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FDP Form 12 - Unliquidated Cash Advances
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UNLIQUIDATED CASH ADVANCES
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REGION:
REGION III - CENTRAL LUZON
CALENDAR YEAR:2023
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PROVINCE:TARLACQUARTER:4
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CITY/MUNICIPALITY:
SAN CLEMENTE
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Name of Debtor
(in alphabetical order)
Amount BalanceDate GrantedPurposeAmount Due
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CurrentPast Due
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Less than 30 days31-90 days91-365 daysOver 1 yearOver 2 years3 years and above
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Dela Cruz, Jocel 38,980.00 3/12/2021Kasalang Bayan 38,980.00
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Total
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We hereby certify that we have reviewed the contents and hereby attest to the veracity and correctness of the data or information contained in this document.
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(Sgd) PABLO JESUS B. PARAS(Sgd) ELMA L. MACADAMIA
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Local AccountantLocal Chief Executive
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