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LIBERTY INSURANCE CORPORATION

REOUISITION FOR CHECK DATE :


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PARTICULARS: Alnbunt:
PAYEE:

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Credit Account Debit Credit
Account Debit
A-105-3 Cash-EPCI
E-800-1 Comm.Fire
A-105-1 Cash-UCPB
E-800-6 Comm.Motor
A-105-8 Cash-CBC
E-800-8 Comm.CAS
E-800- Comm
A-140-1 P/R-Fire
A-140-6 P/R-Motor
L-2214 Wtax - 5%
A-140-8 P/R-CAS
L-210-6 Acct. Payable
Due to Rl A-140-
L

A-160 lnv. Stocks


E-840-6 U/l/V. Ex -Motor
E-919- Transp A- 190 Prep. Exp.

E-921- Rep A- 192


A-1 10- AJR Emp
E-922- Communtcation
Advertising A-120-1 NR Others
E-920-
E-927 - Misc. Exp.
l-400-6 Gross Prem
E.
Approved By Remarks
Prepared BY:
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lLut I .l
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