Liquidation Report

LIQUIDATION REPORT No:
Date:
Department of Education Responsibility Center:
DIVISION OF THE CITY OF ILAGAN Code:
Ilagan San Antonio District
SAN ANTONIO ELEMENTARY SCHOOL
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under FEBRUARY 2024

MOOE Check No./ADA No. 101101-02-041-2024 dated 35,150.00
02/13/2024.
5,552.85
BALANCE FORWARDED FROM ADDITIONAL MOOE 2024
ATTACHMENTS:
1. Summary of Liquidation
2. Cash Disbursement Register
3. Bank Reconciliation
4. Snapshot
5. Purchase Request
6. Photocopy of Check
7. Disbursement Voucher
8. Tax Withheld
9. Purchase Order
10. Request for Quotation
11. Inspection and Acceptance Report
12. Receipts
TOTAL AMOUNT SPENT 40,697.26

AMOUNT OF CASH ADVANCE PER CHK No. __________________
DATED: _____________, 2024 40,702.85
AMOUNT OF REFUNDED PER OR No.___________DATED : ___________ 0.00
AMOUNT TO BE FORWARDED 5.59
A. Certified: Correctness of the above B. Certified: Purpose of travel/cash C. Certified : Supporting documents
data advance duly accomplished complete and proper
GIRLIE S. NATIVIDAD MARY ANN M. BELTRAN, LIB, PhD. FERMIN DAVE F. ANDAYA, CPA
Principal III Administrative Officer V Accountant III
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under FEBRUARY 2023

2/21/2023.
5,856.79
BALANCE FORWARDED FROM JANUARY 2023
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 47,656.79
AMOUNT TO BE FORWARDED 7,645.13

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under MARCH 2023 MOOE

Check No./ADA No. 101101-03-032-2023 dated 3/15/2023. 26,650.00
BALANCE FORWARDED FROM FEBRUARY 2023

7,645.13
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 33,295.13

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under SPED 2023 MOOE

BALANCE FORWARDED FROM JUNE 2023 7,568.75
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 14,693.75

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under SEPTEMBER 2022

10/24/2022.
3,044.79
BALANCE FORWARDED FROM AUGUST 2022
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 30,879.79

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under OCTOBER 2022

10/27/2022.
3,035.99
BALANCE FORWARDED FROM AUGUST2022
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 101,930.99
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under ADDITIONAL 2022

10/06/2022.
1,916.39
BALANCE FORWARDED FROM OCTOBER 2022
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 70,316.39

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under NOVEMBER -

DECEMBER 2022 MOOE Check No./ADA No. 101101-10-275- 26,790.00
2022 dated 10/27/2022.
1,916.39
BALANCE FORWARDED FROM ADDITIONAL MOOE 2022
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 28,706.39

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under ADDITIONAL MOOE

Check No./ADA No. 24,000.00
BALANCE FORWARDED FROM NOVEMBER – DECEMBER 2022

12.28
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 24,012.28

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under NOVEMBER -

DECEMBER 2022 MOOE Check No./ADA No. 101101-10-310- 26,790.00
2022 dated 11/10/2022.
70,316.39
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 70,316.39

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under JULY 2022 Check

No./ADA No. 101101-08-210-2022 dated 08/08/2022. 98,895.00
BALANCE FORWARDED FROM JUNE 2022

23,326.02
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2022 122,221.02

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under February 2022
01/13/2022.
Bal Forwarded from January 2022 MOOE -----------------------------------------
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

AMOUNT OF CASH ADVANCE PER CHK No. __________________ 11,087.60
DATED: _____________, 2022
AMOUNT OF REFUNDED PER OR No.___________DATED : ___________
REBECCA D. BALAGAT MARY ANN M. BELTRAN, LIB, PhD. FERMIN DAVE F. ANDAYA, CPA
Head Teacher III Administrative Officer V Accountant III
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under SBFP Check

No.0000302027 dated 12/29/2022. 81,840.00
ATTACHMENTS:
3. Purchase Request
6. Tax Withheld
7. Purchase Order
10. Receipts

DATED: _____________, 2022 81,840.00
Delivery Date: January 30, 2023

Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under 2023 MOOE dated

06/09/2023. 5,662.00
BALANCE FORWARDED FROM APRIL 2023

6,432.50
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 5,662.00
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under JUNE 2023 MOOE

BALANCE FORWARDED FROM MAY 2023

11,720.59
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 101,970.59
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under AUGUST 2023

9/15/2023.
2,147.29
BALANCE FORWARDED FROM JULY 2023
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 97,147.29
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under 2023 BELCP 1ST

TRANCHE Check No./ADA No. 101101-08-188-2023 dated 79,952.44
8/23/2023.
19,559.56
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 99,512.00
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under 2023 BELCP 2nd

TRANCHE Check No./ADA No. 101101-09-224-2023 dated 79,952.44
9/19/2023.
23,513.78
BALANCE FORWARDED FROM 2023 BELCP 1ST TRANCHE
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 103,466.22
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under SEPTEMBER 2023

10/06/2023.
19,559.56
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 63,259.56
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under NOVEMBER 2023

11/13/2023.
12,024.02
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 42,424.02
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT


8,178.52
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 29,678.52
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT


8,178.52
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 29,678.52
Date:
City of Ilagan
Agency Name
PARTICULARS AMOUNT
This is to liquidate my cash advance under DECEMBER 2023

12/1/2023.
BALANCE FORWARDED FROM NOVEMBER 2023 5,583.54
ATTACHMENTS:
4. Snapshot
5. Purchase Request
8. Tax Withheld
9. Purchase Order
12. Receipts

DATED: _____________, 2023 16,033.54

Liquidation Report

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Liquidation Report

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LIQUIDATION REPORT No:

This is to liquidate my cash advance under FEBRUARY 2024

TOTAL AMOUNT SPENT 40,697.26

This is to liquidate my cash advance under FEBRUARY 2023

TOTAL AMOUNT SPENT 40,011.66