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LIQUIDATION REPORT No:

Date:

COMMISSION ON ELECTIONS Responsibility Center


Agency Code:

PARTICULARS AMOUNT

To liquidate the Cash Advance for the May 9, 2016 National and Local
Elections representing payment for Job Order Casuals in pasting Voter's
Information Sheets amounting to ------------------------------------------------------- P 12,272. 70

Total Number of Registered Voters = 19, 399


Allowable no. of J.O Casual =3

Rate per J.O per day = Php 409.09 for 10 days

Computation:
Php 409.09 x 10 days x 3 = Php 12,272.70

TOTAL AMOUNT SPENT P 12,272. 70

AMOUNT OF CASH ADVANCE PER D.V. NO._____DTD____ P

AMOUNT REFUNDED PER OR NO. ______ DTD. _______ P

AMOUNT TO BE REIMBURSED P
A. Certified: Correctness of the above B. Certified: Purpose of travel/cash C. Certified: Supporting documents
data advance duly accomplished complete and proper

MARY DOLLY D. REVIL ATTY. MILBER G. ALINAS


Election Officer II Acting Provincial Election Supervisor

CLAIMANT IMMEDIATE SUPERVISOR HEAD ACCTNG. UNIT JEV No.

Appendix 58

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