Junita S. Monteza: Date: September 14,2017 Agency Lspu Santa Cruz
Junita S. Monteza: Date: September 14,2017 Agency Lspu Santa Cruz
51-C
Official Receipt
Of the
Republic of the Philippines
NO. 162539
Cultural fee
Medical and dental fee 628 75
Registration Fee 758 200
Energy Fee 619 400
Sanitation Fee 628 500
Library Fee 618 100
Audio/Visual Fee 567 75
2,000
TOTAL
BALANCE: 3550
Receive the
Collection Officer amount stated
about
Amount words Two Thousand Pesos only..
NOTE: Write the number and date of this receipt on the back
of check or money order receipt.
Collecting Officer: