STUDENT ACTIVITIES AND LEADERSHIP DEVELOPMENT

Office of Student Affairs, Xavier University Ateneo de Cagayan Rm 204, 2/F Magis Student Complex (Tel) 858-3116 local 3330

Form

A9 (2012)

FEES COLLECTION REPORT

(Please accomplish 2 copies.)

Name of Organization: ECONOMICS SOCIETY Name of Activity where collection of counterpart was done: ORG TOUR AND UNITASS COLLEGE ASSEMBLY 2013 Purpose of the Collection: (Please state the reason/ justification why collection was done.) Additional counterpart to the cost for snacks consumed by the volunteers in the said event.

Duration of the Collection/ Date of Collection: 6 June 2013 7 June 2013 Summary of Cash Collection: Number of Payers Amount Paid 6 32 32 32 32 32 20 20 20 20 20 50

Total Amount Collected: 310.00php Remarks (To be filled by SACDEV)

Series/ Control Number Assigned to Issued Acknowledgment Receipt 0364487 0364488 0364489 0364490 0365336 0365337 0365338 0365339 0365340 0365341 0365342

AGREEMENT: We understand that there are rules and regulations which govern collection of fees in the University. Failure to abide by them entails sanctions for the organization and disciplinary measures for the students involved.

AUBREY G. BAGOOD Project Head 09354215454

IVY JILL R. SUBRABAS Treasurer

JHON LOUIE B. SABAL President

MS. CAROLINE LAARNI R. SERENAS Moderator

Approved by:

MS. RICHEL P. PETALCURIN Student Activities and Leadership Development Head IMPORTANT:
This form applies to collection of membership fee, registration fees for some activities (e.g. seminar), counterpart from members, service fee, rental fee, or any fee collected by the organization.