Billing

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JULLIENNE LYING-IN AND

MATERNITY CLINIC
Block 36 Lot 9 Zone 11 AFP Housing, Bulihan, Silang, Cavite
Cel #: 09297149639 / 09198714685

February 19, 2010

MRS. IMELDA O. JAVIER, RN, MAN


DEAN
College of Nursing
UPHS – DALTA
LAS PINAS

THRU: MRS. YOLANDA T. CANARIA, RN, MAN


Associate Dean, Level III
College of Nursing
UPHS-DALTA
LAS PINAS

SUBJECT: Billing Statement

Greetings!

Respectfully submitting to your good office the statement of account of


LEVEL 3 Students, Second Semester, S.Y. 2009 - 2010 from February 15, 2010
to March 06, 2010 (26 students) with the total amount of ELEVEN THOUSAND
SEVEN HUNDRED PESOS ONLY (P 11,700.00).

For your information attached here are the list of students and the
statement of account.

Thank you very much. God bless.

Respectfully yours,

RODELIZA F. EMPIALES
Owner / Administrator
Received by:
February 19, 2010

STATEMENT OF ACCOUNT

Date Number of Students Total


February 15 – 27, 2010 26 students x 300 P 7,800.00
March 01 – 06, 2010 (extra week) 26 students x 150 P 3,900.00
TOTAL P 11,700.00

Prepared by:

RODELIZA F. EMPIALES
Owner/Admin

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