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LIBERTY INSURANCE CORPORAT roN

d.r( REOUISITION FOR CHECK DATE :

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PAYEE:

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Account Debit Credit Account Debat IEil


@ Comm.Fire A-105-3 EE@L
@ Comm.Motor Cash-UCPB
@ Comm.CAS A-105-8 Cash-CBC
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L-2214 Wtax - 5% A- 140-6
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L-21 0-6 EEEEil
I Due to Rl A-140- -
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[{t,I,rf - A-160 lnv. Stocks -
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E-919- A- 190 Pre -


- A- 192 VAT -
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A-1 10- -PJR E m0. I
E-922- Communication
A-120-1 PJR Others I
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E-920-
E-927 -
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t4006 Gross Prem
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Approved By:
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Prepared By Checked By -
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