ISO No. CSW- AD- Form No. 11, S.

2013

GSC F. R. A. M. E. SAVERS MOVEMENT

FRAME SET G WEEKLY REMITTANCE REPORT
(For use of old/active members only)

Name of Set-G: KATANGAWAN SAVERS GROUP Name of Area worker: SUSANNE A. DURAY Barangay: KATANGAWAN
Name of Set-G Leader: GLORIA JOLIN Contact No. Date of Group Contribution:__________________
Name of Set-G Treasurer : SHIRLEY B. PACULOB Contact No. Date Deposited: ___________________________

CASH BREAKDOWN
NO. OF AMOUNT
DENOMINATION
CASH DEPOSIT SLIP

PIECES PESOS CTVS.

P 1,000.00
DEPOSITOR/ EPRESENTATIVE'S 500.00
SIGNTURE OVER PRINTED NAME 200.00
100.00
Teller's Validation: 50.00
20.00
COINS
TOTAL CASH DEPOSIT P

NAME OF SET -G MEMBERS Dream- Driven Savings

NON- WITHDRAWABLE WITHDRAWABLE
ID/

Investment
SIGNATURE

Livelihood/
Red Cross

Family Full Middle

PAG-IBIG
MAFMA

No. Passbook First Name

PHIC

PCF

Name Name
SSS

number TOTAL

1 8855 Avila Evangeline Poblador 1

2 082113 Bato Linalen Bangero 2
3 8854 Bautista Azucena Galeos 3
4 11167 Belleza Ma. Haydee Arcillas 4
5 2106 Calamba Mercy Palomo 5
6 2107 Caas Magdalena Malusay 6
7 8853 Cordero Rowena Lopez 7
8 2108 Dumpa Luz Valenzona 8
9 2109 Jolin Gloria Marino 9
10 2110 Malaga Editha Villareal 10
11 8851 Paculob Gina Zaulda 11
12 6062 Paculob Shirley Bautista 12
13 11629 Poblador Anita Castillo 13
Ma. Lucita
14 2113 Romaquin Suzette Anzures 14
15 15578 Sabido Lucas Gabin 15
16 2114 Sogin Marilyn Zaulda 16
17 21540 Vesorio Ernida Armenia 17
18 083134 Bejasa Noralyn Fuerte 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
Sub-total
Total Amount for Deposit
Weekly group operational contributions (''dili ideposit, pasahe sa treasurer'')