ANNEX "C"

Republic of the Philippines

COMMISSION ON ELECTIONS
CASH CARD ALLOCATION REPORT
For the period of 14 May 2018 Barangay and Sangguniang Kabataan Elections
REGION _____V____
Entity Name : Commission on Elections _______ Office of the Provincial Election Supervisor of _Sorsogon
Municipality of ___Bulan_____________________________________
Color: RED_______________ Color: BLUE______________ Color: GREEN_____________
PACKAGE UNIT ID (PUID) PACKAGE UNIT ID (PUID) PACKAGE UNIT ID (PUID)
12345-6-789101-1121 12345-6-789102-1131 12345-6-789103-1141
12345-6-789101-1122 12345-6-789102-1132 12345-6-789103-1142
12345-6-789101-1123 12345-6-789102-1133 12345-6-789103-1143
12345-6-789101-1124 12345-6-789102-1134 12345-6-789103-1144
12345-6-789101-1125 12345-6-789102-1135 12345-6-789103-1145
12345-6-789101-1126 12345-6-789102-1136 12345-6-789103-1146
12345-6-789101-1127 12345-6-789102-1137 12345-6-789103-1147
12345-6-789101-1128 12345-6-789102-1138 12345-6-789103-1148
12345-6-789101-1129 12345-6-789102-1139 12345-6-789103-1149
12345-6-789101-1130 12345-6-789102-1140 12345-6-789103-1150
12345-6-789101-1131 12345-6-789102-1141 12345-6-789103-1151
12345-6-789101-1132 12345-6-789102-1142 12345-6-789103-1152
12345-6-789101-1133 12345-6-789102-1143 12345-6-789103-1153
12345-6-789101-1134 12345-6-789102-1144 12345-6-789103-1154
12345-6-789101-1135 12345-6-789102-1145 12345-6-789103-1155
12345-6-789101-1136 12345-6-789102-1146 12345-6-789103-1156
12345-6-789101-1137 12345-6-789102-1147 12345-6-789103-1157
12345-6-789101-1138 12345-6-789102-1148 12345-6-789103-1158
12345-6-789101-1139 12345-6-789102-1149 12345-6-789103-1159
12345-6-789101-1140 12345-6-789102-1150 12345-6-789103-1160
12345-6-789101-1141 12345-6-789102-1151 12345-6-789103-1161
12345-6-789101-1142 12345-6-789102-1152 12345-6-789103-1162
12345-6-789101-1143 12345-6-789102-1153 12345-6-789103-1163
12345-6-789101-1144 12345-6-789102-1154 12345-6-789103-1164
12345-6-789101-1145 12345-6-789102-1155 12345-6-789103-1165
12345-6-789101-1146 12345-6-789102-1156 12345-6-789103-1166
12345-6-789101-1147 12345-6-789102-1157 12345-6-789103-1167
12345-6-789101-1148 12345-6-789102-1158 12345-6-789103-1168
12345-6-789101-1149 12345-6-789102-1159 12345-6-789103-1169
12345-6-789101-1150 12345-6-789102-1160 12345-6-789103-1170
12345-6-789101-1151 12345-6-789102-1161 12345-6-789103-1171
12345-6-789101-1152 12345-6-789102-1162 12345-6-789103-1172
12345-6-789101-1153 12345-6-789102-1163 12345-6-789103-1173
12345-6-789101-1154 12345-6-789102-1164 12345-6-789103-1174
12345-6-789101-1155 12345-6-789102-1165 12345-6-789103-1175
12345-6-789101-1156 12345-6-789102-1166 12345-6-789103-1176
12345-6-789101-1157 12345-6-789102-1167 12345-6-789103-1177
 12345-6-789101-1158 12345-6-789102-1168 12345-6-789103-1178
12345-6-789101-1159 12345-6-789102-1169 12345-6-789103-1179
12345-6-789101-1160 12345-6-789102-1170 12345-6-789103-1180
C E R T I F I CAT I O N
Received by: __ CLAIRE LACEDA_______________________________________
ELECTION OFFICER
(Signature Over Printed Name)
Municipality of _Bulan, Sorsogon_______________________________________
Date: _May 10, 2018______________________________________________
I hereby certify that the foregoing is a true statement of all cash cards received, issued and transferred by me during the pe
stated.

