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: ECOSOC Basic Orientation & Leadership Training Seminar 2013 Xavier University Economics Society June 27, 29 and 30, 2013 XU Finance 5,000.00 Cash Advance Form No: Project Head: Position: DATE 6/27/2013 6/27/2013 6/27/2013 6/29/2013 6/29/2013 6/29/2013 6/29/2013 6/29/2013 6/30/2013 6/30/2013 6/30/2013 6/30/2013 6/30/2013 6/30/2013 6/30/2013 6/30/2013 QUAN 3 boxes 17 pcs 8 pcs 1 pc 1 pc 15 pcs Jhon Louie B Sabal Executive President PARTICULARS Food Refresh Juice Torta Cebuana Cheese Twist Sprite Pet 1.5 L Royal Pet 1.5 L Virgo Cup Burger (By 1 take 1) Meals Meals Meals H-S-I (SDR) Meals N1 (SDR) Meals HIS (SDR) Nestea Ice Tea 25 g Nescafe 3n1 25x30 QchocMami 55g Lechon Manok Venue Entrance Fee Long Table Tent PRICE/ UNIT 41.00 8.00 11.00 46.00 46.00 AMOUNT 123.00 136.00 88.00 46.00 46.00 17.50 390.00 1,000.00 250.00 833.00 150 245.00 29.85 160.00 77.40 675.00 SUBTOTAL SOURCE DOCUMENT OR NUMBER Solicitations Cluster A Counterpart SACDEV 1,050.00 Ticket-Selling Others Cluster B PTA Total Funds 6,050.00

17 pcs 3 pcs 5 pcs 3 pcs 1 pack 12 pcs

49.00 50 49.00 9.95 160.00 6.45

4,266.75

CI - Ororama Super Center Inc 997775 SI - Kathryn Bakeshop 446892 SI - Kathryn Bakeshop 446892 OR - Mercury Drug Corporation-Neri Branch 109113135443 OR - Mercury Drug Corporation-Neri Branch 109113135443 OR - Mercury Drug Corporation-Neri Branch 109113135443 PV - Minute Burger Divisoria 19234 OR - Golden Arches Development Corporation40124 OR - Golden Arches Development Corporation40127 OR - Cenmin Food Chain Corporation 55698 OR - Cenmin Food Chain Corporation 55698 OR - Cenmin Food Chain Corporation 55700 SI - Sanford Marketing Corporation 15171 SI - Sanford Marketing Corporation 15171 SI - Sanford Marketing Corporation 15171 PV - Bulua Ice & Uncle Bob Lechon Manok 19233

6/30/2013 6/30/2013

21 pax 1 pc

40.00 300.00

840.00 300.00

1,140.00

OR - De Oro Sagatech Resort OR - De Oro Sagatech Resort

3052 3054

6/30/2013

1/2 kilogram

Supplies Twine

55.00

55.00 5,461.75 6,050.00 -588.25 Approved by:

OR - NewMetro Calaanan General Merchandise 13446

Total Expenditures 5,461.75 Total Amount Advanced: 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: JHON LOUIE B SABAL Project Head Noted by: IVY JILL R SUBRABAS Treasurer Audited by: JAN EMMANUEL C CASINILLO Auditor

Amount to be Returned to the Org: Cluster A (XU Finance) 588.25 Cluster B (PTA) 0.00
Formula: (Source of Funds: Cluster A Total Funds) x Balance

JHON LOUIE B SABAL President

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

Total

588.25

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