MELTO FORM NO.

CASH ADVANCE
ASH ADVANCE

Province, City, Municipality of __________________________________________

As of _________________________________

Name of Disbursing/Special Disbursing Officer: ____________________________

Maximum Cash Accountability: Php ____________________

Amount of Bond: Php ________________________

Bond Premium: Php _________________________

DATE CHECK AMOUNT OF PURPOSE AMOUNT OF BALANCE REMARKS

# CASH LIQUIDATION
ADVANCE
(Php) (Php) (Php)

(continued on separate sheet if necessary)

1 | 1 M E L T O F O R M N O . 7 CASH ADVANCE