Doc. Control No.

DEPEDBATC-ACC-F-098
DEPARTMENT OF EDUCATION Schools
Rev. No. 0 Page 1 of 1
Division of Batangas City
Effective Date 3-Sep-18
LIQUIDATION REPORT
Appendix 44

Serial No.:
Period Covered October 1-31, 2018 Date:

Responsibility Center Code:

Entity Name : __SCHOOLS DIVISION OF BATANGAS CITY____________________________
Fund Cluster : ____01______________________ __________________________

PARTICULARS AMOUNT

To LIQUIDATE CASH ADVANCE made by CARMEN E. BIDON of 20,700.00

Tinga Itaas Elementary School for the month of October 2018

20,700.00
TOTAL AMOUNT SPENT 20,667.30

AMOUNT FORWARDED FROM LAST MONTH

AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______ 20,700.00

AMOUNT TO BE FORWARDED NEXT MONTH

AMOUNT TO BE REIMBURSED 0.00

A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting documents complete and
above data cash advance duly accomplished proper

________________________ ________________________ ________________________

CARMEN E. BIDON DONATO G. BUENO MARIA JOSEFINA M. LAGMAN
(Principal II) OIC - SDS Accountant III

JEV No.:

Date: ______________________ Date: _____________________ Date: ____________________

This document is a property of Schools Division of Batangas City and the contents are treated in strict confidentiality. Therefore, unauthorized
reproduction is strictly prohibited, unless otherwise, permitted by SDO Batangas City. All inquiries regarding this procedure shall be directed to
the Management who is responsible for its control.
 LIQUIDATION REPORT
(LR)

INSTRUCTIONS

A.     The LR shall be used to liquidate cash advances for travel and related expenses by the employees/officers concerned o
This shall be prepared by fund cluster.

B.      It shall be accomplished as follows:

1.    Period Covered – the period covered by the report from the date of the grant of cash advance up to the date of liquidati

2.    Entity Name – name of the agency/entity
3.    Fund Cluster – the fund cluster name/code in accordance with the UACS
4.    Serial No./Date – number assigned to the LR by the Accounting Division/Unit and the date of the preparation of the rep
5.    Responsibility Center Code – code assigned to each cost/responsibility center
6.    Particulars – brief description of expenses incurred or deviation from original itinerary of travel
7.    Amount – amount of expenses covered by the report
8.    Total amount spent – actual amount spent 
9.    Amount of Cash Advance per DV No. – amount of cash advance as indicated in the DV on the grant of cash advance; 
10.   Amount Refunded per OR No.– amount refunded representing excess of the cash advance received over actual expen
11.   Amount to be Reimbursed – amount due to the payee/claimant representing the difference between cash advance rece
12.   Box A Certified: Correctness of the above data – name and signature of the employee/officer who was granted the c

13.      Box B Certified: Purpose of travel/cash advance duly accomplished– name and signature of immediate superviso

14.    Box C Certified: Supporting documents complete and proper –name and signature of the Head of the Accounting

in recording the liquidation in the GJ should be indicated 

C.      The amount spent per LR shall be taken up in the JEV, the refund shall be recorded in the CRJ, and the amount to be re

D.         It shall be prepared in two copies and shall be distributed as follows:

Original - COA Auditor, through the Accounting Division/Unit, together with the supporting documents
Copy 2 - Accounting Division/Unit, to be attached to the JEV
Copy 3 - Officer/Employee's File