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Appendix 44 LR

This document is a liquidation report template used to report on expenses during a period. It includes fields to provide details of expenses incurred, the total amount spent, any cash advances received and amounts to be reimbursed. It requires certification from the claimant, immediate supervisor and head of accounting to validate the accuracy and appropriateness of expenses.

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67 views

Appendix 44 LR

This document is a liquidation report template used to report on expenses during a period. It includes fields to provide details of expenses incurred, the total amount spent, any cash advances received and amounts to be reimbursed. It requires certification from the claimant, immediate supervisor and head of accounting to validate the accuracy and appropriateness of expenses.

Uploaded by

kaloy33
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Appendix 44

LIQUIDATION REPORT Serial No.: _________________


Period Covered ________________ Date: _____________________

Responsibility Center Code:


Entity Name : _____________________________________________
Fund Cluster : _____________________________________________
__________________________

PARTICULARS AMOUNT

TOTAL AMOUNT SPENT


AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______
AMOUNT REFUNDED PER OR NO. ________DTD. ___________
AMOUNT TO BE REIMBURSED
A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting
above data cash advance duly accomplished documents complete and proper

________________________ ________________________ ________________________


Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor Head, Accounting Division Unit

JEV No.: ___________________

Date: ______________________ Date: _____________________ Date: _____________________

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