Appendix-67-RAAF.xls

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1	165														Appendix 67
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4		REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS
5		For the month of ______________________________, 20___
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8		Entity Name : _______________________________________________												Fund Cluster : ______________________
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10		Accountable Forms			Beginning Balance			Receipt			Issue			Ending Balance
11		Name of Form	Number	Face Value	Quantity	Inclusive Serial Nos.		Quantity	Inclusive Serial Nos.		Quantity	Inclusive Serial Nos.		Quantity	Inclusive Serial Nos.
12		Name of Form	Number	Face Value	Quantity	From	To	Quantity	From	To	Quantity	From	To	Quantity	From	To
13		A. WITH FACE VALUE
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29		B. WITHOUT FACE VALUE
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47		C E R T I F I C A T I O N
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49		I hereby certify that the foregoing is a true statement of all accountable forms received, issued and transferred by me during the period above-stated and that the beginning and ending balances are correct.
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53		Signature over Printed Name of the Accountable Officer
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