No.

:________
LIQUIDATION REPORT _________
CONCEPCION , ALICIA, ZAMBOANGA SIBUGAY
Barangay , Municipality , Province Date:_______
_____

PARTICULARS AMOUNT

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO.____________DTD ____________
AMOUNT REFUNDED PER O.R. NO. _____________DTD ________________
AMOUNT TO BE REFUNDED
Submitted by: Received by:

_______________________ ___________________________
Accountable Officer Accounting Unit

__________________________ _____________________________
Date Date
II. Accounting Entries

Accounting Title Account Code Debit

Credit

Supporting Documents: Prepared by:

___________________
Barangay Bookkeeper Date

Approved by:

EDNA M. DEL ROSARIO __________________

Municipal Accountant Date