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 (2013)

FEES COLLECTION REPORT

Name of Organization: Economics Society Name of Activity where collection of counterpart was done: Shine Bright Like a Diamond: The ECOSOC Seniors Night and Turn over Ceremony 2013 Purpose of the Collection: To help us defray the funds needed for the project. Duration of the Collection/ Date of Collection: 06 March 2013 12 March 2013 Summary of Cash Collection: Number of Payers Amount Paid 1 2 2 1 38 30.00 100.00 130.00 200.00 230.00 Total Amount Collected: 9, 430.00 Remarks (To be filled by SACDEV)

Series/ Control Number Assigned to Issued Acknowledgment Receipt 36263 36270 36273 36269 36271 36262 36258 36259 36260 36261 36264 36265 36266 36267 36268 362662 362663 362664 362665 362666 362667 362668 362669 362670 362671 362672 362673 362674 362675 362676 362677 362678 362679 362680 362681 362682 362683 362684 362685 362686 362687

36272 36274 36275 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.

JHON LOUIE B SABAL Signature Over Printed Name of Project Head 09055534452

JHON LOUIE B SABAL Signature Over printed Name of President

MS CAROLINE LAARNI R SERENAS Signature Over printed Name of 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.