LIQUIDATION REPORT

_______________________________________________
SK of Barangay, City/Municipality, Province
PARTICULARS

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____

AMOUNT REFUNDED PER O.R. NO.________DTD.__________

AMOUNT TO BE REIMBURSED
A. Certified: Correctness of the B. Certified: Purpose of cash advance
above data duly accomplished

____________________________ __________________________
Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson

_________________ _________________
Date Date
LR No.:

Date:
AMOUNT
C. Certified: Supporting
documents are complete and
proper

_________________________
Signature over Printed Name
SK Treasurer

_________________
Date
 Annex 9

LIQUIDATION REPORT
SK of Barangay LR No .: 2021-03-001
Municipality of Gonzaga
Date : March 30, 2022
Province of Cagayan

PARTICULARS AMOUNT

TO LIQUIDATE THE CASH ADVANCE USED FOR THE PAYMENT OF

TRAVELLING EXPENSES AND REGISTRATION OF 17TH LIGA NG
MGA BARANGAY CONGRESS OF CAGAYAN CHAPTER ON MARCH 24,060.00
18-20, 2022 AT CHATEAU ROYALE HOTEL AND RESORT AT
NASUGBO BATANGAS IN THE AMOUNT OF..

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____

AMOUNT REFUNDED PER O.R. NO.________DTD.__________

AMOUNT TO BE REIMBURSED

A. Certified: Correctness of the B. Certified: Purpose of cash advance C. Certified: Supporting

above data duly accomplished documents are complete and
proper

____________________________ __________________________ _________________________

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 LIQUIDATION REPORT
SK of Barangay AMUNITAN LR No .: 2021-05-002
Municipality of Gonzaga
Date :
Province of Cagayan

PARTICULARS AMOUNT

TO LIQUIDATE CASH ADVANCE USED FOR REGISTRATION FEE AND TEV PHALGA ON
13,867.02
APRIL 27-29, 2022 AMOUNTING TO….

ESTIMATE ACTUAL
HOTEL ACCOMMODATION 6,000.00 3,983.69
REGISTRATION FEE 6,000.00 6,000.00
TRANSPORTATION/PER DIEMS 3,400.00 3,883.33
15,400.00 13,867.02

REFUND FOR HOTEL ACCOMMODATION 1,532.98

TOTAL AMOUNT SPENT: THIRTEEN THOUSAND AND EIGHT HUNDRED SIXTY SEVEN PESOS & 02/100 13,867.02
AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____ 15,400.00
AMOUNT REFUNDED PER O.R. NO.________DTD.__________ 1,532.98
AMOUNT TO BE REIMBURSED

A. Certified: Correctness of the B. Certified: Purpose of cash advance duly accomplished C. Certified: Supporting documents are
above data complete and proper

JANICE PEARL N. CAJIMAT JANICE PEARL N. CAJIMAT MARK VINCENT SIWAGAN

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 LIQUIDATION REPORT
SK of Barangay CABANBANAN SUR LR No .:
Municipality of Gonzaga
Date :
Province of Cagayan

PARTICULARS AMOUNT

TO LIQUIDATE CASH ADVANCE USED FOR REGISTRATION FEE AND TEV

13,717.02
PHALGA ON APRIL 27-29, 2022 AMOUNTING TO….

ESTIMATE ACTUAL
HOTEL ACCOMMODATION 6,000.00 3,983.69
REGISTRATION FEE 6,000.00 6,000.00
TRANSPORTATION/PER DIEMS 3,400.00 3,733.33
15,400.00 13,717.02

REFUND FOR CASH ADVANCE 1,683.00

TOTAL AMOUNT SPENT: THIRTEEN THOUSAND AND SEVEN HUNDRED SEVENTEEN PESOS & 02/100 13,717.02
AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____ 15,400.00
AMOUNT REFUNDED PER O.R. NO.________DTD.__________ 1,683.00
AMOUNT TO BE REIMBURSED

A. Certified: Correctness of the B. Certified: Purpose of cash advance duly C. Certified: Supporting documents are
above data accomplished complete and proper

ANTONIO A. DANCIL JR. ANTONIO A. DANCIL JR. IRA ROSE J. DOMINGO

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 LIQUIDATION REPORT
SK of Barangay CALAYAN LR No .:
Municipality of Gonzaga
Date :
Province of Cagayan

PARTICULARS AMOUNT

TO LIQUIDATE CASH ADVANCE USED FOR REGISTRATION FEE AND TEV PHALGA ON
13,817.02
APRIL 27-29, 2022 AMOUNTING TO….

ESTIMATE ACTUAL
HOTEL ACCOMMODATION 6,000.00 3,983.69
REGISTRATION FEE 6,000.00 6,000.00
TRANSPORTATION/PER DIEMS 3,400.00 3,833.33
15,400.00 13,817.02

REFUND FOR CASH ADVANCE 1,582.98

TOTAL AMOUNT SPENT: THIRTEEN THOUSAND AND EIGHT HUNDRED SEVENTEEN PESOS & 02/100 13,817.02
AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____ 15,400.00
AMOUNT REFUNDED PER O.R. NO.________DTD.__________ 1,582.98
AMOUNT TO BE REIMBURSED

A. Certified: Correctness of the above B. Certified: Purpose of cash advance duly accomplished C. Certified: Supporting documents are
data complete and proper

NERRIE CLARE S. CALULOT JAY MAR S. MIONES NERRIE CLARE S. CALULOT

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 LIQUIDATION REPORT
SK of Barangay CAROAN LR No .: 2021-05-001
Municipality of Gonzaga
Province of Cagayan Date :

PARTICULARS AMOUNT
TO LIQUIDATE CASH ADVANCE USED FOR REGISTRATION FEE AND TEV
13,800.36
PHALGA ON APRIL 27-29, 2022 AMOUNTING TO….

