Annex 8

GreenMont Systems International, Inc.

JOINT DELIVERY VOUCHER PROGRAM FOR SENIOR HIGH SCHOOL

TECHNICAL VOCATIONAL LIVELIHOOD SPECIALIZATION
(JDVP-TVL)

BILLING STATEMENT
SY 2017-2018

This Billing Statement also serves as the contract between DepEd and the private school or non-DepEd public
SHS or TVI with regard to the latter's participation in accordance with the program guidelines issued for the
school year stated below.

All supporting Documents regarding this billing statement are with the School Division Offices.

Instructions: Please accomplish and submit original 4 copies (need to include control number of vouchers).

Billing to: Department of Education Date:

School ID:
Gov't. Recognition Billing Statement
FBS/WTR-201501042006 Year Issued:
No.: No.:
School Name: GREENMONT SYSTEMS INTERNATIONAL, INC.
Province: City/Municipality:
Region: I District: 4TH
PANGASINAN DAGUPAN CITY

TOTAL GRANTEES AND AMOUNT DUE

Public Senior High No. of Voucher
Subsidy per Grantee Total Amount Due
School Grantees
112 students
San Jacinto National ( Food and Beverage
P3,731.25 P 417,900.00
High School Services NC II
Enhancement Fees (Training)
TOTAL AMOUNT DUE P 417,900.00

We certify as correct and accurate under the penalty of perjury, all information we have provided in this
statement and in the required pertinent documents.

___________________________________ ____________________________________
Public SHS Parents’ Association Faculty Association
President/Representative President/Representative/JDVP Partner

__________________________________ DR. AURORA D. MAMARADLO, D.HUM

Public SHS School Head JDVP-TVL Partner School Head

Note: Signature over printed name

Annex 8 A Page 1
Annex 8
GreenMont Systems International, Inc.

Kindly deposit payment to the JDVP-TVL partner school's Bank Account: the details of which are as
follows:

School Account Name : GreenMont Systems International, Inc.

Account Number : 200010877748
Branch : Eastwest Bank - DAGUPAN BRANCH
Amount Due : ____P 417,900.00 pesos___________

Requirement: Please attach an IMI1 or STI1 Printout signed by the bank's branch manager.

Certified: Endorsed for Processing: Endorsed for Payment:

Schools Division Superintendent DepEd Regional Director IV

Director/Representative Bureau of Curriculum Development

Annex 8 A Page 2
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GreenMont Systems International, Inc.

SAN JACINTO NHS VOUCHER/CONTROL NUMBERS:

Public
Senior Name of Grantee Voucher No.
High School
ABAOAG, JOHN ALFRED ERESTINGCOL 004-IAV-0000 8495
ABRAZALDO, MA. THERESA CASASOS 004-IAV-0000 8497
ABRIO, ANABELLE UNTALAN 004-IAV-0000 8499
ACOSTA, MONINA NICOLE PIÑON 004-IAV-0000 8500
AGSAOAY, RODEL REBUJIO, 004-IAV-0000 8503
ALIPIO, MARK JOVAN PLAZA 004-IAV-0000 8504
ANTINEW, CHRISTOPHER FLORES 004-IAV-0000 8506
AQUINO, JESSA MAE ANZA 004-IAV-0000 8509
AQUINO, JUSTINE CABLES 004-IAV-0000 8510
AQUINO, MAE JEAN FRANCISCO 004-IAV-0000 8512
AQUINO, RICA DATANGEL 004-IAV-0000 8513
BAGADIONG, SHAINA MAE NICOMEDEZ 004-IAV-0000 8515
BAGAY, CHRISTIAN BRIAN SOLOMON 004-IAV-0000 8511
BANDA, JOHN LESTER AYSON 004-IAV-0000 8517
BANDA, RICHELLE ANN QUINTO 004-IAV-0000 8518
BARATANG, JEYA MAREEH ORATA 004-IAV-0000 8519
BARROZO, MARY JANE SIAPN 004-IAV-0000 8520
BAUTISTA, GEORGETTE ACOSTA 004-IAV-0000 8521
San Jacinto National High School

