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Appendix 44
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LIQUIDATION REPORTSerial No.:
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Period CoveredMar-21Date:
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Entity Name :
Responsibility Center Code:
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Fund Cluster :01101101
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PARTICULARSAMOUNT
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Cash Advance for the month of ₱1,000.00
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TOTAL AMOUNT SPENT
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AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______ ₱ 1,000.00
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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
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 above data
cash advance duly accomplished
documents complete and proper
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DORIS DJ. ESTALILLACHRISTINE ANN B. CORDERO
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Principal I Assistant Schools Division SuperintendentAccountant III
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Officer in Charge
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Office of the Schools Division Superintendent
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JEV No.:
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Date: Date: Date:
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