8/9/2019 CE Checklist Blank

1/2

Republic of the Philippines

COMMISSION ON AUDIT

Regional Office No. IX

Cabatangan, Zamboanga City

OFFICE OF THE REGIONAL CLUSTER DIRECTOR

NATIONAL GOVERNMENT SECTOR

CLUSTER VIII INFRASTRUCTURE

_______________________________________________________________________

Date:________________

Memorandum

o! """""""""""""""""""""

"""""""""""""""""""""""

#ub$ect! Re%ie& of Cash '(am Report #ubmitted

Please submit the re)uirements mention in the remar*s column.

Accountable Offce!:"""""""""""""""""""" De"#naton: """""""""""""""$e!o% Co&e!e%: """"""""""""""""""""" Date E'a(ne%: """""""""""""""

A#enc):_________________________________________________________________

*+ NARRATIVE RE$ORT: Attac,e%

-ES NO REMAR.S

+. Contains all important details, data information including

the findings and recommendations on deficiencies in

internal control system o%er handling of cash.

-. he report is supported &ith the ff. statementsdocuments,

&here applicable!

/ 0 Report of Cash '(amination 123 45+6

7 0 Reconcilation #tatement of +ccountability

8 0 #tatement of +ccountability for +ccountable 3orms!

9 :ith Money ;alue

9 :ithout Money ;alue

5 0 Reconciliation #tatements of edger -alance

/+ RE$ORT OF CASH E0AMINATION 1Re&"e% GF 23A4: Flle%5u6

-ES NO REMAR.S

+. 2eneral Information!

/. Properly filled9up all the necessary data-. Cash Production Notice!

/. Properly filled9up sho&s the signature of accountable

officer, date and cash e(aminer

C. Cash Count Co(6lete

/. Cash Items! -ES NO REMAR.S

9

8/9/2019 CE Checklist Blank

2/2

S#ne%

'. Certification -ES NO REMAR.S

/.

5. -alance of accountability agrees &ith cash counted.=. Correct mathematical computation.

?. Certification of accountable officer on accountability

properly filled9up and sho&s signature of accountable

officer.2. Certification 1'(aminer69#igned

7+ Reconclaton State(ent of Accountablt):

+. Properly filled9up sho&s the signature of preparer.-. +d$usted subsidiary ledger balance agrees &ith ad$usted

cashboo* balance.

C. Reconciling items properly treated. to this O33IC', e%en if after the cash e(am is

submitted to the RC< &ith one copy retain by +> as hisher file.

Re%ie&ed by! """""""""""""""""""""""""""""" Noted by! """""""""""""""""""""""""""""""""""

Please comply.

;+>'RI+NO -. P++N2+N R

#tate +uditor ;

Regional Cluster