NO.

___07
LIQUIDATION REPORT
Date: September 14, 2022
DIVISION OF LEYTE
Responsibility Center

SAN FERNANDO PRIMARY

PARTICULARS AMOUNT

To liquidation of MOOE Liquidation cash advance for the month of

June, 2022 used at SAN FERNANDO PRIMARY SCHOOL Burauen
East District in the amount of Eleven Thousand Seven Hundred
Ninety-Six Pesos (P 11,796.00) ₱ 11,796.00

ADA No. Dated: Acct. Code

. 22-08-090M . 08/30/2022
Total Amount Spent:/Date Received: ₱ 12,063.00

Amount of Cash Advance Per DV No. Dated: ₱ 11,796.00

Amount to be Refunded Per OR No. Dated: P N-O-N-E

Amount to be Reimbursed P N-O-N-E

A. Certified Correctness of the B. Certified: Purpose of Travel/Cash C. Certified: Supporting documents

above data Advance duly Accomplished complete and proper

MA. EDNA A. CALADES

WILSON G. PASA EMMA A. ALCAIN
Claimant Immediate Supervisor ADAS III Senior Bookkeeper

DATE: DATE: DATE: