Appendix 27
CASH RECEIPTS REGISTER
Entity Name : ___________________________________________ Name of Collecting Officer/Cashier : ______________________
Sub-Office/District/Division : ______________________________ Fund Cluster : _________________________________________
Municipality/City/Province : ______________________________ Sheet No. : ___________________________________________
Date : ________________________________________________
Official Receipt/ Cash - Collecting Officer BREAKDOWN OF RECEIPTS
Deposit Slip (10101010)
OTHERS
Clearance Fines and
Payor Deposits Registration and Penalties -
Receipts Permit Fees UACS
Balance Fess Certification Service Amount
Date Number National Fees Income Account Description Object
AGDB
Treasury Code
(+) (-) (-) (=) (40201010) (40201020) (40201040) (40201140)
81
TOTALS 0 0 0 0 0 0 0 0
CERTIFIED CORRECT:
Signature over Printed Name of Collecting
Officer/Cashier
___________________
Date