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SHF Budget Accountability Form No. 2
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Republic of the Philippines
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Provincial Government of Mountain Province
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SPECIAL HEALTH FUND
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REPORT OF UTILIZATION
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 For the Quarter Ended December 31, 2022
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PROVINCIAL HEALTH BOARD of MOUNTAIN PROVINCE
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Receipts for the SHF
₱106,339,925.13
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Less:
DISBURSEMENTS (broken down by source of
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fund, expense class and by object of expenditures)
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Source of Fund
Financial Grants and Subsidires From NGAs
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(Principal PHB share)
DOH - CHD CAR, Fixed Tranche and Top-Up Fixed Tranche
 22,992,750.24
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Office of the President - Financial Assistance to Bontoc General Hospital
 3,104,254.59
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Sub-total
 26,097,004.83
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Balance₱80,242,920.30
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Prepared By:
Certified Correct:
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RUTH G. TUKAKI
THEODORE B. MARRERO
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Accountant IV
Provincial Accountant
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APPROVED BY:
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 BONIFACIO C. LACWASAN, JR.
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Provincial Governor
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CC: Provincial Health Office - Mountain Province
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Commission on Audit - Mountain Province -Team I
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