Republic of the Philippines

MUNICIPALITY OF KOLAMBUGAN, LANAO DEL NORTE

Local Government Units

LIQUIDATION REPORT No.

Kolambugan, Lanao del Norte Date
LGU
Name of Claimant: IRENIO A. ZAYAS JR. ID No./TIN
Address: Kolambugan, LDN. Responsibility Center
Code:
Particulars Amount

Liquidation of cash advance while attending in the

Evaluation & updating of Sub-projects implemented of
KC-NCDDP last December 11-15, 2018 at Cagayan de Oro
city

Total Amount Spent

Amount of Cash Advance per DV No.
Amount refunded per OR# ____________dated__________
Amount to Reimbursed
A. Certified Correctness of the above data. B. Certified ourpose of Travel/Cash C. Certified supporting
advances duly accomplished. documents complete and
proper

LORENZO V. MANIGOS SUSAN L. DENORE

Municipal Mayor Municipal Accountant
IRENIO A. ZAYAS JR.
Claimant Immediate Supervisor Head Accounting Unit JEV/No.
 ic of the Philippines
OLAMBUGAN, LANAO DEL NORTE
Government Units

No.

Date

ID No./TIN
Responsibility Center
Code:
Amount

C. Certified supporting
documents complete and
proper

SUSAN L. DENORE
Municipal Accountant

Head Accounting Unit JEV/No.