ESTIMATE ACTUAL
HOTEL ACCOMMODATION 6,000.00 3,983.69

REGISTRATION FEE 6,000.00 6,000.00

TRANSPORTATION/PER DIEMS 3,400.00 3,816.67

15,400.00 13,800.36

REFUND FOR CASH ADVANCE 1,599.64

TOTAL AMOUNT SPENT 13,800.36

AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____ 15,400.00
AMOUNT REFUNDED PER O.R. NO.________DTD.__________ 1,599.64
AMOUNT TO BE REIMBURSED
A. Certified: Correctness of the B. Certified: Purpose of cash advance duly C. Certified: Supporting documents are
above data accomplished complete and proper

JAYLORD B. SOLA JAYLORD B. SOLA CHRISTIAN JOY L. NORIEGA

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 LIQUIDATION REPORT
SK of Barangay CAROAN LR No .: 2021-05-002
Municipality of Gonzaga
Province of Cagayan Date :

PARTICULARS AMOUNT
TO LIQUIDATE CASH ADVANCE USED FOR REGISTRATION FEE AND TEV
13,800.36
PHALGA ON APRIL 27-29, 2022 AMOUNTING TO….

ESTIMATE ACTUAL
HOTEL ACCOMMODATION 6,000.00 3,983.69

REGISTRATION FEE 6,000.00 6,000.00

TRANSPORTATION/PER DIEMS 3,400.00 3,816.67

15,400.00 13,800.36

REFUND FOR CASH ADVANCE 1,599.64

TOTAL AMOUNT SPENT 13,800.36

AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____ 15,400.00
AMOUNT REFUNDED PER O.R. NO.________DTD.__________ 1,599.64
AMOUNT TO BE REIMBURSED
A. Certified: Correctness of the B. Certified: Purpose of cash advance duly C. Certified: Supporting documents are
above data accomplished complete and proper

CHRISTIAN JOY L. NORIEGA JAYLORD B. SOLA CHRISTIAN JOY L. NORIEGA

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 LIQUIDATION REPORT
SK of Barangay CAROAN LR No .: 2021-05-003
Municipality of Gonzaga
Province of Cagayan Date :

PARTICULARS AMOUNT
TO LIQUIDATE CASH ADVANCE USED FOR REGISTRATION FEE AND TEV
13,800.36
PHALGA ON APRIL 27-29, 2022 AMOUNTING TO….

ESTIMATE ACTUAL
HOTEL ACCOMMODATION 6,000.00 3,983.69

REGISTRATION FEE 6,000.00 6,000.00

TRANSPORTATION/PER DIEMS 3,400.00 3,816.67

15,400.00 13,800.36

REFUND FOR CASH ADVANCE 1,599.64

TOTAL AMOUNT SPENT 13,800.36

AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____ 15,400.00
AMOUNT REFUNDED PER O.R. NO.________DTD.__________ 1,599.64
AMOUNT TO BE REIMBURSED
A. Certified: Correctness of the B. Certified: Purpose of cash advance duly C. Certified: Supporting documents are
above data accomplished complete and proper

CHARLES G. FARIÑAS JAYLORD B. SOLA CHRISTIAN JOY L. NORIEGA

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

_________________ _________________ _________________

Date Date Date
 LIQUIDATION REPORT
SK of Barangay IPIL
Municipality of Gonzaga

Province of Cagayan

PARTICULARS

TO LIQUIDATE CASH ADVANCE USED FOR REGISTRATION FEE AND TEV PHALGA
ON APRIL12-14, 2023 AMOUNTING TO….

REGISTRATION FEE 6,750.00

TRAVELLING EXPENSES/HOTEL ACCOMMODATION 7,100.00
13,850.00

REFUND FOR CASH ADVANCE 90

TOTAL AMOUNT SPENT: THIRTEEN THOUSAND EIGHT HUNDRED FIFTY

AMOUNT OF CASH ADVANCE PER DV NO._____DTD._____

AMOUNT REFUNDED PER O.R. NO.________DTD.__________

AMOUNT TO BE REIMBURSED
A. Certified: Correctness of the above data B. Certified: Purpose of cash advance
duly accomplished

ALVIN D. MARCOS ALVIN D. MARCOS

Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson

_________________ _________________
Date Date
LR No .:

Date :

AMOUNT

13,940.00

REGISTRA 6750
TRAVELLI 7100
13850

13,850.00
13,940.00
90.00
C. Certified: Supporting documents
are complete and proper

GLAICEL P. VALENCIA
Signature over Printed Name
SK Treasurer

_________________
Date