Appendix 3

CASH DISBURSEMENTS JOURNAL

Month _________________

Entity Name : ___________________________

Fund Cluster : __________________________ Sheet No. : __________

CREDIT DEBIT

Advances Advances to SUNDRY SUNDRY

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