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Appendix 44
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LIQUIDATION REPORTSerial No.: _________________
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Period Covered _______________________Date: _____________________
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Entity Name : NAME OF SCHOOL/ STATION
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Fund Cluster : ______________________________________
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PARTICULARSAMOUNT
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CASH BALANCE FORWARDED FROM PREVIOUS MONTH________________________
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CASH ADVANCE GRANTED FOR THE MONTH OF ___________________________________________
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To liquidate the School MOOE of ____(school name) , for the month of__________, pursuant to DepEd Order No. 008, s. 2019 (Revised Implementing Guidelines on the Direct Release, Use, Monitoring and Reporting of Maintenance and Other Operating Expenses Allocation of Schools, Including Other Funds Managed by Schools) per supporting documents hereto attached in the amount of . . .
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_____________________
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TOTAL AMOUNT SPENT __________________________
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AMOUNT OF CASH ADVANCE PER DV NO.__________________DTD. ________.__________________________
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AMOUNT REFUNDED PER OR NO. ________DTD. ___________
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AMOUNT TO BE REIMBURSED
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 A Certified: Correctness of the Certified: Purpose of travel / Certified: Supporting documents complete and proper
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 above data
cash advance duly accomplished
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NAME OF SCHOOL HEAD/ CLAMAINTCHRISTOPHER R. DIAZ, CESO VNATHALIE JOY U. DON
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 Signature over Printed NameSchools Division SuperintendentSignature over Printed Name
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ClaimantHead, Accounting Division Unit
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JEV No.: ___________________
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Date: ______________________
Date: _____________________Date: _____________________
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UNLIQUIDATED AMOUNT
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0.00
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