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7Appendix 4
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CHECK DISBURSEMENTS JOURNAL
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Month __________________
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Entity Name : _____________________________________
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Fund Cluster : ____________________________________
Sheet No. : ______________________
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DATEJEV No.RCI/DV No.Serial No. of Checks Name of Disbursing OfficerCREDITDEBIT
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SUNDRYSUNDRY
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FromToUACS Object CodePAmountUACS Object CodePAmount
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Totals
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Recapitulation:
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Account CodePAmount
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DebitCredit
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Total
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Certified Correct:
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(Signature over Printed Name)
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Chief Accountant/Head of the Accounting Division/Unit
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