WEATHER BUREAU MULTIPURPOSECOOPERATIVE

PAGASA Science Garden, Agham Road, Diliman, Quezon City

Tel. No. 434-3027, e-mail: wbcc@pagasa.dost.gov.ph

WITHDRAWAL SLIP
Date _____________________

Account No. _______________

Account Name__________________________________________________

Amount in Pesos (figures) __________________________

Amount in Words ______________________________________________________________

___________________________
Signature of Depositor

---------------------------------------------------------------------------------------------------------------------------------------
Withdrawal thru a Representative

I HEREBY AUTHORIZED THE PERSON WHOSE SIGNATURE APPEARS BELOW TO MAKE THIS
WITHDRAWAL FOR ME

____________________________________ ____________________________
Signature over Printed Name Signature over Printed Name
Savings Deposit Balance ______________________
As of ______________________________________
Certified by:

_______________________
Ledger Clerk

WEATHER BUREAU MULTIPURPOSECOOPERATIVE

PAGASA Science Garden, Agham Road, Diliman, Quezon City
Tel. No. 434-3027, e-mail: wbcc@pagasa.dost.gov.ph

WITHDRAWAL SLIP
Date _____________________

Account No. _______________

Account Name__________________________________________________

Amount in Pesos (figures) __________________________

Amount in Words ______________________________________________________________

___________________________
Signature of Depositor
---------------------------------------------------------------------------------------------------------------------------------------
Withdrawal thru a Representative

I HEREBY AUTHORIZED THE PERSON WHOSE SIGNATURE APPEARS BELOW TO MAKE THIS
WITHDRAWAL FOR ME

____________________________________ ____________________________
Signature over Printed Name Signature over Printed Name
Savings Deposit Balance ______________________
As of ______________________________________
Certified by:

_______________________
Ledger Clerk