Team No.

_________
Name of ATL: ______________________
Name of Auditee: ______________________
Status of Submission of Accounts, Financial Reports, and Contracts

A. Accounts –

Accounts Particulars General Fund SEF Trust Fund

Disbursement Submitted DVs as
Vouchers: of Dec. 31, 2015

Submitted DVs as
of Jan. 31, 2016

Payrolls/Liquidation Submitted
Reports Payrolls/Liquidation
Reports as of Dec.
31, 2015

Submitted
Payrolls/Liquidation
Reports as of Jan.
31, 2016

Official Receipts Submitted ORs as

(ORs) of Dec. 31, 2015

Submitted ORs as
of Jan. 31, 2016

B. Financial Reports –

Financial Reports Particulars General Fund SEF Trust Fund

Pre-closing Trial Submitted Monthly
Balance Trial Balances as of
Dec. 31, 2015

Submitted Monthly
Trial Balances as of
Jan. 31, 2016

Bank Reconciliation Statements (BRS)

 Account No. Submitted BRS as
______________ of Dec. 31, 2015

Submitted BRS as
of Jan. 31, 2016

 Account No. Submitted BRS as

______________ of Dec. 31, 2015

Submitted BRS as
 of Jan. 31, 2016

 Account No. Submitted BRS as

______________ of Dec. 31, 2015

Submitted BRS as
of Jan. 31, 2016

 Account No. Submitted BRS as

______________ of Dec. 31, 2015

Submitted BRS as
of Jan. 31, 2016

 Account No. Submitted BRS as

______________ of Dec. 31, 2015

Submitted BRS as
of Jan. 31, 2016

C. Contracts for Goods (P2 Million and Above) –

NOTE: Include only those contracted in CY 2015

Nature of Goods Name of Supplier Date of Contract Contract Amount

D. Contracts for Infrastructure Projects (P5 Million and Above) –
NOTE: Include only those contracted in CY 2015

Project Description Name of Contractor Date of Contract Contract Amount

Prepared by: Certified Correct:

____________________ _____________________
Name of ATM Name of ATL