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 Appendix 28
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Entity Name : ________________________Serial No. : _______________
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Fund Cluster : _______________________Date : __________________
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ORDER OF PAYMENT
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The Collecting Officer
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Cash/Treasury Unit
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 Please issue Official Receipt in favor of
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(Name of Payor)
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(Address/Office of Payor)
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in the amount of _____________________________________(P_____________)
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for payment of
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(Purpose)
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per Bill No. ________________ dated __________________.
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Please deposit the collections under Bank Account/s:
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No.Name of BankAmount
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P
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TotalP
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Signature over Printed Name Head of Accounting Division/Unit/Authorized Official
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