Appendix 23 - MRD - FAR 4.xls

	A	B	C	E	F	G	H	I	J	K	L	M	N	O	P	Q	R	S	T	U	V	W	X	Y	Z	AA	AB	AC	AD	AE	AF
1	73																													Appendix 23
2																														FAR No. 4
3		MONTHLY REPORT OF DISBURSEMENTS
4		For the month of ______, 20___
5		Department: _______________________________________________
6		Entity Name: ______________________________________________
7		Operating Unit: ____________________________________________
8		Organization Code (UACS): __________________________________
9		Funding Source Code (as clustered): ___________________________
10				(e.g. Old Fund Code: 101,102, 151)
11
12		PARTICULARS			CURRENT YEAR BUDGET					PRIOR YEAR'S BUDGET											SUB-TOTAL	TRUST LIABILITIES				GRAND TOTAL					Remarks
13					PS	MOOE	Fin. Exp	CO	TOTAL	PRIOR YEAR'S ACCOUNTS PAYABLE					CURRENT YEAR'S ACCOUNTS PAYABLE					TOTAL		PS	MOOE	CO	TOTAL	PS	MOOE	Fin. Exp	CO	TOTAL
14					PS	MOOE	Fin. Exp	CO	TOTAL	PS	MOOE	Fin. Exp	CO	Sub-Total	PS	MOOE	Fin. Exp	CO	Sub-Total	TOTAL		PS	MOOE	CO	TOTAL	PS	MOOE	Fin. Exp	CO	TOTAL
15		1			2	3	4	5	6= (2+ 3+4+5)	7	8	9	10	11= (7+ 8+9+10)	12	13	14	15	16= (12+ 13+14+15)	17=(11+16)	18=(6+17)	19	20	21	22=(19+20+21)	23	24	25	26	27=(23+24+25+26)	28
16		Notice of Cash Allocation (NCA)																													e.g. Reasons
17		MDS Checks Issued																													for over or
18		Advice to Debit Account																													under spending
19		Working Fund (NCA issued to BTr)																													and the catch-up
20		Tax Remittance Advices Issued (TRA)																													plan
21		Cash Disbursement Ceiling (CDC)
22		Non-Cash Availment Authority (NCAA)
23		Others (CDT, BTr Docs Stamp, etc.)
24			TOTAL
25		FEBRUARY
26		Notice of Cash Allocation
27		MDS Checks Issued
28		Advice to Debit Account
29		Tax Remittance Advices Issued
30		Cash Disbursement Ceiling
31		Non-Cash Availment Authority
32		Others (CDT, Docs Stamp, etc.)
33			TOTAL
34		MARCH
35		Notice of Cash Allocation
36		MDS Checks Issued
37		Advice to Debit Account
38		Tax Remittance Advices Issued
39		Cash Disbursement Ceiling
40		Non-Cash Availment Authority
41		Others (CDT, Docs Stamp, etc.)
42			TOTAL
43		1ST QUARTER
44		Notice of Cash Allocation
45		MDS Checks Issued
46		Advice to Debit Account
47		Tax Remittance Advices Issued
48		Cash Disbursement Ceiling
49		Non-Cash Availment Authority
50		Others (CDT, Docs Stamp, etc.)
51
52		GRAND TOTAL
53
54			SUMMARY:
55						Previous Report (Feb)			This month (March)				As of Date									Previous Report (Feb)			This month (March)			As of Date
56			Total Disbursement Authorities Received																Total Disbursements Program
57			NCA																Less: * Actual Disbursements
58			Working Fund																(Over)/Under spending
59			TRA
60			CDC
61			NCAA
62			Others (CDT, BTr Docs Stamp, etc.)
63			Less: Notice of Transfer Allocations (NTA)* issued
64			Total Disbursements Authorities Available
65		Less: Lapsed NCA
66		Disbursements *
67		Balance of Disbursements Authorities as of to date
68
69		Notes: The use of NTA is discouraged
70		* Amounts should tally
71					Certified Correct:														Approved By:
72
73					Agency Chief Accountant														Head of Agency or Authorized Representative
74					Date: ____________________________														Date: ____________________________
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