University of Science and Technology of Southern

Philippines
Alubijid I Cagayan de Oro I Oaveria I Jasaan I Oroquieta I Panaon

ACKNOWLEDGEMENT RECEIPT
Office of the Director [Stipend, Honorarium, Donation, Talent Fee, Registration Fee]
for Student Affairs
Cagayan de Oro

Name of Activity Date of Activity

Name of Recipient Contact # of the Recipient
Position of the Recipient Venue
# of Persons Involved Purpose of the Activity
A. Activity Information

B. Itinerary Details

Date Purpose of the Payment Amount

Received by: Noted:

_______________________ MA ANGELICA A TOMAMPOS

Treasurer, USG

Approved: Attested/Wi tness:

MATEO JULIO G GERVISE
President, USG
Date:
Officer's Signature over Printed Name
Date:
Noted;

JOEL O ABRATIGUIN
Moderator, USG DR. MARIA ANGELES D HINOSOLANGO
Director, Student Affairs