SUMMARY OF COLLECTIONS AND REMITTANCES - BT
Date
Barangay: City/Municipality: SCR (BT) No.
Barangay Treasurer: Province: Page:
Name of Collections
Date .OR. No Payor Amount
CTC - Indv CTC - Corp. RPT Others
Total
Certification: Akcnowledgement:
I hereby certify that the foregoing is the complete and I hereby acknowledge receipt of the certified SCR
correct records of all my collections for __________. complete with the duplicate copies of the Ors and the remittances
Duplicate copies of Ors and the remittance of __________. of _____________________________________________.
are hereto attached.
Signature Over Printed Name Signature Over Printed Name
Barangay Treasurer City/Municipal Treasurer
Date Date