ATTY. CALIXTO L. AQUINO, JR.

Provincial Election Supervisor

Poll Worker Report No. __1___

an Elections

pervisor of _Sorsogon_______

Color: GRAY_____________
PACKAGE UNIT ID (PUID)
12345-6-789104-1151
12345-6-789104-1152
12345-6-789104-1153
12345-6-789104-1154
12345-6-789104-1155
12345-6-789104-1156
12345-6-789104-1157
12345-6-789104-1158
12345-6-789104-1159
12345-6-789104-1160
12345-6-789104-1161
12345-6-789104-1162
12345-6-789104-1163
12345-6-789104-1164
12345-6-789104-1165
12345-6-789104-1166
12345-6-789104-1167
12345-6-789104-1168
12345-6-789104-1169
12345-6-789104-1170
12345-6-789104-1171
12345-6-789104-1172
12345-6-789104-1173
12345-6-789104-1174
12345-6-789104-1175
12345-6-789104-1176
12345-6-789104-1177
12345-6-789104-1178
12345-6-789104-1179
12345-6-789104-1180
12345-6-789104-1181
12345-6-789104-1182
12345-6-789104-1183
12345-6-789104-1184
12345-6-789104-1185
12345-6-789104-1186
12345-6-789104-1187
 12345-6-789104-1188
12345-6-789104-1189
12345-6-789104-1190

by me during the period above-

 Republic of the Philippines
COMMISSION ON ELECTIONS
14 May 2018 Barangay and Sangguniang Kabataan E
CASH CARD DISTRIBUTION REPORT

Province: Sorsogon
QUANTITY OF CASH CARDS DATE
CITY/ ELECTION OFFICERS POLL CLERK DESO TOTAL
MUNICIPALITY CHAIRPERSON & THIRD DESO SUPPORT FROM DBP
MEMBER STAFF

Bulan Ma. Claire S. Laceda 173 346 59 59 637 April 27, 2018
Castilla Renie F. Daymon 104 208 30 30 372

