ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
 Appendix 42
2
3
4
LIST OF DUE AND DEMANDABLE ACCOUNTS PAYABLE - ADVICE TO DEBIT ACCOUNTS (LDDAP-ADA)
5
6
7
8
Department : ___________________________LDDAP-ADA No. ________________
9
Entity Name : ___________________________Date : __________________________
10
Operating Unit : _________________________Fund Cluster : ___________________
11
12
MDS-GSB BRANCH/MDS SUB ACCOUNT NO.: _____________________________
13
14
I. LIST OF DUE AND DEMANDABLE ACCOUNTS PAYABLE (LDDAP)
15
CREDITORObligation Request and Status No.ALLOTMENT CLASS per (UACS)In PesosREMARKS
16
NAMEPREFERRED SERVICING BANKS/SAVINGS/CURRENT ACCOUNT NO.GROSS AMOUNTWITHHOLDING TAXNET AMOUNT
17
18
I. Current Year A/PsFOR MDS-GSB USE ONLY
19
20
21
22
23
24
 Sub-total
25
26
II. Prior Year's A/Ps
27
28
29
30
31
32
33
 Sub-total
34
 TOTALP______P _____P ______-
35
36
 I hereby warrant that the above List of Due and Demandable A/Ps was prepared in accordance with existing budgeting, accounting and auditing rules and regulations. I hereby assume full responsibility for the veracity and accuracy of the listed claims, and the authencity of the supporting documents as submitted by the claimants.
37
38
Certified Correct:
Approved:
39
40
(Signature over Printed Name)
Head of Accounting Division/Unit		(Signature over Printed Name)
Head of Agency or Authorized Official
41
II. ADVICE TO DEBIT ACCOUNT (ADA)
42
To: MDS-GSB of the Agency
43
Please debit MDS Sub-Account Number : ________________________________
44
Please credit the accounts of the above listed creditors to cover payment of accounts payable
45
46
TOTAL AMOUNT :
P
47
(In Words)
48
49
Agency Authorized Signatories
50
1. 2.
51
52
(Erasures shall invalidate this document)
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100