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: GENESIS: The start of my ECOSOC Journey Economics Society June 23 2013 XU Finance 2,500.00 Cash Advance Form No: Project Head: Position: DATE 6/23/2013 6/22/2013 6/22/2013 QUAN Food Meals JnJ Chicharon Chicharon Julius D. Cameros Election Officer PARTICULARS PRICE/ UNIT AMOUNT 1,449.00 14.70 14.70 1,478.40 School supplies Masking Tape Manila Paper Printing SUBTOTAL SOURCE DOCUMENT prime nuggetsfood foodventures venturescorp. penongs OR - Ororama Super Center Inc. OR - Ororama Super Center Inc. OR NUMBER 5498 997397 997397 Solicitations Cluster A Counterpart SACDEV 225.00 Ticket-Selling Others Cluster B PTA Total Funds 2,725.00

1 1

14.70 14.70

6/22/2013 6/22/2013 6/23/2013

6 5

38.00 2.50

228.00 12.50 12.00 252.50

OR - Ororama Super center Inc. OR - Ororama Super center Inc. OR - RNC station

997398 997398 8368

Total Expenditures Total Amount Advanced:

1,730.90

1,730.90 2,725.00

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: JULIUS D CAMEROS Project Head Noted by: IVY JILL R SUBRABAS Treasurer Audited by: JAN EMMANUEL C CASINILLO Auditor

-994.10 Approved by: JHON LOUIE B SABAL President

Cluster A (XU Finance) Cluster B (PTA)

Formula:

994.10 0.00

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

Total

994.10

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