Some Report Forms Used at the Unit (Financial Statements, Finalization Reports, Notes to Financial Statements)

March 26, 2020

*PCTX0014	March 26, 2020	Payment of business travel expenses and road tickets to take the delegation to Thanh Hoa and Thai Binh on business according to Decision No. 835, 836/SKNN&MT dated December 27, 2019: Business expenses	61111		400,000	48,152,000
March 26, 2020	*PCTX0014	March 26, 2020	Payment of per diem and road tickets to take the group on business trips Thanh Hoa, Thai Binh according to Decision No. 835, 836/SKNN&MT dated December 27, 2019: road and bridge tickets	61118		720,000	47,432,000
			Add numbers that arise in kǶ		64,800,000	31,153,000
			Accumulated from the beginning of the year		78,585,000	31,153,000
			Closing balance				47,432,000

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- This book has: 2 pages, numbered from page 1 to page 2

- Book opening date: January 1, 2020

......, Day month Year.........

Preparer Chief Accountant Head of unit

(Sign, full name) (Sign, full name (Sign, full name, stamp)

Appendix 2.13: Cash book

Unit: Institute of Occupational and Environmental Health Form No.: S11-H

QHNS code: 1057542 (Issued according to Circular No

107/2017/TT-BTC

October 10, 2017 of the Ministry of Finance

main)

CASH BOOK MONEY

March 2020

Account: 1111 - Vietnamese Dong

Source: 13. Autonomous PRIVATE budget - Chapter: 023 - Clause: 131

Date and month of recording

Date and month of proof from	Document number	Explain	Amount of money			Note
Date and month of proof from	Document number	Explain	Collect	Spend	Exist	Note
A	B	C	D	first	2	3	E
			Balance at the beginning of February			13,785,000
March 2, 2020	March 2, 2020	*PCTX0005	Nguyen Thi Cham - Advance funding for making posters, banners and standees for acute respiratory infection prevention activities, according to the advance request February 4, 2020		8,800,000	4,985,000
March 4, 2020	March 4, 2020	*PTTX003	Withdraw money for regular expenses according to the approved statement dated February 26, 2020	50,000,000		54,985,000
March 6, 2020	March 6, 2020	*PCTX0006	Payment for express delivery of Canh Tu Tet calendar according to invoice number 0017489 dated January 21, 2020		3,402,000	51,583,000
March 12, 2020	March 12, 2020	*PCTX0007	Payment of business trip expenses to take leaders to Hai Phong, road and bridge tickets, parking tickets in December 2019, change engine oil for 31A cars 6801		2,147,000	49,436,000
March 17, 2020	March 17, 2020	*PCTX0008	Payment for receiving guests of tax consultants and tax policies related to changes to electronic invoices in 2020		4,045,000	45,391,000
March 18, 2020	March 18, 2020	*PCTX0009	Payment of car wash fee for quarter 4/2019 according to payment request dated February 10, 2020		4,500,000	40,891,000

March 18, 2020

March 18, 2020	*PCTX0010	Payment of per diem, toll tickets to take the delegation on business trips to strengthen inspection and supervision of water quality of Song Da Clean Water Joint Stock Company according to CV No. 362/SKNN&MT dated December 27, 2019		300,000	40,591,000
March 18, 2020	March 18, 2020	*PCTX0011	Payment of civil liability insurance for cars, IC 29A 00749 according to invoice No. 0184783 dated February 17, 2020		1,717,000	38,874,000
March 24, 2020	March 24, 2020	*PCTX0012	Regular express delivery payments from November 9, 2019- January 7, 2020		122,000	38,752,000
March 26, 2020	March 26, 2020	20PTHM001	Nguyen Thi Cham - Reimbursement of expenses for receiving the Thai Field Alliance delegation PCTX0004 days January 16, 2020	6,000,000		44,752,000
March 26, 2020	March 26, 2020	20PTHM002	Nguyen Thi Cham - Reimbursement of funding for making posters, banners and standees for the prevention of acute respiratory infections PCTX0005 on February 4, 2020	8,800,000		53,552,000
March 26, 2020	March 26, 2020	*PCTX0013	Hoang Thi Ngoc Yen - Advance payment for receiving guests in 2020 according to the advance request dated February 26, 2020		5,000,000	48,552,000
March 26, 2020	March 26, 2020	*PCTX0014	Payment of business travel expenses and road tickets to take the delegation to Thanh Hoa and Thai Binh on business according to Decision No. 835, 836/SKNN&MT dated December 27, 2019,		1,120,000	47,432,000
			Plus arising in March	64,800,000	31,153,000
			Balance at the end of March			47,432,000
			Accumulated from the beginning of the first quarter	14,800,000	31,153,000
			Accumulated from the beginning of the year	78,585,000	31,153,000

