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

A3 (2012 Edition)

LIQUIDATION REPORT
Name of Project: Name of Organization: Implementation Date: Source(s) of Funds: ORG TOUR and UNITASS College Assembly 2013 ECONOMICS SOCIETY June 6 & 7, 2013 XU Finance Cash Advance Form No: Project Head: Position: DATE 6/3/2013 6/6/2013 6/5/2013 6/5/2013 QUAN 30pcs 30pcs 10pcs 45pcs 21pcs Solicitations Cluster A Counterpart SACDEV 310.00 Ticket-Selling Others 500.00 Cluster B PTA 500.00 Total Funds 1,310.00

Aubrey G. Bagood Director of Information and Publication PARTICULARS Organization's Kits Fan (pamaypay) Printing of Fan Document Printing Photocopy Envelope Food Snacks Meals Materials Tarpaulin School Supplies PRICE/ UNIT 7.00 10.00 2.00 1.00 1.00 AMOUNT 210.00 300.00 20.00 45.00 21.00 SUBTOTAL SOURCE DOCUMENT CI - AIZILYM PV PV CI - GOLDCREST CI - GOLDCREST OR NUMBER 61058 19226 19224 475525 475525

596.00

6/6/2013 6/7/2013

260.00 250.00

510.00

OR - MCDONALDS OR - MCDONALDS

2249 14747

6/5/2013 6/4/2013

1pc 1pc

248.00 12.00

248.00 12.00

260.00

OR - Eastern Terra Enterprise OR - XU Bookcenter

3895 720078

Total Expenditures Total Amount Advanced:

1,366.00

1,366.00 1,310.00

Amount to be Returned to the Org:

Balance (Negative balance should be returned to the organization; if balance is positive, only up to 10% of the over-all budget is reimbursable): Prepared by: AUBREY G. BAGOOD Project Head Noted by: IVY JILL R. SUBRABAS Treasurer Audited by:
JAN EMMANUEL C. CASINILLO

56.00 Approved by: JHON LOUIE B. SABAL President

Cluster A (XU Finance) Cluster B (PTA)

Formula:

-34.63 -21.37

(Source of Funds: Cluster A Total Funds) x Balance (Source of Funds: Cluster B Total Funds) x Balance

Auditor

Total

-56.00

MS. CAROLINE LAARNI R. SERENAS Moderator If there is any amount to be returned to the organization, please attach XU Finance Receipt/ Deposit Slip in the liquidation report as proof of deposit. Legend (Source Documents): OR - Official Receipt, SR - Subsidiary Receipt, CI - Cash Invoice, SI - Sales Invoice, AR - Acknowledgment Receipt, PV - Payment Voucher