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LIQUIDATION FORM

Date: September 26, 2023 Reference CR#:


Department: EHS

Requested Amount: Php 1,500.00

Particulars SBU RESPONSIBILTY CENTER OR# Amount


Notary Public (SMR - KCC Cainta) 3000 200106 Pacayna Law Office - OR # 26701 200.00
Notary Public (PCO Accreditation) 3000 200106 Pacayna Law Office - OR # 26767 200.00
Certifcate & ID (LLDA PCO Accreditation) 3000 200106 LLDA Official Receipt - OR# 0044356 700.00
Notary Public (SMR - KCC Carmona) 3000 200106 Pacayna Law Office - OR # 26920 200.00
Notary Public (Affidavit of PCO & MH) 3000 200106 Pacayna Law Office - OR # 26921 200.00

Total Expenses: PHP 1,500.00 -


For Return/Reimburseme PHP 1,500.00 -

Requested Department Accounting


Prepared By: Noted By: Approved by: Released By: Received By:

ACCT-002-02-10272022

LIQUIDATION FORM
Date: Reference CR#:
Department:

Requested Amount:

Particulars SBU RESPONSIBILTY CENTER OR# Amount

Total Expenses: PHP -


r Return/Reimburseme PHP -

Requested Department Accounting


Prepared By: Noted By: Approved by: Released By: Received By:

ACCT-002-02-10272022

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