Appendix 44

LIQUIDATION REPORT Serial No.: _________________

Period Covered __June 1-3, 2016_________ Date: ___June 22, 2016______

Responsibility Center Code:

Entity Name : ___RIZAL MEDICAL CENTER_______________________________
Fund Cluster : _____5_______________________________________
_______3 030 20000______

PARTICULARS AMOUNT

Registration Fee/Training Php 3,600.00

Seminar Workshop on
BASIC ACCOUNTING & INTERNAL CONTROL
FOR NON-ACCOUNTANTS
(June 1-3, 2016)
Hotel Kimberly, Malate Manila

TOTAL AMOUNT SPENT Php 3,600.00

AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______ Php 3,600.00
AMOUNT REFUNDED PER OR NO. ________DTD. ___________ 0
AMOUNT TO BE REIMBURSED 0
A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting
above data cash advance duly accomplished documents complete and proper

________________________ ________________________ ________________________

MARIA CECILIA H. EVANGELISTA MELITA DL. SANTOS, MGM-ESP AIMEE KRISTEL R. LOPEZ, CPA
 Claimant Immediate Supervisor Accountant IV

JEV No.: ___________________

Date: ______________________ Date: _____________________ Date: _____________________