Liquidation Report: Payee: Dept./Unit

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LIQUIDATION REPORT

Payee: Dept./Unit:

Nature of Activity:
Duration of Activity: From: To:

Summary of Expenses
(Please attach invoices, Official Receipts and other supporting documents)

Budget
Date Description Reference Amount Acct. No.

TOTAL EXPENSES -

EXPENSE CATEGORY Budget Actual Difference

TOTAL

Prepared by:
Excess-Redeposited
Payee OR/RMI Number
Endorsed by: Date

Department Head BALANCE - reimbursable


Approved by: Date of PCV/OC

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