DATE OF MEETING_______________________________

NO.

CLIENT NAME

1
2
3
4
5
6
7
8
9
10
11

Marilyn dela Cruz

Lorna Felix
Virginia Gabatino
Marilou Garlitos
Genalyn Labasan
Marites Labiano
Mylene Lazatin
Successfulgem Marquez
Melojean Miguel
Eulanda Pascua
Margie Supnet

ATTENDANCE (Client
Signature)

TIME IN

PRIN

INT

TIME STARTED_________________________________
AMOUNT PAID
OTHER
MBA/
CBU
TOTAL
DAMAYAN
COLLECTIONS

TOTAL
REMARKS/AGENDA

NOTED BY:__________________________
CENTER CHIEF:_____________________________________
Amount remitted to AO: __________________________
Received by: ______________________________________
Date: ____________________________________________
Form of Payment: DS: _____________________ CASH: ______________________

CENTER TREASURER:______________________________________________
Provincial Receipt No. ___________________________________________
Official Receipt _________________________________________________