sbfp

LIQUIDATION REPORT No.

Department of Education Responsibility
DIVISION OF __________________ Center
District of _________
__________ CENTRAL SCHOOL Code:
February, 2019
PARTICULARS ACCOUNT CODE AMOUNT

Food Supplies Expenses

Other Supplies and Materials Expenses

TOTAL:

TOTAL AMOUNT SPENT:

Amount of Cash Advance per DV No. _______
dated________________________
Amount Refunded per OR No. __________
As of ________ Php ___________
Amount to be reimbursed ___________________

Balance:

A. B. C.
Certified: Correctness above of Certified: Purpose of Travel/Cash Certified: Supporting documents
data advance duly accomplished complete and proper:

____________________ ________________________ _________________

School Head Assistant School Division Div. Accountant
Superintendent