Appendix 44

LIQUIDATION REPORT Serial No.: _________________

Period Covered _MOOE SEPTEMBER Date: _

Entity Name : ___ENRILE WEST CENTRAL SCHOOL Responsibility Center Code:

Fund Cluster : _MOOE __________________________

PARTICULARS AMOUNT

TO LIQUIDATE CASH ADVANCE/MOOE WITH CHEQUE 37,400.00

_________ IN THE AMOUNT OF (THIRTY SEVEN THOUSAND FOUR HUNDRED PESOS ONLY
37, 400DATED ____________________.

TOTAL AMOUNT SPENT 37,400.00

AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______ 37,400.00
AMOUNT REFUNDED PER OR NO. ________DTD. ___________ 0
AMOUNT TO BE REIMBURSED 0
A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting documents
above data cash advance duly accomplished complete and proper

ELISA T. PALATTAO ELISA T. PALATTAO AILEEN D. BANUG

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor Head, Accounting Division Unit

Date: _ Date: _ Date: _