ABCDEFGHIJKLMNOPQRSTUVWXYZ
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REPORT OF DISBURSEMENT
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For the month of __________, 2022
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SL DO Form No. 08
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Report No.:
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Sheet No.:
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OR. DATEOR. NO.ACCOUNT DESCRIPTIONUACS
OBJECT CODE
PAYEEPARTICULARSAMOUNT
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SUB-TOTAL TOTAL
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Office Supplies Expense5 02 03 010 00
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Grand Total -
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CERTIFICATION
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I hereby certify that this Report of Disbursements in ___________ sheet(s) is a full, true and correct statement of the disbursements made by me and that this liquidation of the cash advance granted last __________in the amount of ₱ __________ per Check No. ___________ dated ______________.
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__________________
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Signature over printed nameDate
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