- This book has 2 pages, numbered from page 1 to page 2

......, Day month Year.........

Treasurer

(Sign, full name)

Chief accountant

(Sign, full name)

Unit heads

(Sign, full name, stamp)

Appendix 2.13: Some report templates used at the unit (Financial statements, settlement reports, notes to financial statements)

Name of superior agency: Ministry of Health Form B01/BCTC

Reporting unit: Institute of Occupational and Environmental Health

(Issued according to Circular No. 107/2017/TT- BTC

dated October 10, 2017 of the Ministry of Finance)

FINANCIAL STATUS REPORT

As at December 31, 2019

Chapter: 023

Currency: Dong

Targets	Code number	Theory bright	Last number kǶ	First number kǶ

A	B	C	D	first	2
	ASSET
I	Money	first		2,456,955,671	2,774,997,208
II	Short-term financial assets	5
III	Receivables	ten		4,679,276,234	10.808.503.968
first	Receivable from customers	11
2	pay first	twelfth		3,323,222,000	8,815,639,500
3	Internal receivables	13		(458,745,766)	(465,085,532)
4	Other Receivables	14		1,814,800,000	2,457,950,000
IV	Inventory	20
V	Long-term financial investment	25
BECAUSE	Fixed assets	30		181.551.234.695	175.448.608.045
first	Tangible fixed assets	thirty first		80.185.601.695	73.614.731.045
	- Original price	32		157.693.316.224	142.825.793.146
	- Depreciation and accumulated amortization	33		(77,507,714,529)	(69,211,062,101)
2	Intangible fixed assets	35		101.365.633.00	101,833,877,000
	- Original price	36		104,193,431,000	104,193,431,000
	- Depreciation and accumulated amortization	37		(2,827,798,000)	(2,359,554,000)
VII	Construction in progress	40		10,000,000,000	4,885,535,000
VIII	Other assets	45
	TOTAL ASSETS (50=01+05+10+20+25+30+40+45)	50		198.687.466.600	193.917.644.221
	CAPITAL

Liabilities must pay	60
first	Pay suppliers	sixty one		457,035,000
2	Advances received from customers	62
3	Payable internally	63
4	Must repay loan	sixty four
5	Temporary collection	65		5,483,917,500
6	Special funds	66
7	Advances received have not yet been recorded	sixty seven	193.903.518.421	182.287.834.271
8	Other liabilities	68	3,486,481,298	4,258,232,975
II	Net assets	70	1,354,066,881	1,493,955,875
first	Business capital	71
2	Accumulated surplus/deficit	72	(585,945,766)	977.714.468
3	Funds	seventy three	1,940,012,647	516.241.407
4	Other net assets	74
	TOTAL FUNDING (80=60+70)	80	198.744.066.600	193.980.975.621

Accountant

chief

Unit heads

(Sign, full name) (Sign, full name) (Sign, full name, stamp)

Chapter code: 023 Model No. B01/BCQT

Reporting unit: Institute of Occupational Health and Environment (Issued under Circular No

