(DOWN LOADED-INFRASTRUCTURE PROJECTS)

Republic of the Philippines

PROVINCE OF CEBU
City/Municipality of SAN REMIGIO
Office of the Barangay Captain
Name of Project: _____________________________________
Project Location:______________________________________
Total Project Cost:_____________________________________
Amount of Funds Received:______________________________
Date Granted Purpose Amount Funding Source

FUND UTILIZATION REPORT

As of _______________________________
Date Voucher Number Particulars Utilization Balance Remarks

Certified Correct: Approved by: OK As to recording in the brgy. Books of account only:

ELVERA S. LOON EVELIA C. AMOROTO GERALDINE B. BOBARES

Barangay Treasurer Barangay Captain City/Mun. Accountant/Brgy. Bookkeeper

NOTE:

1. Supporting documents:
a. Photocopy of Disbursement w/complete supporting documents.e. Copy of MOA(for Infra projects e. Copy of MOA(for Infra Projects)
b. Photocopy of Payroll for wages of labor(if applicable)f. Photocopy of Official Receipts by the sourced agency f. Photocopy of Official Receipts by the sourced agency
c. Photocopy of official receipt/acknowledgement receipt by the supplier. Evidencing returned of unexpected balance evidencing returned of unexpected balance
d. Copy of O.R. issued by the implementing agency acknowledging g. Pictures of completed project/activity g. Picture of completed project/activity
receipt of fund transferred
(DOWN LOADED-INFRASTRUCTURE PROJECTS)

Republic of the Philippines

PROVINCE OF CEBU
City/Municipality of SAN REMIGIO
Office of the Barangay Captain

Name of Project:

Project Location:

Total Project Cost:

Amount of Funds Received:

(DOWN LOADED-INFRASTRUCTURE PROJECTS)

Republic of the Philippines

PROVINCE OF CEBU
City/Municipality of SAN REMIGIO
Office of the Barangay Captain

Date GrantedPurposeAmountFundingSource

FUND UTILIZATION REPORT

As of

Date Voucher Number Particulars Utilization Balance Remarks

Certified Correct:Approved by:OK As to recording in the brgy. Books of account only:

Barangay Treasurer Barangay Captain City/Mun. Accountant/Brgy. Bookkeeper

NOTE:

1. Supporting documents:
a. Photocopy of Disbursement w/complete supporting documents. f. Copy of MOA(for Infra projects)
b. Photocopy of Payroll for wages of labor(if applicable) g. Photocopy of Official Receipts by the sourced
agency
c. Photocopy of official receipt/acknowledgement receipt by the supplier. evidencing returned of unexpected balance. (if
any)
d. Copy of O.R. issued by the implementing agency acknowledging h. Certificate of Completion & Acceptance(issued
Prov’l Eng’g. Office)
e. Photocopy of Contract (Change Order, Variation Order, etc.) w/authority to enter j. Pictures of the Completed Projects
Into Contract. i. If funding source taken from other re-aligned
funds, attached copy of Resolution and Letter
Request w/approval from the Governor
(DOWN LOADED-INFRASTRUCTURE PROJECTS)

Republic of the Philippines

PROVINCE OF CEBU
City/Municipality of SAN REMIGIO
Office of the Barangay Captain