Liquidation Report: Payee: Dept./Unit
Liquidation Report: Payee: Dept./Unit
Liquidation Report: Payee: Dept./Unit
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 -
TOTAL
Prepared by:
Excess-Redeposited
Payee OR/RMI Number
Endorsed by: Date