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FAR No. 4
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MONTHLY REPORT OF DISBURSEMENTS
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For the Month of SEPTEMBER 2016
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Department
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DEPARTMENT OF HEALTH
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Agency
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TONDO MEDICAL CENTER
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Operating Unit
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Organization Code (UACS)
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13-001-14-00005
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Funding Source Code (as clustered): _______________________
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(e.g. Old Fund Code: 101,102, 151)
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PARTICULARSCURRENT YEAR BUDGETPRIOR YEAR'S BUDGETSUB-TOTALTRUST LIABILITIESGRAND TOTALRemarks
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PSMOOEFin. ExpCOTOTALPRIOR YEAR'S ACCOUNTS PAYABLECURRENT YEAR'S ACCOUNTS PAYABLETOTALPSMOOECOTOTALPSMOOEFin. ExpCOTOTAL
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PSMOOEFin. ExpCOSub-TotalPSMOOEFin. ExpCOSub-Total
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12345 6= (2+ 3+4+5)7891011= (7+ 8+9+10)1213141516= (12+ 13+14+15)
17=(11+16)
18=(6+17)19202122=(19+20+21)2324252627=(23+24+25+26)28
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Notice of Cash Allocation (NCA)
e.g. Reasons
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MDS Checks Issued
#REF!#REF! - - #REF!#REF!#REF! - #REF!#REF! - #REF! - #REF!#REF!#REF!#REF! - #REF! - #REF!#REF!#REF! - #REF!#REF! -
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Advice to Debit Account
#REF!#REF! - #REF!#REF!#REF!#REF! - #REF!#REF! - #REF! - #REF!#REF!#REF!#REF! - #REF! - #REF!#REF!#REF! - #REF!#REF! -
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Working Fund (NCA issued to BTr)
 - - - - - - - - - - - and the catch-up
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Tax Remittance Advices Issued (TRA)
 3,479,162.72 24,042.54 - - 3,503,205.26 - 47.85 - - 47.85 - 11,756.05 - - 11,756.05 11,803.90 3,515,009.16 - - - - 3,479,162.72 35,846.44 - - 3,515,009.16 -
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Cash Disbursement Ceiling (CDC)
 - - - - - - - - - - -
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Non-Cash Availment Authority (NCAA)
 - - - - - - - - - - -
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Others (CDT, BTr Docs Stamp, etc.)
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TOTAL #REF!#REF! - #REF!#REF!#REF!#REF! - #REF!#REF! - #REF! - #REF!#REF!#REF!#REF! - #REF! - #REF!#REF!#REF! - #REF!#REF!
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SUMMARY:
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Previous Report This month As of DatePrevious Report This month As of Date
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Total Disbursement Authorities Received
 Total Disbursements Program 244,559,000.00 19,850,000.00 264,409,000.00
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NCA 300,832,730.00 19,855,619.00 320,688,349.00
Less: * Actual Disbursements
254,697,573.45 #REF!#REF!
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NTCA - - .
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Working Fund - - (Over)/Under spending (4,280,729.17)#REF!#REF!
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TRA 22,615,721.41 3,515,009.16 26,130,730.57
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CDC - -
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NCAA - -
Actual Disbursements Breakdown:
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Others (CDT, BTr Docs Stamp, etc.)
 - -
MDS Regular
#REF!
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Less: Notice of Transfer Allocations (NTA)* issued
- - MDS Special #REF!
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Total Disbursements Authorities Available
323,448,451.41 23,370,628.16 346,819,079.57 MDS Trust #REF!
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Less: Lapsed NCA 14,596,876.89 32,570,854.64 47,167,731.53 TRA 3,515,009.16
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Disbursements * 254,697,573.45 #REF!#REF! TOTAL #REF!
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Balance of Disbursements Authorities as of to date
 54,154,001.07 #REF!#REF!
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* Disbursement Program is based on MDS Regular MDP
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Notes: The use of NTA is discouraged
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 * Amounts should tally
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Certified Correct:Noted By:Approved:
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 ZONDA RHEA C. APANAY, CPA, MPA MARILYN B. MEDINA, CPA MARIA ISABELITA M. ESTRELLA, MD, MHA, FPOGS
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 Accountant IV Financial Management Officer II Medical Center Chief II
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 Date: October 4, 2016 Date: October 4, 2016 Date: October 4, 2016
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FAR No. 4
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INSTRUCTIONS
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1. The Monthly Report of Disbursements (MRD) shall be:
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a.) Prepared indicating all authorized disbursements of the agency/OU by type and by allotment class, showing the totals by disbursement authority issued.
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b.) Certified Correct by the Chief Accountant/Head of Accounting Unit and approved by Head of Agency/Authorized Representative.
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c.) Submitted to the Department of Budget and Management (DBM) and COA - Government Accountancy Sector (GAS).
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In submitting their reports to DBM, agencies and OUs under the coverage of DBM Central Office shall submit their reports directly to the Budget and Management Bureau (BMB) concerned. In the case however of DepEd, DOH, DPWH, TESDA, SUCs, CHED, their ROs and lowest OUs shall
submit their reports directly to the DBM RO concerned. It is understood that the lowest operating unit shall likewise submit the reports to their next higher level unit for consolidation and transmittal to their Central Office (CO). The CO of these departments/agencies shall submit the consolidated department/agency report to the DBM - BMB concerned.
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d.) Due for submission to DBM and COA on or before the 30th day of the following month covered by the report.
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2.
Columns 1 to 28 shall reflect the following information:
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Column 1 - type of disbursement authorities used during the month covered by the report.
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- Disbursements against the Notice of Cash Allocations/Notice of Transfer of Allocations made through MDS Checks or Advices to Debit Account;
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- Working Fund for NCA's issued to the Bureau of the Treasury (BTr);
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- Tax Remittance Advices for remittance of taxes withheld;
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- Cash Disbursement Ceiling for authorized disbursements charged against income collected and retained by the foreign service posts of DFA and DOLE;
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- Non-Cash Availment Authority for cost of goods and services paid directly by lending institutions to creditors of the agency implementing a foreign-assisted project; and
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- Others for Custom Duties and Taxes, BTr Documentary Stamp Tax, etc.
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Columns 2 to 6 - total disbursements made for obligations/expenditures incurred and charged against the current year budget i.e., allotments received during the year chargeable against the current year GAA
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Columns 7 to 17 - total disbursements made for prior years' budget
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Column 18 - sub-total of Columns 6 & 17 i.e., all disbursements for regular operating requirements.
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Columns 19 to 22 - total disbursements made for trust liabilities covered by E.O. 338 / DOF-DBM Joint Circular No. 1-97.
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Columns 23-27 - grand total, i.e., Columns 6, 17 & 22 for all types of disbursements by allotment class during the month covered by the report.
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Column 28 - any additional information relevant to this report.
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3.Summary of Total Disbursement Authority received and actual disbursements shall be indicated. List of disbursements authorities shall be presented on a separate sheet by Disbursement Authorities received indicating the number, date and amount.
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4.
Likewise, the over or under spending shall be determined by deducting the actual disbursements from the disbursements program. The reasons for over or under spending and the catch-up plan shall be stated in the remarks.
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