1. DATE
DAILY AGENT ACCOUNTABILITY SUMMARY
SECTION I - SUMMARY OF DAILY ACCOUNTABILITY TRANSACTIONS
a. LINE NO.
b. DESCRIPTION
c. TODAY
d. CUMULATIVE
ACCOUNTABILITY - BEGINNING
(1)
a. CASH
b. PREPOSITIONED CHECKS
c. OTHER
(2)
ADVANCES
I
(3)
VOUCHERED COLLECTIONS
N
a. VOUCHERED
b. OTHER
(4)
TREASURY CHECK ISSUES
C
R
(5)
TRANSFERS FROM OTHER DISBURSING OFFICERS
E
(6)
EXCHANGE GAIN ACCUMULATIONS
A
S
(7)
OTHER (Explain)
E
S
(8)
TOTAL INCREASES
0.00
0.00
(9)
GROSS ACCOUNTABILITY
0.00
0.00
(10)
TRANSFERS TO OTHER DISBURSING OFFICERS
D
E
(11)
EXCHANGE LOSS ACCUMULATIONS
C
OTHER (Explain)
(12)
R
a. PAID VOUCHERS
b. DEPOSIT TICKETS
E
RETURNS TO
(13)
A
PRINCIPAL
c. OTHER (Explain)
S
E
(14)
TOTAL DECREASES
0.00
S
0.00
(15) ACCOUNTABILITY - ENDING
0.00
0.00
SECTION II - DISTRIBUTION OF AGENT ACCOUNTABILITY
a. LINE
c. ACCOUNTABILITY
d. RETURNS TO
e. ACCOUNTABILITY
b. ELEMENT OF ACCOUNTABILITY
NO.
BEFORE TRANSFERS
PRINCIPAL
AFTER TRANSFERS
UNITS
RATE
(16)
LIMITED DEPOSITARY
0.00
(17)
CASH ON HAND (U.S.)
0.00
CASH ON
UNITS
RATE
a. ACCOMMODATING
0.00
HAND
(18)
UNITS
RATE
(Foreign)
b. OPERATING
0.00
(19)
PREPOSITIONED TREASURY CHECKS
0.00
(20)
NEGOTIABLE INSTRUMENTS (U.S.)
0.00
UNITS
RATE
(21)
NEGOTIABLE INSTRUMENTS
(Foreign)
0.00
(22)
MILITARY PAYMENT CERTIFICATES
0.00
(23)
PAID VOUCHERS
0.00
(24)
FUNDS IN TRANSIT
0.00
(25)
FUNDS WITH SUBAGENTS
0.00
(26)
DEPOSIT TICKETS (Not LDA)
0.00
(27)
DISHONORED CHECKS RECEIVABLE
0.00
(28)
CHECK OVERDRAFTS RECEIVABLE
0.00
(29)
LOSS OF FUNDS
0.00
(30)
DEFERRED VOUCHERS
0.00
(31)
OTHER (Explain)
0.00
(32)
TOTAL AGENT ACCOUNTABILITY
0.00
0.00
0.00
SECTION III - LOCATION OF CASH/NEGOTIABLE INSTRUMENTS
a. LINE
c. CASH
e. PREPOSITIONED
f. MILITARY PAY-
b. LOCATION
d. CASH (U.S.)
g. OTHER
NO.
(Foreign Units)
CHECKS
MENT CERTIFICATES
(33)
AGENT
(34)
DEPUTY AGENT
(35)
CASHIER
(36)
OTHER (Specify)
(37)
TOTALS
0.00
0.00
0.00
0.00
0.00
2. NAME OF AGENT (Type or Print)
3. ADDRESS OF AGENT (Type or Print)
4. SIGNATURE OF AGENT
REPLACES DA FORM 3924, AUG 87; NAVCOMPT FORM 379, DEC 65;
DD Form 2665, AUG 93
Adobe Professional 8.0
AND AF FORM 1372, AUG 81; WHICH ARE OBSOLETE.