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LIBERTY INSURANCE CORPORATION

kos 4 REQUISITION FOR CHECK DATE :


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I Amount:
PAYEE: PARTICULARS:

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Account Debit Credit


Account Debit Credit
E-800-1 Comm. Frre A-105-3 Cash-EPel
E-800-6 Comm Motor A-105-'l Cash-UCPB
E-800-8 Comm. CAS A-105-8 Cash-CBC
E-800- Comm
A-140-'1 P/R-Fire
L-2214 Wtax - 5% A-140-6 P/R-Motor
L-2't 0-6 Acct. Payable A-140-8 P/R-CAS
L Due to Rl A-140-

E-840€ U,&V Exp.-Motor A-160 lnv. Stocks


E-919- Transp A- 190 Preo. Exp
E-921- Rep A- 192
E-922- Communication A-1 't0- tuR Emp
A-120-',l A"/R Others
E-920- Advertrsing
E-927 - Misc. Exp
E SEMINAR l-400-6 Gross Prem

Checked By Approved By: Remarks


Prepared
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