ALPHA ZETA OMEGA
PHARMACEUTICAL FRATERNITY
Pharmaceutical Fraternity
FINANCIAL REPORT OF THE _____________ CHAPTER
for the period of ____________ to ___________
1.
PREVIOUS REPORT: Date ____________ Balance reported $ _____________2.
RECEIPTS:Dues
_____________________________________________________________
Initiation fees _______________________________________________________
Jewelry ____________________________________________________________
Advertising _________________________________________________________
Affairs _____________________________________________________________
Interest
____________________________________________________________
Others (please list)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
TOTAL RECEIPTS
: $_________________________________________________3.
DISBURSEMENTS:Monies to Supreme ___________________________________________________
Printing and Stationary _________________________________________________
Jewelry _____________________________________________________________
Cost of Meetings ______________________________________________________
Postage and Mailings __________________________________________________
Chapter Newspaper ___________________________________________________
Bank Charges ________________________________________________________
Others (please list) _____________________________________________________
____________________________________________________________________
____________________________________________________________________
TOTAL DISBURSEMENTS
$ _________________4.
BALANCE: As of ____________ CASH BALANCE $ __________________
5.
ACTIVITY FOR THE PERIOD OF THIS REPORT:I. Number of Fraters paid in this period ________________________ Fraters.
II. Number of Activity fees to Supreme in this period _______________ Fraters.
6.
ACTIVITY TO DATE:I. Total number of Fraters paid to date _________________________ Fraters.
II. Total number of activity fees paid to Supreme to date
____________ fees.
DATE: ____________________ SIGNED _______________________________________