Appendix 56 - Report of Disbursements (RD) Instructions

REPORT OF DISBURSEMENTS (RD)

INSTRUCTIONS

A. This report shall be accomplished as follows:

1. Agency name of the agency2. Report No. assigned RD number which shall be as follows: 00-00-0000

Serial number (one series per year)

3. Sheet No. sheet number of the report which shall be one series for each month

4. Date date of the DV/Payroll5. DV/Payroll No. assigned DV/Payroll number attached to RD6. Responsibility Center Code - code assigned to each cost center7. Payee name of the person/office to whom payment is made8. Nature of Payment - nature of claims paid 9. Amount amount of disbursement paid per DV/Payroll10. Certification the certification on the report shall be signed by the Disbursing Officer on the last sheet of the report after the totals.B. The Disbursing Officer shall prepare this report to liquidate his/her cash advance for specific purpose such as cash advance for salaries and field operating expenses.C. This report shall be prepared in two (2) copies and to be distributed as follows:

Original Accounting Unit together with the original of

the paid disbursement vouchers/payroll and

supporting documents

Duplicate Copy Disbursing Officers file

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AO 6/15/02

Year

Month

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