Billing 3

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JULLIENNE LYING-IN AND

MATERNITY CLINIC
Block 36 Lot 9 Zone 11 AFP Housing, Bulihan, Silang, Cavite
Cel #: 09297149639 / 09194624361

January 08, 2010

MRS. IMELDA O. JAVIER, RN, MAN


DEAN
College of Nursing
UPHS – DALTA
LAS PINAS

THRU: MRS. YOLANDA T. CANARIA, RN, MAN


Associate Dean, Level III
College of Nursing
UPHS-DALTA
LAS PINAS

SUBJECT: Billing Statement

Greetings!

Respectfully submitting to your good office the statement of account of


LEVEL 3 Students, Second Semester, S.Y. 2009 - 2010 from January 4, 2010 to
February 13, 2010 (54 students) with the total amount of TWENTY- FOUR
THOUSAND THREE HUNDRED PESOS ONLY (P 24,300.00).

For your information attached here are the list of students and the
statement of account.

Thank you very much. God bless.

Respectfully yours,

RODELIZA F. EMPIALES
Owner / Administrator
Received by:
January 08, 2010

STATEMENT OF ACCOUNT

Date Number of Students Total


January 4 – 16, 2010 27 students x 300 P 8,100.00
January 18 - 23, 2010 (extra week) 27 students x 150 P 4,050.00
January 25, 2010 – February 6, 2010 27 students x 300 P 8,100.00
February 8 – 13, 2010 (extra week) 27 students x 150 P 4,050.00
TOTAL P 24,300.00

Prepared by:

RODELIZA F. EMPIALES
Owner/Admin

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