SUMMARY OF EXPENSES

(REIMBURSEMENT/LIQUIDATION REPORT)

NAME OF EMPLOYEE: DATE COVERED:

Revision: 04
Purpose / Project December 02, 2014

Date Cost Center Code Ref. Particulars Amount

Grand Total of Expenses P -

Less: Cash Advances if
CAS (Amount) P

RFPF (Reference No.)

APV No.
CV No. P -
Total Amount for (Return) / Reimbursement (Official Receipt No. - For RFPF) P 0.00

If you are a Rank & File / Supervisor, please use this table of signatories.
Prepared by / Date Checked by / Date Approved by / Date

Signature of Employee Immediate Superior / Department Manager VPO/Finance

If you are a Manager, please use this table of signatories.
Prepared by / Date Checked by / Date Recommending Approval / Date Approved by / Date

Signature of Employee Department Manager VPO/Finance President