SAINT LOUIS UNIVERSITY

SUPREME STUDENT COUNCIL

EXECUTIVE COMMITTEE 20XX-20XX
Student Center-07B, A. Bonifacio St., Baguio City

LIQUIDATION REPORT / REPORT FOR REIMBURSEMENT

Organization/Assembly :
Name of Activity :
Date of Activity : (Not applicable for tangible projects)
Venue of Activity : (Not applicable for tangible projects)
Source of Funding :

Amount Requested: xxx.xx

Amount Liquidated: xxx.xx
Amount to be Returned: xxx.xx

Receipt Establishment Items Quantity Budgeted Actual Explanation

No. and Amount Expense of Variance
Date

Total xxx.xx xxx.xx

Prepared by:
Name
Preferably Assembly Governor or Secretary, School

Noted by:
CARLOS GABRIEL B. BLANCO
Secretary for Audit, KASAMA/SSC

COA: _________________________________

COMMISSIONER-IN CHARGE

For the requesting body to easily process their Auditors Report, the Commission will release
assignment of the different commissioners together with their contact numbers. (REMOVE THIS TEXT)

Template Notes:
1. Copy the contents of this document and transfer to the document containing your school assembly/organizations letter head
2. Maintain the case/font/size of letters used
3. Text in orange font color are meant to be edited
Change the orange font color to black
4. Accomplish in four copies (1 colored for Father President, 3 black and white for SSC, Accounting and Individual Copy)
5. Please use scrap papers for the black and white copies
6. For partnered activities, include a logo of the partnering organization beside the KASAMA/SSC logo
7. Properly indicate whether a Liquidation Report or Report for Reimbursement is prepared.
8. Delete this guidelines box