April 27, 2018

Donsol Jean D. Rogacion 91 182 46 46 365 April 27, 2018
Gubat Bernardino V. Dealoagdon 113 226 39 39 417 April 27, 2018
Irosin Jay T. Dometita 108 216 26 26 376 April 27, 2018
Matnog Melany M. Villare 81 162 26 26 295 April 27, 2018
Pilar Marites Fuentes-Frilles 130 260 49 49 488 April 27, 2018
Sorsogon City Karla S. Jerrera 274 548 64 64 950 April 27, 2018
~~~~Nothing follows~~~~

CERTIFIED CORRECT:

ATTY. CALIXTO L. AQUINO, JR.

Provincial Election Supervisor

Poll Worker Report No. __2

Page 5 of 19
ic of the Philippines
ION ON ELECTIONS
ANNEX "D"
and Sangguniang Kabataan Elections
DISTRIBUTION REPORT

DATE REMARKS

RELEASED TO EO COMPLETE LACKING

April 29, 2018 √

DESO and DESO Support Staff (DESO SS) lack 5

cash card each. Reported to
[email protected] on 28 April 2018. DBP
sent additional 5 cash card each for DESO and
DESO on 30 April 2018.
April 29, 2018 √
April 29, 2018 √
April 29, 2018 √
April 29, 2018 √
April 29, 2018 √
April 29, 2018 √

Page 6 of 19
 For the period 14 May 2018 Ba

Entity Name : Commission on Elections

Fund Cluster :
City/Municipality: Bulan, Sorsogon
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered, with the

COMPENSATIONS

SERIAL
GROSS
NO
NAME POSITION TIN NO. TRAVEL AMOUNT
HONORARIUM ALLOWANCE
(TA) EARNED
(G)
(A) (B) (C) (D) (E) (F) (E-F)

1 Amalia L. Jazmin Chairperson 6,000.00 1,000.00 7,000.00

2 Rowena G. Rico Poll Clerk 5,000.00 1,000.00 6,000.00
3 Fema J. Dela Rosa Third Member 5,000.00 1,000.00 6,000.00
4 Anne Curtis Mason Subtitute Chairperson 6,000.00 500.00 6,500.00
5 Shirley H. Somalinog Poll Clerk 5,000.00 1,000.00 6,000.00
6 Josefina L. Agustin Third Member 5,000.00 1,000.00 6,000.00
7 Allan G. Tee Chairperson 6,000.00 1,000.00 7,000.00
8 Coconut Martin Substitute Poll Clerk 5,000.00 500.00 5,500.00
9 Marife G. Macabuhay Third Member 5,000.00 1,000.00 6,000.00
10 Jeruz Trinidad DESO 4,000.00 1,000.00 5,000.00
11 Amy C. Grey DESO Support Staff 2,000.00 1,000.00 3,000.00
12 Bruce Wayne Substitute Support Staff 2,000.00 500.00 2,500.00
13 Ricardo Dalisay III Substitute DESO 4,000.00 500.00 4,500.00
TOTAL 60,000.00 11,000.00 71,000.00
A CERTIFIED: Services duly rendered as stated. C APPROVED

MA. CLAIRE S. LACEDA

Election Officer Date

B CERTIFIED: Supporting documents complete and proper; and cash available in the amount of D CERTIFIE
P______________________. indicated op

MA. CLAIRE S. LACEDA

Election Officer Date
Annex "C" - Payroll for Pollworkers paid thru Cash Card and Cash Advannce pursuant to Minute Resolution No.
Annex "D" - Payroll for Pollworkers paid thru Cash Advance pursuant to Minute Resolution No. 17-0449 dated 22
 PAYROLL
8 Barangay and Sangguniang Kabataan Elections
AN

Payroll No. : ______________________

Sheet _________of __________Sheets

ith the corresponding tax deductions:

DEDUCTIONS PAYMENT
NET CASH ADVANCE
TOTAL TAX AMOUNT
CASH CARD
3% 2% WITHHELD DUE CASH CARDS FULL TOTAL (N)
PUID ADVANCE
(J) (K) PAYMENT (TA)
PAYMENT
BALANCE

(H) (I) (H-I) (G-J) (L) (M) (N) (L+M+N)

210.00 140.00 350.00 6,650.00 12345-6-789101-1121 6,100.00 475.00 75.00 6,650.00

