Appendix 31

PROFORMA PAYMENT FORM
(Appendix to Section 1102)

BANGKO SENTRAL NG PILIPINAS
Manila

______________________________
(Name of Department/Office)

FOR –

The Director

Cash Department

Please      issue      OFFICIAL      RECEIPT      to                          (name of payor)                    as payment of                  (nature of payment)                   and effect the following accounting entries:

Account            Code                             Account Title/Description                           DR/CR            Amount

Accountee Type/Code/Name

____________________________________________________________________________________

Total Debit P____________
Total Credit P____________

Approved by: ____________________________________
(Name of BSP Official/Position)

Date: ____________

Received by: ________________________	Official Receipt No: ________________________
Date: ________________________________	Date: ____________________________________