Appendix 67: Certification

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Appendix 67

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS


For the month of __February___________, 2019
Entity Name: Fund Cluster: GF

Accountable Forms Beginning Balance Receipt Issue Ending Balance


Name of Form Face Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
Number Value Quantity From To Quantity From To Quantity From To Quantity From To
A. WITH FACE VALUE

B. WITHOUT FACE VALUE


AF #51 50 8815551 8815600 50 8815551 8815600 0 Consumed
AF #51 50 8817201 8817250 22 8817201 8817222 28 8817223 8817250
BIR 0016 50 28164651 28164700 8 28164651 28164658 42 28164659 28164700
AF # 56 50 6935251 6935300 30 6935251 6935280 20 6935281 6935300

CERTIFICATION

I hereby certify that the foregoing is a true statement of all accountable forms received,
issued and transferred by me during the period above-stated and that the beginning and ending balances are correct.
JUDITH T. ABAYATO
Signature over Printed Name of the Accountable Officer

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