Document No. FIN.FORM.

005

Document Title Reimbursement

Reference No.: Date Prepared: 7/21/2022
No. of Pages:
Check Voucher No.: Purpose: Crimping of Tippler A hydraulic hook hose.
Dates: 7/4/2022
AMOUNT
Date Particulars Total
Office Supplies and
Gas & Oil Transportation Meals Printing
Others

7/4/2022 Hose mender 1/2 with crimp 980.00 980.00

-
-
-
-

980.00
Prepared By: Approved by: Amount of Cash Advance: 2,000.00
Less Actual Expenses:
Japhet C. Orden VPC / MAT / MCG For Remittance/(Reimbursement): 1,020.00
Certified True and Correct by: Audited By: O. R. No. 3343
O.R. Date: 7/4/2022
Received by:
 Document No. FIN.FORM.005

Document Title LIQUIDATION STATEMENT

Reference No.: Date Prepared: 5/9/2018
No. of Pages: 1
Check Voucher No.: Purpose: Reimbursement
Dates:
AMOUNT
Date Particulars Total
Office Supplies and
Gas & Oil Transportation Meals Printing
Others

5/5/2018 Fare reimbursement (Victory Liner) Alicia to 110.00 110.00

5/5/2018 Meal Allowance 300.00 300.00

TOTAL 410.00
Submitted by: Approved by: Amount of Cash Advance:
Less Actual Expenses:
Marites Garcia
For Remittance/(Reimbursement):
Certified True and Correct by: Audited By: O. R. No.
O.R. Date:
Sonny Mauricio Carag Received by:
 Document No. FIN.FORM.005
ECOFUEL Document Title LIQUIDATION STATEMENT
Land Development, Inc. Reference No.: Date Prepared: 25 April 2014
No. of Pages:
Check Voucher No.: Purpose: Reimbursement of various expenses
Dates:
AMOUNT
Date Particulars Total
Office Supplies and
Gas & Oil Transportation Meals Printing
Others

April 06 Assorted supplies 35,674.70 35,674.70

TOTAL 35,674.70
Submitted by: Approved by: Amount of Cash Advance:
Less Actual Expenses: 35,674.70
Danilo B. Jugno WPU For Remittance/(Reimbursement): (35,674.70)
Certified True and Correct by: Audited By: O. R. No.
O.R. Date:
Received by:
 EXPENSE REPORT
Employee Name CV Ref.: Sequence
Department/Are Plate #: Number
Purpose: Period Covered: Date:
Place Gas & Oil Repairs & Others
Date Transportation Meals Total
From To Lts Amount Maintenance Account Amount

Prepared by: Approved by: Total Reported Expens

Total Cash Advanced
Cash Due from(to) ULPI
Endorsed by: Audited By: A. R. No.
A.R. Date:
Received by:
FIN-FORM-005