JUNIOR PHILIPPINE INSTITUTE OF ACCOUNTANTS (JPIA)

College of Business Administration & Accountancy

MSU-Iligan Institute of Technology Chapter
Tibanga, Iligan City

LIQUIDATION FORM
Form No. ________
Name of recipient of cash advance Charles D. Flores
Position Facicom-Head
Activity 1st Gen. Ass. - Fed. ’15 Date held August 15, 2015
Per cash voucher no. Date

Amount Received ……………………………………………………………………………………………………….. P 250

Disbursement/s:
Date OR#/ RER# PARTICULARS AMOUNT
August 12, 2015 0746198 Facilities Rental- CED Amphitheater 250.00

TOTAL AMOUNT TO BE DISBURSED P 250.00

AMOUNT TO BE RETURNED/REFUNDED P 0.00
For amount returned:
Liquidation approved by: Received the amount returned:

ZACARA B. SELIM, CPA KRISTOFFERSON CARINO

Adviser Treasurer

JEFFREY HIPAYO
BUFICOM Chair
For amount refunded:
Audited by: Received the amount as refund:

CHARISSE REGENCIA
Date Signature over Printed Name
Date