LIQUIDATION REPORT No.

:
LGU Date: ________________
Responsibility Center:
Provincial Agriculture Office

PARTICULARS AMOUNT
Itinerary of Travel:

Feb-21
2/14/2021 - O.S. - Ozamiz Terminal 4:00 a.m - Bus - ₱ 70.00 ₱ 70.00
Ozamiz Pier - Mukas - Terminal/Barge - ₱ 45.00 ₱ 45.00
Ozamiz - CDO - Bus - ₱ 310.00 ₱ 310.00
CDO - Butuan - Bus - ₱ 436.00 ₱ 436.00
Butuan - RTRomualdez - Bus - ₱ 74.00 ₱ 74.00
PhilRoce Agusan - Per diem - ₱ 1,500.00 ₱ 1,500.00

2/15/2021 - 06/04/2021 - PhilRice Agusan -Per diem - ₱ 32, 700.00 ₱ 32,700.00

06/05/2021 - PhilRice Agusan - CDO - Bus - ₱ 502.00 ₱ 502.00

CDO to OS - Bus - ₱ 415.00 ₱ 415.00
Mukas Port - Barge - ₱ 40.00 ₱ 40.00
- Per diem - ₱ 1,500.00 ₱ 1,500.00
₱ 37,592.00 ₱ 37,592.00

TOTAL AMOUNT SPENT ₱ 37,592.00

AMOUNT OF CASH ADVANCE PER DV NO. ₱ 27,005.00
AMOUNT REFUNDED PER OR NO.
AMOUNT TO BE REIMBURSED ₱ 10,587.00

Submitted by: Received by:

LEMUEL J. ZABLAN ________________________________

Agriculturist II Accounting Unit

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Date
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nsibility Center:
cial Agriculture Office
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