Code: 1057542

107/2017/TT-BTC dated October 10, 2017

of the Ministry of Finance)

OPERATION FUND SETTLEMENT REPORT

December 2019

CTMT, DA:

Currency: Dong

TARGETS	M É NUMBER	TOTAL	TYPE : GENERAL
TARGETS	M É NUMBER	TOTAL	TOTAL	CLAUSE: SYNTHETIC
A	B	C	first	2	3
A	STATE BUDGET
I	DOMESTIC BUDGET SOURCES
first	The previous year's budget balance is carried over (01=02+05)	first	16.033.105.856	16.033.105.856	16.033.105.856
first first	Regular/autonomous funding (02=03+04)	2	4,461,523,356	4,461,523,356	4,461,523,356
	- Funds received	3
	- The remaining estimate is at the Treasury	4	4,461,523,356	4,461,523,356	4,461,523,356
first 2	Irregular/uncontrolled funding (05=06+07)	5	11,571,582,500	11,571,582,500	11,571,582,500
	- Funds received	6
	- The remaining estimate is at the Treasury	7	11,571,582,500	11,571,582,500	11,571,582,500

Estimates assigned during the year (08=09+10)	8
	- Regular/autonomous funding	9
	- Irregular/uncontrolled funding	ten
3	Total used during the year (11=12+ 13)	11	16.033.105.856	16.033.105.856	16.033.105.856
	- Regular/autonomous funding (12=02+09)	twelfth	4,461,523,356	4,461,523,356	4,461,523,356
	- Irregular/uncontrolled funding (13=05+10)	13	11,571,582,500	11,571,582,500	11,571,582,500
4	Funds actually received during the year (14=15+16)	14	14.442.533.208	14.442.533.208	14.442.533.208
	- Regular/autonomous funding	15	2,892,950,708	2,892,950,708	2,892,950,708
	- Irregular/uncontrolled funding	16	11,549,582,500	11,549,582,500	11,549,582,500
5	Proposed budget for settlement (17=18+19)	17	14.442.533.208	14.442.533.208	14.442.533.208
	- Regular/autonomous funding	18	2,892,950,708	2,892,950,708	2,892,950,708
	- Irregular/uncontrolled funding	19	11,549,582,500	11,549,582,500	11,549,582,500
6	Funding decreased during the year (20=21+25)	20
6 first	Regular/autonomous funding (21= 22+23+24)	21
	- Submitted to state budget	22
	- Still have to pay state budget (23=03+15-18-22-31)	23
	- Estimate canceled (24=04+09-15-32)	24
6 2	Irregular/uncontrolled funding (25=26+27+28)	25
	- Submitted to state budget	26
	- Still have to pay state budget (27=06+16-19-26-34)	27
	- Estimate canceled (28=07+10-16-35)	28

Fund balance is allowed to be carried over to the following year use and settlement (29=30+33)	29	1,590,572,648	1,590,572,648	1,590,572,648
7 first	Regular/autonomous funding (30=31+32)	30	1,568,572,648	1,568,572,648	1,568,572,648
	- Funds received	thirty first
	- The remaining estimate is at the Treasury	32	1,568,572,648	1,568,572,648	1,568,572,648
7 2	Irregular/uncontrolled funding (33=34+35)	33	22,000,000	22,000,000	22,000,000
	- Funds received	34
	- The remaining estimate is at the Treasury	35	22,000,000	22,000,000	22,000,000
II	AID SOURCES
first	The previous year's budget balance is carried over	36
2	Estimates are assigned during the year	37
3	Total aid received during the year (38=39+40)	38
	- Amount recorded as revenue and advance payment	39
	- Recorded revenue and expenditure numbers	40
4	Funds used during the year (41= 36+38)	41
5	Funds proposed for settlement	42
6	Fund balance is allowed to be carried over to the following year use and settlement (43=41-42)	43
II I	SOURCES OF FOREIGN LOANS
first	The previous year's budget balance is carried over (44=45+46)	44

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