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Report of Checks Issued Tes - 4 Form Date: - HEI Name: Report No.: - Sheet No.

This document is a report of checks issued by an organization. It includes a table listing checks issued with details of the date, check number, payee, nature of payment, and amount. It also includes a certification signed by the cashier stating that the report fully and accurately reflects all checks issued within the period specified, as supported by the attached disbursement vouchers and payroll documentation. The total amount paid is also listed.

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Marianne
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101 views

Report of Checks Issued Tes - 4 Form Date: - HEI Name: Report No.: - Sheet No.

This document is a report of checks issued by an organization. It includes a table listing checks issued with details of the date, check number, payee, nature of payment, and amount. It also includes a certification signed by the cashier stating that the report fully and accurately reflects all checks issued within the period specified, as supported by the attached disbursement vouchers and payroll documentation. The total amount paid is also listed.

Uploaded by

Marianne
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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REPORT OF CHECKS ISSUED

TES - 4 FORM
Date: ______________

HEI Name:
Report No.: ___________________
Sheet No.: ____________________
Check Issued
DV/Payroll No. Payee Nature/Type of Payment Amount
Date Check No.

TOTAL -
CERTIFICATION
I hereby certify on my official oath that this Report of Checks Issued in one (1) sheet is a full, true and
correct statement of all checks issued by me during the period stated above for which Check Nos. _______
inclusive, were actually issued by me in payment for obligations shown in the attached disbursement
vouchers/payroll.

(Signature above printed name)


Cashier
Date Signed: _________________

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