Appendix 22

FAR No. 3

AGING OF DUE AND DEMANDABLE OBLIGATIONS

As of December 31, _______
Department: _________________________________________________________
Entity Name:_________________________________________________________
Operating Units: _____________________________________________________
Organization Code (UACS): ___________________________________________
Funding Source Code (as clustered): ____________________________________
(e.g. Old Fund Code: 101,102, 151)

AGING OF DUE AND DEMANDABLE OBLIGATIONS

Obligation Request

Name of Creditor Remarks

90 days & 91 to 180 181 to 270 271 to 360 Beyond 360
Amount
below days days days days
Number Date Amount

1 2 3 4 5 6 7 8 9 10 11
71

TOTAL

Certified Correct by: Recommended by: Approved by:

__________________________ ____________________________ _____________________________

Agency Chief Accountant Director, PFMS Head of Agency or
Authorized Representative
Date: _________________ Date: _________________ Date: _________________

Certified Correct by:

__________________________
Agency Budget Officer
Date: _________________