LIQUIDATION REPORT

No.:

Municipal Government of Mlang

Date:

8/25/15

Responsibility Center:

PARTICULARS

To liquidate cash advance for payment of

GF-Proper payroll/s in the amount of. . .

AMOUNT

P15,750.00

Total Amount Spent

P16,
Amount of Cash Advance per D.V. No. _________ dated _______
Amount Refunded per OR No. _________ dated ________
Amount to be Reimbursed

P15,750.00
P15,750.00

Submitted By:

Received By:
BELEN D. GUADALUPE
Administrative Officer III

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