Cash Advance Liquidation Form

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CASH ADVANCE
LIQUIDATION FORM
Accounting Office
Liquidation Form
Associate's Name
Date of Liquidation
Office / Dept.
Amount for Liquidation
Date/s Of Activity
CV Reference No.
Name of Activity
Check No. / Date
FOR PURCHASES WITH OFFICIAL RECEIPT
Particulars
Date / O.R. #
Amount
Total
-
FOR PURCHASES WITHOUT OFFICIAL RECEIPT (With Approved Documents)
Particulars
Reference Number
Amount
Total
-
Total Expenses
-
Excess to be deposited to Cashier (O.R.#________ Date_______)
0.00
Prepared by:
Noted by:
Approved by:
(Signature Over Printed Name of Acctg
(Signature Over Printed Name / Date)
(Signature Over Printed Name of Dept. Head / Date)
Director / Date)
Note: File copy of the Approved Request for Cash Advance (RCA) and check voucher should be attached.

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