Revised Liquidation Report Form.xls

CAO Form 03-08A

ATENEO DE MANILA UNIVERSITY Loyola Heights, Quezon City

LIQUIDATION REPORT Check Number Payee:

Amount:

Check Date: Dept./Unit:

Nature of Activity: Duration of Activity: From:

To: Summary of Expenses

(Please attach invoices, Official Receipts and other supporting documents) Budget Date

Description

Reference

Amount

TOTAL EXPENSES

Acct. No.

-

EXPENSE CATEGORY (refer to your Cash Advance Request)

Budget

Actual -

TOTAL

-

-

Difference -

Prepared by: Payee Endorsed by:

Department Head Approved by:

Unit Head

Excess-Redeposited OR/RMI Number Date

-

BALANCE - reimbursable Date of PCV/OC

-