LIQUIDATION REPORT No.
:___________
SANTIAGO, BINALONAN, PANGASINAN
Barangay,City/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 REIMBURSED -
Submitted by: Received by:
EDEN F. VILLAMANCA _____________________
Accountable Officer Accounting Unit
______________ ______________
Date Date
ACCOUNTING ENTRIES
Account Title Account Code Debit Credit
Prepared by: Approved by:
______________________ LORNA CARISSA L. ORPILLA
Barangay Bookkeeper City/Municipal Accountant
_______________ _______________
Date Date