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Date: ________________________

Received the amount of ONE HUNDRED FIFTY PESOS (P150.00) ONLY from
_____________________________________ as payment for CBAA Student Organization Fee
for 2nd Semester, A.Y. 2017-2018.

Received by:

___________________________
Signature over Printed Name

Date: ________________________

Received the amount of ONE HUNDRED FIFTY PESOS (P150.00) ONLY from
_____________________________________ as payment for CBAA Student Organization Fee
for 2nd Semester, A.Y. 2017-2018.

Received by:

____________________________
Signature over Printed Name

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