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Appendix 40 - Liquidation Report (LR)

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Efrain Kevin Alanan Ares
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18 views

Appendix 40 - Liquidation Report (LR)

Uploaded by

Efrain Kevin Alanan Ares
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

OFFICE OF THE CHIEF MINISTER


Bangsamoro Autonomous Region in Muslim Mindanao
BARMM Complex, Cotabato City
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 documents
above data cash advance duly accomplished complete and proper

________________________ ________________________ ANALEE C. BIRUAR


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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