LIQUIDATION REPORT Serial No.

: 546478
Period Covered April 22 to April 26, 2019 Date: April 30, 2019

Entity Name : DEPARTMENT OF EDUCATION Responsibility Center Code:

Fund Cluster : Regular Agency Fund 786857

PARTICULARS AMOUNT

Transportation 27, 586.00

Registration 50,000
Accomodation 10,000
Allowance 5,000

TOTAL AMOUNT SPENT 92, 366.00

AMOUNT OF CASH ADVANCE PER DV NO. 5673 DTD. ______ 92,586.00
AMOUNT REFUNDED PER OR NO. 2668 DTD. ___________ 220.00
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

CAMILLE RENZY S. DIMINSIL MA. CELINA H. FALCONITIN GEROME G. BULAN

Signature over Printed Name Signature over Printed Name Accountant III
Claimant Immediate Supervisor

JEV No.:

Date: April 30, 2019 Date: May 6, 2019 Date: May 10, 2019

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