BAUTISTA, GERALDINE BATINO 004-IAV-0000 8522

BAUTISTA, MARY JOYCE DUTERTE 004-IAV-0000 8523
BIASON, MARY ROSE HIQUIANA 004-IAV-0000 8524
BOJOS, DAVE SOTERO 004-IAV-0000 8526
BURBANO, DENNIS EMPLEO 004-IAV-0000 8528
BURGOS, APRIL BASANES 004-IAV-0000 8529
CABALBAG, WILBERT TUCAY 004-IAV-0000 8530
CABAÑERO, AUBREY MARIE VOCES 004-IAV-0000 8531
CABANGON, MARGIE JUDEA NOLEAL 004-IAV-0000 8532
CABIE, ALFRED ENGEL TERCIAS 004-IAV-0000 8533
CACHERO, LLUMAR CABADING 004-IAV-0000 8534
CARIÑO, CHARMAINE ROSE CALUZA 004-IAV-0000 8540
CARRANZA, MARK JOSEPH TONERA 004-IAV-0000 8541
CARRANZA, MYLA REPUBIO 004-IAV-0000 8542
CEREZO, MARJOHN VIERNES 004-IAV-0000 8548
CONTILLO, MARLONA 004-IAV-0000 8552
DANGANI, BEVERLY HUGO 004-IAV-0000 8555
DE GUZMAN, ANGELIKA PASCUA 004-IAV-0000 8557
DE GUZMAN, GINO SERAFICA 004-IAV-0000 8559
DE LEON, RHOCELLA VIERNES 004-IAV-0000 8561
DELA CRUZ, JEANNIE VISPERAS 004-IAV-0000 8562
DELA PEÑA, ANTONETTE CLAIRE CALPO 004-IAV-0000 8563
DELA PEÑA, JESSIE FERRER 004-IAV-0000 8564
DELOS REYES, MIKE LABAST 004-IAV-0000 8566
DIAZ, MIA CRISELDA ABELARDO 004-IAV-0000 8568
ELLASUS, JAMES ZEDRICK CAMPOY 004-IAV-0000 8574
ESTRADA, WELLA MAY JIMENEZ 004-IAV-0000 8582
ESTRAS, ERWIN MALIT 004-IAV-0000 8583
EVANGELISTA, BEA QUINTO 004-IAV-0000 8585
EVANGELISTA, MICHAEL ELCID BAUTISTA 004-IAV-0000 8586
FERNANDEZ, ALYZZA MAE CAMAGAY 004-IAV-0000 8588
FERNANDEZ, PRINCESS CAMAGAY 004-IAV-0000 8590
FLORES, DENNIS LLENA 004-IAV-0000 8591
FONTALBA, DANIEL CASTILLO 004-IAV-0000 8592
GALLARDO, PAOLO NABUA 004-IAV-0000 8594
GERON, JOCELYN PERU 004-IAV-0000 8595
GUILLERMO, JOHN FADERON 004-IAV-0000 8599
HUGO, RODOLFO JR. AGSAOAY 004-IAV-0000 8602

Annex 8 A Page 3
Annex 8
GreenMont Systems International, Inc.

