No:

LIQUIDATION REPORT

Date: Nov, 6, 2014

Responsibility Center:

President Roxas, Cotabato

_____________________________

L G U
PARTICULARS

AMOUNT

Traveling Expenses

3,820.00

TOTAL AMOUNT SPENT

3,820.00

AMOUNT OF CASH ADVANCE PER Check NO. 48113581 /10-14-2014

3,820.00

AMOUNT REFUNDED PER O.R. NO. _____ DTD. __________

0.00

AMOUNT TO BE REIMBURSED

Submitted by:

Received by:

Accounting Unit
JOSIAH A. SALVADOR
Admin. Officer II

_______________
Date

No:

LIQUIDATION REPORT

Date: Nov. ____, 2014

Responsibility Center:

President Roxas, Cotabato

_____________________________

L G U
PARTICULARS

AMOUNT

Traveling Expenses

TOTAL AMOUNT SPENT

3,820.00

3,820.00

AMOUNT OF CASH ADVANCE PER Check NO. 48113582 /10-14-2014

AMOUNT REFUNDED PER O.R. NO. _____ DTD. __________

AMOUNT TO BE REIMBURSED

Submitted by:

3,820.00

Received by:

Accounting Unit
VERONICA N. JALANDONI
PDO-II

_______________
Date