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Appendix 35 - LR

This liquidation report document contains details of expenditures for a local government unit, including a fund, total amount spent, cash advance amount, amount refunded, and amount to be reimbursed. It requires certification from the claimant, immediate supervisor, and head of the accounting division to verify the correctness of data, that the purpose of travel or cash advance was accomplished, and that supporting documents are complete.
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100% found this document useful (1 vote)
354 views

Appendix 35 - LR

This liquidation report document contains details of expenditures for a local government unit, including a fund, total amount spent, cash advance amount, amount refunded, and amount to be reimbursed. It requires certification from the claimant, immediate supervisor, and head of the accounting division to verify the correctness of data, that the purpose of travel or cash advance was accomplished, and that supporting documents are complete.
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Appendix 35

LIQUIDATION REPORT Serial No.: ___________


Period Covered ________________ Date: _______________

LGU : ________________________________________ Function/Program/Project


Fund : _______________________________________ _______________________

PARTICULARS Amount

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 C Certified: Supporting documents
above data travel/cash advance duly complete and proper
accomplished

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor Head, Accounting Division Unit
Date:_______________ Date:__________________ Date:__________________

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