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SK of Barangay, City/Municipality, Province: Liquidation Report Particulars Amount

This document is a liquidation report template used by a Sangguniang Kabataan (SK) or youth council to report on the use and settlement of cash advances. It contains fields to identify the SK, report number, date, itemize expenses, total amounts spent and advanced, refunds due, and certifications needed from the accountable official, chairperson, and treasurer. Instructions explain how to correctly fill out the form and distribute copies for settling cash advances used for travel or other purposes.

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jplaurel barangay
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441 views

SK of Barangay, City/Municipality, Province: Liquidation Report Particulars Amount

This document is a liquidation report template used by a Sangguniang Kabataan (SK) or youth council to report on the use and settlement of cash advances. It contains fields to identify the SK, report number, date, itemize expenses, total amounts spent and advanced, refunds due, and certifications needed from the accountable official, chairperson, and treasurer. Instructions explain how to correctly fill out the form and distribute copies for settling cash advances used for travel or other purposes.

Uploaded by

jplaurel barangay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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LIQUIDATION REPORT LR No.

:
_____________________________________
SK of 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

A. Certified: Correctness of the B. Certified: Purpose of cash C. Certified: Supporting


above data advance duly accomplished documents are complete and
proper

________________________ _________________________ _________________________


Signature over Printed Name Signature over Printed Name Signature over Printed Name
Accountable SK Official SK Chairperson SK Treasurer

___________________ ___________________ ___________________


Date Date Date

LIQUIDATION REPORT
(LR)
INSTRUCTIONS
A. This form shall be used to liquidate cash advances for travel and for operating
expenses by the SK official concerned. It shall be accomplished as follows:
1. SK of Barangay, City/Municipality, Province – name of the barangay SK, city/
municipality and province of the barangay
2. LR No. – the LR shall be numbered as follows:
0000 – 00 – 000

Serial number (one series for each year)


Month
Year
3. Date – date of preparation of the LR
4. Particulars – brief description of the cash advance being liquidated and the details
of the expenses covered by the report
5. Amount – the corresponding amount of expenses/payments made out of the cash
advance
6. Total Amount Spent – total payments/amount spent
7. Amount of Cash Advance – amount of cash advance received and the number and
date of the Disbursement Voucher (DV)
8. Amount Refunded – amount returned representing excess/unexpended cash
advance and the number and date of the Official Receipt (OR) covering the refund
made
9. Amount to be Reimbursed – excess of the total amount spent over the cash
advance. A new DV shall be prepared for the reimbursement.
10. Box A. Certified: Correctness of the above data – signature over printed name of
the accountable SK official and date of certification
11. Box B. Certified: Purpose of cash advance duly accomplished – signature over
printed name of the SK Chairperson and date of certification.
12. Box C. Certified: Supporting documents are complete and proper – signature
over printed name of the SK Treasurer and date of certification.

B. The LR shall be supported by required documents.

C. The LR shall be prepared and distributed, as follows:

 Cash advance for travel – four copies


Original copy – COA Auditor
2nd copy – SK Treasurer
3 copy
rd
– SK Secretary
4th copy – Accountable SK Official

 Cash advance for specific purpose – three copies


Original copy – COA Auditor
2nd copy – SK Treasurer
3rd copy – SK Secretary

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