180.00 120.00 300.00 5,700.00 12345-6-789102-1131 5,200.00 475.00 25.00 5,700.00
180.00 120.00 300.00 5,700.00 12345-6-789102-1132 5,200.00 475.00 25.00 5,700.00
195.00 130.00 325.00 6,175.00 12345-6-789101-1122 6,100.00 - 75.00 6,175.00
180.00 120.00 300.00 5,700.00 12345-6-789102-1133 5,200.00 475.00 25.00 5,700.00
180.00 120.00 300.00 5,700.00 12345-6-789102-1134 5,200.00 475.00 25.00 5,700.00
210.00 140.00 350.00 6,650.00 12345-6-789101-1123 6,100.00 475.00 75.00 6,650.00
165.00 110.00 275.00 5,225.00 12345-6-789102-1135 5,200.00 - 25.00 5,225.00
180.00 120.00 300.00 5,700.00 12345-6-789102-1136 5,200.00 475.00 25.00 5,700.00
150.00 100.00 250.00 4,750.00 12345-6-789103-1141 4,200.00 475.00 75.00 4,750.00
90.00 60.00 150.00 2,850.00 12345-6-789104-1151 2,300.00 475.00 75.00 2,850.00
75.00 50.00 125.00 2,375.00 12345-6-789104-1152 2,300.00 - 75.00 2,375.00
135.00 90.00 225.00 4,275.00 12345-6-789102-1142 4,200.00 - 75.00 4,275.00
2,130.00 1,420.00 3,550.00 67,450.00 62,500.00 4,275.00 675.00 67,450.00
OVED FOR PAYMENT: ___Sixty-Seven Thousand Four Hundred Fifty Pesos Only__________________________________
_____________________________________________________________________(P 67,450.00)

ATTY. CALIXTO L. AQUINO, JR.

Provincial Election Supervisor Date

TIFIED: Each employee whose name appears on the payroll has been paid the amount as E
ted opposite his/her name
ORS/BURS No
Date : ___01/
MA. CLAIRE S. LACEDA JEV No. : ____
Election Officer Date : ______
n No. 17-0449 dated 22 August 2017
ed 22 August 2017
 ANNEX "E"

Payroll No. : _______________________

Signature of Recipient

os Only__________________________________
___________________________(P 67,450.00)

ORS/BURS No. : _____413__________

Date : ___01/29/2018_____________
JEV No. : _____________________
Date : _______________
 Republic of the Philippines
COMMISSION ON ELECTIONS
ANNEX "F"
14 May 2018 Barangay and Sangguniang Kabataan Elections
PLANTILLA APPOINTMENT OF ELECTORAL BOARDS

BARANGAY: _____________________ SOURCE OF FUNDS: BSKE 2018

MUNICIPALITY/CITY: PITOGO, ZAMBOANGA DEL SUR DATE PREPARED:

CLUSTERED
NOS. NAME OF APPOINTEE/S DESIGNATION POLLING CENTER BARANGARY
PRECINCT NO.
1 RONILO S. MISSION Chairperson 0001A-0001B PIITOGO CENTRAL ELEM. SCH. POBLACION
2 CLIENT L. POLIGRATES Poll Clerk 0001A-0001B PIITOGO CENTRAL ELEM. SCH. POBLACION
3 ESTRELLA G. LAGONERO Third Member 0001A-0001B PIITOGO CENTRAL ELEM. SCH. POBLACION
4 CHARLITA E. BANAC Chairperson 0002A-0002B PIITOGO CENTRAL ELEM. SCH. POBLACION
5 GINA B. EGUANA Poll Clerk 0002A-0002B PIITOGO CENTRAL ELEM. SCH. POBLACION
6 RELMAR C. ALINGASA Third Member 0002A-0002B PIITOGO CENTRAL ELEM. SCH. POBLACION
7 MERLITA I. RAZONADO Chairperson 002C,002D,0010P1 PIITOGO CENTRAL ELEM. SCH. POBLACION
8 FRANCISCA C. PURISIMA Poll Clerk 002C,002D,0010P1 PIITOGO CENTRAL ELEM. SCH. POBLACION
9 ARIEL E. EDIANG Third Member 002C,002D,0010P1 PIITOGO CENTRAL ELEM. SCH. POBLACION
10 AVELINO A. EDIANG Chairperson 003A,003B,0010P2 PIITOGO CENTRAL ELEM. SCH. POBLACION
