COOPERATIVE BANK OF CAGAYAN
LOANS DEPARTMENT
LIQUIDATION FORM
NAME OF EMPLOYEE: CASH ADVANCE PCF FIELDWORK OTHERS
TRAVEL ORDER NUMBER (If applicable): AMOUNT OF CASH ADVANCE (If applicable):
DATE OF TRAVEL ORDER (If applicable): DATE OF CASH ADVANCE (If applicable):
DATE OR/INVOICE # PARTICULARS AMOUNT
TOTAL EXPENSES
FOR REIMBURSEMENT (REFUND)
Liquidated by: Checked by: Noted by: Verified by: Posted/Credited by:
____________________ ____________________ ____________________ ____________________ ____________________
Name of Employee Immediate Supervisor Loans Head Internal Audit Head (OIC) Accounting Staff
Date Liquidated: __________________
Nature of Cash Advance: Action to be taken:
( ) Out of town seminars/ travels (For late liquidation only)
( ) In-house seminars/ trainings
( ) Others (pls. specify)______________________
within liquidation period
beyond liquidation period
____________________ ____________________
Chief Accountant HR Head
Approved By:
______________________
President/ CEO
COOPERATIVE BANK OF CAGAYAN
BRANCH
LIQUIDATION FORM
NAME OF EMPLOYEE: CASH ADVANCE PCF FIELDWORK OTHERS
TRAVEL ORDER NUMBER (If applicable): AMOUNT OF CASH ADVANCE (If applicable):
DATE OF TRAVEL ORDER (If applicable): DATE OF CASH ADVANCE (If applicable):
DATE OR/INVOICE # PARTICULARS AMOUNT
TOTAL EXPENSES
FOR REIMBURSEMENT (REFUND)
Liquidated by: Checked by: Noted by: Verified by: Posted/Credited by:
____________________ ___________________________ _______________________ ____________________ ____________________
Name of Employee Immediate Supervisor/BM Chief Operating Officer Internal Audit Head (OIC) Accounting Staff
FMBO Head President/CEO
Date Liquidated: __________________
Nature of Cash Advance: Action to be taken:
( ) Out of town seminars/ travels (For late liquidation only)
( ) In-house seminars/ trainings
( ) Others (pls. specify)______________________
within liquidation period
beyond liquidation period
____________________ ____________________
Chief Accountant HR Head
Approved By:
______________________
President/ CEO
COOPERATIVE BANK OF CAGAYAN
BRANCHLITE
LIQUIDATION FORM
NAME OF EMPLOYEE: CASH ADVANCE PCF FIELDWORK OTHERS
TRAVEL ORDER NUMBER (If applicable): AMOUNT OF CASH ADVANCE (If applicable):
DATE OF TRAVEL ORDER (If applicable): DATE OF CASH ADVANCE (If applicable):
DATE OR/INVOICE # PARTICULARS AMOUNT
TOTAL EXPENSES
FOR REIMBURSEMENT (REFUND)
Liquidated by: Checked by: Noted by: Verified by: Posted/Credited by:
____________________ ___________________________ _______________________ ____________________ ____________________
Name of Employee Immediate Supervisor/ABM Chief Operating Officer Internal Audit Head (OIC) Accounting Staff
Branch Manager President/CEO
FMBO Head
Date Liquidated: __________________
Nature of Cash Advance: Action to be taken:
( ) Out of town seminars/ travels (For late liquidation only)
( ) In-house seminars/ trainings
( ) Others (pls. specify)______________________
within liquidation period
beyond liquidation period
____________________ ____________________
Chief Accountant HR Head
Approved By:
______________________
President/ CEO
COOPERATIVE BANK OF CAGAYAN
CORPORATE
LIQUIDATION FORM
NAME OF EMPLOYEE: CASH ADVANCE PCF FIELDWORK OTHERS
TRAVEL ORDER NUMBER (If applicable): AMOUNT OF CASH ADVANCE (If applicable):
DATE OF TRAVEL ORDER (If applicable): DATE OF CASH ADVANCE (If applicable):
DATE OR/INVOICE # PARTICULARS AMOUNT
TOTAL EXPENSES -
FOR REIMBURSEMENT (REFUND)
Liquidated by: Checked by: Noted by: Verified by: Posted/Credited by:
____________________ _________________________________ _______________________ ____________________ ____________________
Name of Employee Department Head/Immediate Supervisor Chief Operating Officer Internal Audit Head (OIC) Accounting Staff
President/CEO
Date Liquidated: __________________
Nature of Cash Advance: Action to be taken:
( ) Out of town seminars/ travels (For late liquidation only)
( ) In-house seminars/ trainings
( ) Others (pls. specify)______________________
within liquidation period
beyond liquidation period
____________________ ____________________
Chief Accountant HR Head
Approved By:
______________________
President/ CEO
