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

Noted:
Received by:
MA ANGELICA A TOMAMPOS
_______________________ Treasurer, USG

Approved : Attested/Wi tness:

MATEO JULIO G GERVISE

President, USG Officer's Signature over Printed Name
Date: Date:

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