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Liquidation Form

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raliscad
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23 views

Liquidation Form

Uploaded by

raliscad
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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LIQUIDATION REPORT Serial No.

: _________________
Period Covered: Date:

Entity Name : CIVIL SERVICE COMMISSION- NCR Responsibility Center Code:


Fund Cluster : _____________________________________________ CFAG
PARTICULARS
AMOUNT

CA re: Petty Cash Fund for Operations

25-May-17 RER ABC Transportation 60.00


LIQUIDATION REPORT Serial No.: _________________
Period Covered: Date:

Entity Name : CIVIL SERVICE COMMISSION- NCR Responsibility Center Code:


Fund Cluster : _____________________________________________ CFAG
PARTICULARS
AMOUNT

*Nothing Follows*

TOTAL AMOUNT SPENT 60.00


AMOUNT OF CASH ADVANCE BALANCE 50,000.00
AMOUNT OF CASH ADVANCE PER DV NO. ________________ DTD. _________________ 21,153.55
AMOUNT REFUNDED PER OR NO. _____________ DTD. ________________ 71,093.55
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

________________________ ________________________ ________________________

Admin. Officer V Director IV Accountant III

JEV No.: ___________________

Date: ______________________ Date: _____________________ Date: _____________________

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