(please use org letterhead) Date

Ms. Grace Patricia G. Santos University Bursar Office of the Vice President for Finance & Treasurer Dear Ms. Santos, We would like to request for an Advance Official Receipt for _________________( state purpose and activity name). Details are as follows: COMPANY NAME ADDRESS AMOUNT CHECK NO. BANK/BRANCH CHECK DATE DCB TO BE CREDITED : : : : : : : ___________________ ____________________ ___________________ ___________________ ____________________ ____________________ ____________________

We understand that the check should be turned-over within 2 working days. Thank you and we are hoping for your approval. Sincerely, Signature over Printed Name Finance Officer Signature over Printed Name President

Endorsed by: Mr. Christopher Fernando F. Castillo

OSA Director