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