11 JOAN C. BALA Poll Clerk 003A,003B,0010P2 PIITOGO CENTRAL ELEM. SCH. POBLACION
12 PONCIANA A. DALAOTA Third Member 003A,003B,0010P3 PIITOGO CENTRAL ELEM. SCH. POBLACION
13 ADELIA A. GUMINTAD Chairperson 0004A-0004B PIITOGO CENTRAL ELEM. SCH. POBLACION
14 MARYSHANE C. SUMAYLO Poll Clerk 0004A-0004B PIITOGO CENTRAL ELEM. SCH. POBLACION
15 MERIAM T. PERATER Third Member 0004A-0004B PIITOGO CENTRAL ELEM. SCH. POBLACION
16 GRACYL E. DALES Chairperson 0004C-0004D PIITOGO CENTRAL ELEM. SCH. POBLACION
17 AMOR L. CABALLERO Poll Clerk 0004C-0004D PIITOGO CENTRAL ELEM. SCH. POBLACION
18 ROLLY B. LANGAM Third Member 0004C-0004D PIITOGO CENTRAL ELEM. SCH. POBLACION
19 NERIE G. GUMINTAD Chairperson 005A,005B,005C PIITOGO CENTRAL ELEM. SCH. POBLACION
20 RENAME A. MAYORDOMO Poll Clerk 005A,005B,005C PIITOGO CENTRAL ELEM. SCH. POBLACION
21 EDELYN M. DAPITAN Third Member 005A,005B,005C PIITOGO CENTRAL ELEM. SCH. POBLACION

The abovementioned personnel are hereby/appointed as casuals at the rate of compensation opposite their names for the period
indicated. It is understood that such employment will cease automatically at the end of the period stated. Any or all of them may be laid
off anytime before the expiration of the employment period when their services are no longer needed or if funds are no longer available
or if the project has already been completed/finished or their performance are below par.

PREPARED BY: CERTIFIED CORRECT:

EVELYN M. LANTACA ATTY. ELLIS L. MIGUEL

Election Officer Provincial Election Supervisor

APPROVED BY:

ATTY. WILFRED JAY E. BALISADO

Regional Election Director

Page 12 of 19
 REPORT OF DISBURSEMENTS
ANNEX "G"
COMMISSION ON ELECTIONS
Agency
Report No.
Period Covered: 14 May 2018 Barangay and Sangguniang Kabataan Elections Sheet No. 1 of 1

City/Municipality: PITOGO, ZAMBOANGA DEL SUR

DV/Payroll Responsibility Nature of

Date Payee Amount
OR No. Center Code Payment

√ 01 MISSION, RONILO S.- EDIANG, AVELINO A. Poll Workers Compensation 60,800.00

02 BALA, JOAN C.- MAYORDOMO, RENAME Poll Workers Compensation 59,850.00
03 DAPITAN, EDELYN M.- GARCIA, MELINDA S. Poll Workers Compensation 59,850.00
04 GUMINTAD, ROEL L.- MOYCO, JUNREL L. Poll Workers Compensation 60,800.00
05 TAN-AWON, MARK RISTY- AMARELA, NELIA L. Poll Workers Compensation 59,850.00
06 MODAPIL, LUTCHIA LUZ S.- DIGAO, BUTCH A. Poll Workers Compensation 59,850.00
07 ARANZADO, GLORIFE C.- TAMULA, GWENDELYN G. Poll Workers Compensation 60,800.00
08 DALAOTA, GERALDINE T.- BAGARES, ARCELI G. Poll Workers Compensation 59,850.00
09 DAYLE, ELIZER T.- MODAPIL, OMAR S. Poll Workers Compensation 59,850.00
10 BURLING, MANULITO D.- CABALLERO, DAFNIE B. Poll Workers Compensation 60,800.00
11 JUMUAD, BERNALYN L.- TAMBONG, JUNARD L. Poll Workers Compensation 59,850.00
12 REMOLLO, CRISTINA L.- BUCA, GINA A. Poll Workers Compensation 59,850.00
13 LADORES, RONNIE R.-MALINAO, LUZVIMINDA Poll Workers Compensation 60,800.00
14 TAPIA, GINA P.-RIVERA, JOERIVER C. Poll Workers Compensation 59,850.00
15 ALFANTA, DAISY L. Poll Workers Compensation 5,700.00
~~~~Nothing follows~~~~

