Appendix 67 -REPORT OF ACCOUNTABILITY FOR ACCOUNTABL FORMS - MDS-CFITF - NOVEMBER

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1														Appendix 67
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3	REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS
4	As of NOVEMBER 30, 2024
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7	Entity Name :	RO
8	ACCOUNT NAME & NO. : MDS CFITF-2370-9013-79
9	Accountable Forms			Beginning Balance			Receipt			Issue			Ending Balance
10	Name of Form	Number	Face Value	Quantity	Inclusive Serial Nos.		Quantity	Inclusive Serial Nos.		Quantity	Inclusive Serial Nos.		Quantity	Inclusive Serial Nos.
11	Name of Form	Number	Face Value	Quantity	From	To	Quantity	From	To	Quantity	From	To	Quantity	From	To
12	A. WITH FACE
13	VALUE
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18	B. WITHOUT
19	FACE VALUE	NO CHECKBOOKLET-DISBURSEMENT IS DONE THRU LBP E-MDS
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26	C E R T I F I C A T I O N
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28	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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32	LIEZEL D. BATALLA
33	ADMINISTRATIVE OFFICER V/CASHIER
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