Liquidation Form

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LIQUIDATION FORM

Name : Position : Cut-off Date : Date of Transaction Amount Receipt # Date Filed : Department : Reason for Cash Advance :

*** To be filled up by Finance : Amount Cash Advance : _____________ Less : Total Amount Due : ___________ Total Amount : Requested by : Employee's Signature : Date : Approved by : Direct Superior : Date : Refund : _______ Noted by : Finance Department : Date : Due to : ________

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