount
(19901010) (50203090) Code
(19901030) Code
5

AO 5-14-02
Recapitulation:
Amount
Account Code P
Debit Credit

Total

Certified Correct:

(Signature over Printed Name)

Chief Accountant/Head of Accounting Division/Unit