Appendix 44
LIQUIDATION REPORT Serial No.: _________________
Period Covered ________________ Date: NOVEMBER 4, 2024
ENTITY NAME: DEPARTMENT OF EDUCATION Responsibility Center Code:
Fund Cluster : _______________________________________________________________________
PARTICULARS AMOUNT
TRAVELLING EXPENSES WHILE ON OFFICIAL BUSINESS IN
BUTUAN CITY AND SAN AGUSTIN SDS ON OCT. 14-18, 2024
TOTAL AMOUNT SPENT -
AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______ -
AMOUNT REFUNDED PER OR NO. ________DTD. ___________ -
AMOUNT TO BE REIMBURSED -
A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting
above data cash advance duly accomplished documents complete and proper
BETHANY E. CLIMACO, CPA
Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor
JEV No.: ___________________
Date: ______________________ Date: _____________________ Date: _____________________
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