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Appendix 44 - LR Empty

This liquidation report from July 23, 2018 provides details of a cash advance for an unnamed entity. It lists the total amount spent, the amount of the original cash advance, any amounts refunded, and the remaining amount to be reimbursed. It requires certifications from three parties to verify the accuracy of the data, that the purpose of travel or cash advance was fulfilled, and that supporting documents are complete.

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COA FAS
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0% found this document useful (0 votes)
45 views

Appendix 44 - LR Empty

This liquidation report from July 23, 2018 provides details of a cash advance for an unnamed entity. It lists the total amount spent, the amount of the original cash advance, any amounts refunded, and the remaining amount to be reimbursed. It requires certifications from three parties to verify the accuracy of the data, that the purpose of travel or cash advance was fulfilled, and that supporting documents are complete.

Uploaded by

COA FAS
Copyright
© © All Rights Reserved
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: July 23, 2018

Entity Name : Responsibility Center Code:


Fund Cluster : _____________________________________________
__________________________

PARTICULARS AMOUNT

To liquidate the cash advance granted re:

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

________________________ ________________________ ________________________

JEV No.: ___________________

Date: ______________________ Date: _____________________ Date: _____________________

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