Scribd
Upload
165 views

Forms LR

This liquidation report from (Name of School) summarizes spending from a period and responsibility center. It lists particular expenses and amounts spent totaling to an amount. It shows the amount of cash advance, amount refunded, and amount to be reimbursed. It requires certifications from the claimant, immediate supervisor, and head of the accounting division to verify the correctness of data, purpose of travel/advance, and completeness of supporting documents.

Uploaded by

Rick
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
165 views

Forms LR

This liquidation report from (Name of School) summarizes spending from a period and responsibility center. It lists particular expenses and amounts spent totaling to an amount. It shows the amount of cash advance, amount refunded, and amount to be reimbursed. It requires certifications from the claimant, immediate supervisor, and head of the accounting division to verify the correctness of data, purpose of travel/advance, and completeness of supporting documents.

Uploaded by

Rick
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
You are on page 1/ 1

(NAME OF SCHOOL)

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: _____________________

119

You might also like