Petty Cash No.: 9

Date: 2025-12-05

Particulars: CASH GIVEN TO MR. EDPALINA DUE TO ACCIDENT AT THE CDC BLDG. 2. PAYMENT FOR SKULL SERIES & MEDICINES AT RIVERA MEDICAL CENTER, INC. w/O.R NO.: 879306

Charged To: ALLOWANCES & BENEFITS

Amount Expenses: 2000.00