Grand Total 848,350.00

CERTIFICATION

I hereby certify that this Report of Disbursement in _1 sheet/s is a full, true and correct
statement of the disbursement made by me and that this is in liquidation of the cash advance
granted last MAY 2018 in the amount of P848,350.00 per ADA NO. PF 00100.

June 12, 2018 EVELYN M. LANTACA

Date Election Officer

Page 13 of 19
 PAYROLL
For the period 14 May 2018 Barangay and Sa
Entity Name : Commission on Elections
Fund Cluster :
City/Municipality: Barcelona, Sorsogon
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered, with the corr

COMPENSATIONS
SERIAL
NAME POSITION TIN NO. GR
NO TRAVEL
HONORARIUM
ALLOWANCE AMO
EARN
(A) (B) (C) (D) (E) (F) (E

1 Maricel E. Triñanes Chairperson 6,000.00 1,000.00 7

2 Mylene F. Dollison Poll Clerk 5,000.00 1,000.00 6
3 Hillary Duck Substitute Third Member 5,000.00 500.00 5
4 Jane T. Ernacio Chairperson 6,000.00 1,000.00 7
5 Agnes C. Escalderon Poll Clerk 5,000.00 1,000.00 6
6 Ma. Cleofe F. Adrao Third Member 5,000.00 1,000.00 6
7 James Cordon Blue Substitute Chairperson 6,000.00 500.00 6
8 Jocelyn C. Gob Poll Clerk 5,000.00 1,000.00 6
9 Rochelle F. Terrado Third Member 5,000.00 1,000.00 6
10 CristinaD. Floralde DESO 4,000.00 1,000.00 5
11 John Bryan M. Evasco Substitute DESO Support Staff 2,000.00 500.00 2
12 Eduard E. Legaspi DESO Support Staff 2,000.00 1,000.00 3
13 Ricardo Dalisay III Substitute DESO 4,000.00 500.00 4
TOTAL 60,000.00 11,000.00 71
A C

JANIVI R. BROÑOSO
Election Officer Date

B CERTIFIED: Supporting documents complete and proper; and cash available in the amount of D
P______________________.

JANIVI R. BROÑOSO
Election Officer Date

Annex "A" - Payroll for Pollworkers paid thru Cash Card pursuant to Minute Resolution No. 17-0449 dated 22 August
Annex "B" - Payroll for Pollworkers paid thru Cash Advance pursuant to Minute Resolution No. 17-0449 dated 22 Aug
ROLL
y and Sangguniang Kabataan Elections
ANNEX "I"
Payroll No. : ____________________
Sheet _________of __________Sheets

with the corresponding tax deductions:

TIONS DEDUCTIONS
NET
GROSS TOTAL TAX AMOUNT Signature of Recipient
AMOUNT 3% 2% WITHHELD DUE
EARNED (G) (J) (K)
(E-F) (H) (I) (H-I) (G-J)

7,000.00 210.00 140.00 350.00 6,650.00

6,000.00 180.00 120.00 300.00 5,700.00
5,500.00 165.00 110.00 275.00 5,225.00
7,000.00 210.00 140.00 350.00 6,650.00
6,000.00 180.00 120.00 300.00 5,700.00
6,000.00 180.00 120.00 300.00 5,700.00
6,500.00 195.00 130.00 325.00 6,175.00
6,000.00 180.00 120.00 300.00 5,700.00
6,000.00 180.00 120.00 300.00 5,700.00
5,000.00 150.00 100.00 250.00 4,750.00
2,500.00 75.00 50.00 125.00 2,375.00
3,000.00 90.00 60.00 150.00 2,850.00
4,500.00 135.00 90.00 225.00 4,275.00
71,000.00 2,130.00 1,420.00 3,550.00 67,450.00
APPROVED FOR PAYMENT: __Sixty-Seven Thousand Four Hundred Fifty Pesos Only_______________
_______________________________________________________________(P 67,450.00)

ATTY. CALIXTO L. AQUINO, JR.

Provincial Election Supervisor Date

CERTIFIED: Each employee whose name appears on the payroll E

has been paid the amount as indicated opposite his/her name
ORS/BURS No. : __413__
Date : ___01/29/2018_____________
JANIVI R. BROÑOSO JEV No. : _____________
Election Officer Date : _____________
5
d 22 August 2017
ated 22 August 2017
 PAYROLL
For the period 14 May 2018 Barangay and Sangg
Entity Name : Commission on Elections
Fund Cluster :
City/Municipality: Barcelona, Sorsogon
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered, with the corre

SERIAL
NAME POSITION TIN NO. ADVANCE GR
NO TRAVEL AMO
ALLOWANCE
EARN
(A) (B) (C) (D) (E)

