Payment Slip Payment Slip: Father Saturnino Urios University Butuan City Father Saturnino Urios University Butuan City

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Father Saturnino Urios University Father Saturnino Urios University

Butuan City Butuan City

PAYMENT SLIP PAYMENT SLIP

Name: _________________________________________________________________ Name: _________________________________________________________________

Amount of: _______________________ Amount of: _______________________

As payment for: As payment for:


( ) ATCU ( ) OLSAT ( ) ATCU ( ) OLSAT

( ) GLT ( ) LSQT ( ) GLT ( ) LSQT

Others: ____________________________________ Others: ____________________________________


Received by: ______________________________ Received by: ______________________________

Note: Testing Fee is non-refundable. Note: Testing Fee is non-refundable.

Father Saturnino Urios University Father Saturnino Urios University


Butuan City Butuan City

PAYMENT SLIP PAYMENT SLIP

Name: _________________________________________________________________ Name: _________________________________________________________________

Amount of: _______________________ Amount of: _______________________

As payment for: As payment for:


( ) ATCU ( ) OLSAT ( ) ATCU ( ) OLSAT

( ) GLT ( ) LSQT ( ) GLT ( ) LSQT

Others: ____________________________________ Others: ____________________________________


Received by: ______________________________ Received by: ______________________________

Note: Testing Fee is non-refundable. Note: Testing Fee is non-refundable.

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