Annex 15



LIQUIDATION REPORT

_______________________________
Barangay, City/Municipality, Province

No.:________________

Date.:______________
PARTICULARS AMOUNT


















TOTAL AMOUNT SPENT
---->
AMOUNT OF CASH ADVANCE PER DV NO._____DTD.______
---->
TOTAL AMOUNT SPENTAMOUNT REFUNDED PER O.R. NO._____DTD_______
---->
AMOUNT TO BE REIMBURSED
---->
Submitted by:

________________________
Accountable Officer

___________________
Date
Received by:

________________________
Accounting Unit

___________________
Date

ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit











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