1 MISSION, RONILO S. Chairperson 1,000.00

2 BANAC, CHARLITA E. Chairperson 500.00
3 RAZONADO, MERLITA I. Chairperson 500.00
4 EDIANG, AVELINOA. Chairperson 500.00
5 GUMINTAD, ADELIA A. Chairperson 500.00
6 DALES, GRACYL E. Chairperson 500.00
7 GUMINTAD, NERIE G. Chairperson 500.00
8 VELENCIO PIO E. Chairperson 500.00
9 LOQUIRE, MARJORIE AN T. Chairperson 500.00
10 SULAY MERLYN P. Chairperson 500.00
11 GUMINTAD ROEL A. Chairperson 500.00
12 YAP, ROBERTO Y. Chairperson 500.00
13 BUHISAN, ANNA MARIE Chairperson
14 MOYCO, JUNEL LAURETE Chairperson
15 AMARELA, ALEJANDRO JR. M. Chairperson
16 ARANETA, JOSEPH L. Chairperson
17 TEVES, WILLY G. Chairperson
18 MAYORDOMO, ELTON A. Chairperson
19 CABALLERO, ORIEL EDDIE L. Chairperson
20 MANDA, JOY I. Chairperson
21 ARANZADO, GLORIFE C. Chairperson
22 BELLO, ANECITA J. Chairperson
23 LAPAD, LOIDA B. Chairperson
24 TAMULA, GWENDELYN G. Chairperson
25 VENDENCIA, GELDIE M. Chairperson
26 TAGALOG, ROMEO E. Chairperson
27 ANDALE, ROLLY C. Chairperson
28 MONIBA, JERALDINE ASUNCION E. Chairperson
29 CUIZON YVETTE A. Chairperson
 30 CLAVER, REY C. Chairperson
31 BURLING, MANULITO Chairperson
32 GONZALGO, EDNA M. Chairperson
33 HACOTANO, HELEN M. Chairperson
34 CABALLERO, DAFNIE B. Chairperson
35 BELOY, SHELAH M. Chairperson
36 LUY, ACE JAMES C. Chairperson
37 VAMENTA LOLITA M. Chairperson
38 CASTRO, LORNEM C Chairperson
39 GAYATIN, MERCEDITA P. Chairperson
40 MAGUATE, CRISTOLO S. Chairperson
41 LADORES, RONNIE R. Chairperson
42 DUHAYLUNGSOD, VEMIE C. Chairperson
43 ROMANILLOS, ALBERTO S. Chairperson
44 MALINAO, LIZVIMINDA P. Chairperson
45 CONCEPCION, BERNADETH A. Chairperson
46 DALAOTA, FERNANDO . Chairperson
47 EGOT, MARIA DELIA G. Chairperson 500.00
TOTAL 7,000.00
A CERTIFIED: Services duly rendered as stated. C

EVELYN MODAPIL-LANTACA
Election Officer Date

B CERTIFIED: Supporting documents complete and proper; and cash available in the amount of D
P______________________.

EVELYN MODAPIL-LANTACA
Election Officer Date

Annex "A" - Payroll for Pollworkers paid thru Cash Card pursuant to Minute Resolution No. 17-0449 dated 22 August
Annex "B" - Payroll for Pollworkers paid thru Cash Advance pursuant to Minute Resolution No. 17-0449 dated 22 Augu
ROLL
y and Sangguniang Kabataan Elections
ANNEX "J"
Payroll No. : ____________________
Sheet _________of __________Sheets

ed, with the corresponding tax deductions:

DEDUCTIONS NET
TOTAL TAX AMOUNT
GROSS WITHHELD Signature of Recipient
AMOUNT 3% 2% DUE
EARNED (F) (I) (J)
(F) (G) (H) (G-H) (F)

1,000.00 30.00 20.00 50.00 950.00

500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
500.00 15.00 10.00 25.00 475.00
 500.00 15.00 10.00 25.00 475.00
7,000.00 210.00 140.00 350.00 6,650.00
APPROVED FOR PAYMENT: _Six Thousand One Hundred Seventy-Five Pesos Only____________
_____________________________________________________________________(P 6,175.00 )

ATTY. CALIXTO L. AQUINO, JR.

Provincial Election Supervisor Date

CERTIFIED: Each employee whose name appears on E

the payroll has been paid the amount as indicated
opposite his/her name ORS/BURS No. : _____413__________
Date : ___01/29/2018_____________
EVELYN MODAPIL-LANTACA JEV No. : ________________
Election Officer Date : _______________

ted 22 August 2017

dated 22 August 2017