_______________________________________________

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

Record of Shares
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

16 1

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________ Record of Shares
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

16 1
 Loans
Single Share Value__________________ Loan
Item Amount Signed
Number
Share Bought per Meeting Loan Amount
1 Service Charge
2 Paid
3 Loan Amount
4 Service Charge
Paid
5
Loan Amount
6
Service Charge
7 Paid
8 Loan Amount
9 Service Charge
10 Paid
11 Loan Amount
12 Service Charge
13 Paid
Loan Amount
Service Charge
Staring Number of Shares
Paid
Numbers of Shares Bought this Period
Net Shares End Period (to be carried forward) 15

Loans
Loan
Single Share Value__________________ Item Amount Signed
Number
Loan Amount
Share Bought per Meeting Service Charge
1
Paid
2
Loan Amount
3 Service Charge
4 Paid
5 Loan Amount
6 Service Charge
7 Paid
8 Loan Amount
9 Service Charge
Paid
10
Loan Amount
11
Service Charge
12 Paid
13 Loan Amount
Service Charge
Staring Number of Shares Paid
Numbers of Shares Bought this Period
Net Shares End Period (to be carried forward) 15

2 Loans
Loan 14
Item Amount Signed
Number 15
Loan Amount
16
Service Charge
17
Paid
18
Loan Amount
Service Charge 19
Paid 20
Loan Amount 21
Service Charge 22
Paid 23
Loan Amount 24
Service Charge 25
Paid
26
Loan Amount
Service Charge
Staring Number of Shares
Paid
Numbers of Shares Bought this Period
Loan Amount
Net Shares End Period (to be carried forward)
Service Charge
Paid
3
14

Single Share Value__________________

Loans
Share Bought per Meeting
Loan
Item Amount Signed 14
Number
Loan Amount 15
Service Charge 16
Paid 17
Loan Amount 18
Service Charge 19
Paid 20
Loan Amount
21
Service Charge
22
Paid
23
Loan Amount
Service Charge 24
Paid 25
Loan Amount 26
Service Charge
Paid Staring Number of Shares
Loan Amount Numbers of Shares Bought this Period
Service Charge Net Shares End Period (to be carried forward)
Paid
3
14
Single Share Value__________________
Single Share Value__________________ Share Bought per Meeting
27
Share Bought per Meeting
28 Service Charge
29 Paid
30 Loan Amount
31 Service Charge
Paid
32
Loan Amount
33
Service Charge
34
Paid
35 Loan Amount
36 Service Charge
37 Paid
38 Loan Amount
39 Service Charge
Paid
Staring Number of Shares Loan Amount
Numbers of Shares Bought this Period Service Charge
Net Shares End Period (to be carried forward) Paid
13
4

Loans
Single Share Value__________________
Loan
Item Amount Signed
Share Bought per Meeting Number
27 Loan Amount
Service Charge
28
Paid
29
Loan Amount
30 Service Charge
31 Paid
32 Loan Amount
33 Service Charge
34 Paid
35 Loan Amount
36 Service Charge
Paid
37
Loan Amount
38
Service Charge
39
Paid
Loan Amount
Staring Number of Shares Service Charge
Numbers of Shares Bought this Period Paid
Net Shares End Period (to be carried forward)
13

Loans Loans

Loan Loan
Item Amount Signed Item Amount Signed
Number Number
Loan Amount Loan Amount
Service Charge
 Paid 43
Loan Amount 44
Service Charge 45
Paid 46
Loan Amount
47
Service Charge
48
Paid
49
Loan Amount
Service Charge 50
Paid 51
Loan Amount 52
Service Charge
Paid Staring Number of Shares
Loan Amount Numbers of Shares Bought this Period
Service Charge Net Shares End Period (to be carried forward)
Paid
5
12

Loans Single Share Value__________________

Loan
Item Amount Signed
Share Bought per Meeting
Number 40
Loan Amount 41
Service Charge 42
Paid
43
Loan Amount
44
Service Charge
45
Paid
Loan Amount 46
Service Charge 47
Paid 48
Loan Amount 49
Service Charge 50
Paid 51
Loan Amount
52
Service Charge
Paid
Staring Number of Shares
Loan Amount
Numbers of Shares Bought this Period
Service Charge
Net Shares End Period (to be carried forward)
Paid
12 Single Share Value__________________
5

Share Bought per Meeting

Single Share Value__________________
Share Bought per Meeting
40
41
42
 Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Staring Number of Shares Service Charge
Numbers of Shares Bought this Period Paid
Net Shares End Period (to be carried forward)
11
6

Loans
Single Share Value__________________ Loan
Item Amount Signed
Number
Share Bought per Meeting Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Staring Number of Shares Service Charge
Numbers of Shares Bought this Period Paid
Net Shares End Period (to be carried forward)
11

6
Loans
Loans
Loan
Item Amount Signed
Loan Number
Item Amount Signed
Number Loan Amount
Loan Amount Service Charge
Service Charge Paid
Paid Loan Amount
Loan Amount Service Charge
Service Charge Paid
Paid Loan Amount
 Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Staring Number of Shares
Paid
Numbers of Shares Bought this Period
Loan Amount
Net Shares End Period (to be carried forward)
Service Charge
Paid
7
10

Single Share Value__________________

Loans
Share Bought per Meeting
Loan
Item Amount Signed
Number
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid
Loan Amount
Service Charge
Paid Staring Number of Shares
Loan Amount Numbers of Shares Bought this Period
Service Charge Net Shares End Period (to be carried forward)
Paid
7
10

Single Share Value__________________ Single Share Value__________________

Share Bought per Meeting Share Bought per Meeting

Staring Number of Shares
Numbers of Shares Bought this Period
Net Shares End Period (to be carried forward)

9
8

Single Share Value__________________

Share Bought per Meeting

Record of Loans

Staring Number of Shares

Numbers of Shares Bought this Period
Net Shares End Period (to be carried forward)

8 9

Record of Loans
 Association Name SAN ROQUE SAVINGS
: _______________________

Association Number : _______________________

Member Name NONO

: _______________________

Member Number : _______________________

Community Manage Savings

and Credit Association
Member’s Passbook

Association Name SAN ROQUE SAVINGS

: _______________________

Association Number : _______________________

Member Name ANGEL

: _______________________

Member Number : _______________________

Community Manage Savings

and Credit Association
Member’s Passbook