Republic of the Philippines

Province/City/Municipality
Philippine Rural Development Program
Farm to Market Road

Statement of Sources and Application of Funds (SSAF)

For the year Ended December 31, 2013

Loan Proceeds GOP Counterpart

Financing Mix 80.00% 10.00%

Beginning balance, January 1, 2013 - -

ADD: Receipts
January 1,440,000.00 180,000.00
February
March 2,496,000.00
April
May 2,184,000.00
June
July
August
September
October
November
December

Total Receipts 6,120,000.00 180,000.00

Total Funds Available 6,120,000.00 180,000.00

LESS: Expenditures
January
February
March
April
May
June
July
August
September
October
November
December

Total Expenditures - -

Ending balance, December 31, 2013 6,120,000.00 180,000.00

Cumulative Summary:
Total Receipts
Total Disbursements:
Balance - -

Certified Correct: Noted by:

Provincial/City/Municipal Accountant Provincial/City/Municipal Treasurer

Approved by: Verfied and Found Correct

Governor/City Mayor/Municipal Mayor COA Audit Team Leader
 ANNEX "G"
ilippines

gram

Funds (SSAF)
013

LGU Equity Total

10.00% 100.00%

- -

1,200,000.00 2,820,000.00
-
2,496,000.00
-
2,184,000.00
-
-
-
-
-
-
-

1,200,000.00 7,500,000.00

1,200,000.00 7,500,000.00
 -
-
-
-
-
-
-
-
-
-
-
-

- -

1,200,000.00 7,500,000.00

- -

y/Municipal Treasurer

d Found Correct
OA Audit Team Leader