JAPSON, JAY MARK ANTHONY PETRAS 004-IAV-0000 8604

LEE, DIANA RONQUILLO 004-IAV-0000 8611
LLENA, DAISY MENDEJAR 004-IAV-0000 8613
LLENA, REYNALD APOLONIO 004-IAV-0000 8616
LOPEZ, ROCHELLE GATCHALIAN 004-IAV-0000 8617
LUGADA, CHENNY ROSE MILLARES 004-IAV-0000 8618
MARIÑAS, MARY JOY FONTALBA 004-IAV-0000 8624
MARTINEZ, ROSEMAE AQUINO 004-IAV-0000 8626
MARZO, MISSY BAUTISTA 004-IAV-0000 8627
MEJIA, LAIKA FRIALDE 004-IAV-0000 8631
MEJIA, ROSE FERRER 004-IAV-0000 8632
MENDOZA, MARK ADRIAN DACANAY 004-IAV-0000 8633
NABUA, PIOLO VILLANUEVA 004-IAV-0000 8638
NAIFE, FULGENCIO IV ABAOAG 004-IAV-0000 8639
NAVARRO, MARILYN LUCAS 004-IAV-0000 8643
OCAY, KRISTA THERESE DIAZ 004-IAV-0000 8645
PARLAN, MARLO DE GUZMAN 004-IAV-0000 8649
PASALO, ERICA BANDA 004-IAV-0000 8650
PASALO, JOLINA HUGO 004-IAV-0000 8651
PASALO, JOSEPHINE JUGO 004-IAV-0000 8652
PASANA, DOLLY ROSE SISON 004-IAV-0000 8653
PASANA, JULIAN REYES 004-IAV-0000 8655
PASANA, KATHLEEN DELOS SANTOS 004-IAV-0000 8656
PEREZ, RICARDO JR. CANDALERA 004-IAV-0000 8657
PRESTOZA, JOANN VILLANUEVA 004-IAV-0000 8658
PRESTOZA, MYKA KIM ISLA 004-IAV-0000 8659
QUINTO, JOHN LLOYD DE GUZMAN 004-IAV-0000 8661
RETIG, RUTHCELL MILLA 004-IAV-0000 8663
REYES, SARAH AGSAOAY 004-IAV-0000 8666
RIVERA, DARWIN MENESES 004-IAV-0000 8667
ROSARIO, XAVIER REINEER VEJANO 004-IAV-0000 8669
ROYECA, KENDALL XAVIERY SORIANO 004-IAV-0000 8670
SALCEDO, ERIKA JOY SORIANO 004-IAV-0000 8671
SALCEDO, NIKKI SORIANO 004-IAV-0000 8674
SARAOS, MICHAEL FRANCO MANGABAY 004-IAV-0000 8676
SERRANO, CARLO QUILLOPE 004-IAV-0000 8677
SERRANO, JHOMARI NATIVIDAD 004-IAV-0000 8678
SOLANO, SHAIRA PRADO 004-IAV-0000 8681
SOLOMON, ERIKA DUTERTE 004-IAV-0000 8682
SOLOMON, JANICA BRIONES 004-IAV-0000 8683
SOLOMON, JEREMY ADORIAS 004-IAV-0000 8684
SOLOMON, STEFFY-ANN LEGASPI 004-IAV-0000 8686
SONGCUAN, JACOB NAOE 004-IAV-0000 8687
SUDCALEN, JENEVA CHURPING 004-IAV-0000 8691
SULIT, GENRAY PASCUA 004-IAV-0000 8692
TAMAYO, RAYMUND NAOE 004-IAV-0000 8694
TAMONDONG, JING JING ISLA 004-IAV-0000 8695
TUBERA, MILANIE EMPERADOR 004-IAV-0000 8699
TUCAY, JERICO FRIANEZA 004-IAV-0000 8700
VALASCO, JUMEL MAINIT 004-IAV-0000 8702
VILLANUEVA, JESSICA ESPINOZA 004-IAV-0000 8707
VILLANUEVA, KERVIN DE GUZMAN 004-IAV-0000 8708
VILLANUEVA, MARK FACTOR 004-IAV-0000 8709
VILLANUEVA, RICHARD VERCELES 004-IAV-0000 8711
VINLUAN, DAISY DELA CRUZ 004-IAV-0000 8714
ZAMORA, DEXTER OCOMEN 004-IAV-0000 8716

Annex 8 A Page 4
Annex 8
GreenMont Systems International, Inc.
We certify as correct and accurate under the penalty of perjury, all information we have provided in this
statement and in the required pertinent documents.

___________________________________ ____________________________________
Public SHS Parents’ Association Faculty Association
President/Representative President/Representative/JDVP Partner

__________________________________ DR. AURORA D. MAMARADLO, D.HUM

Public SHS School Head JDVP-TVL Partner School Head

Note: Signature over printed name

Annex 8 A Page 5
Annex 8
GreenMont Systems International, Inc.

JOINT DELIVERY VOUCHER PROGRAM FOR SENIOR HIGH SCHOOL

TECHNICAL VOCATIONAL LIVELIHOOD SPECIALIZATION
(JDVP-TVL)

BILLING STATEMENT
SY 2017-2018

This Billing Statement also serves as the contract between DepEd and the private school or non-DepEd public
SHS or TVI with regard to the latter's participation in accordance with the program guidelines issued for the
school year stated below.

All supporting Documents regarding this billing statement are with the School Division Offices.

Instructions: Please accomplish and submit original 4 copies (need to include control number of vouchers).

Billing to: Department of Education Date:

School ID:
BPP/WTR-201501042008
CKY/WTR- Gov't. Recognition Billing Statement
Year Issued:
20170155TRCOK212026 No.: No.:
HSK/WTR-

School Name: UNICARE SPECIALIST INTERNATIONAL, INC.

Province: City/Municipality:
Region: I District: 4TH
PANGASINAN DAGUPAN CITY

TOTAL GRANTEES AND AMOUNT DUE

Public Senior High No. of Voucher
Subsidy per Grantee Total Amount Due
School Grantees
P 417,900.00
112 students
San Jacinto National 1.( Bread and Pastry 417,900.00
Production NC II) P3,731.25
High School 2.(Cookery NC II) (Training)
3.(Housekeeping NC II) 417,900.00

TOTAL AMOUNT DUE P 1,253,700.00

We certify as correct and accurate under the penalty of perjury, all information we have provided in this
statement and in the required pertinent documents.

___________________________________ ____________________________________
Public SHS Parents’ Association Faculty Association
President/Representative President/Representative/JDVP Partner

__________________________________ DR. AURORA D. MAMARADLO, D.HUM

Public SHS School Head JDVP-TVL Partner School Head

Note: Signature over printed name

Annex 8 A Page 6
Annex 8
GreenMont Systems International, Inc.

Kindly deposit payment to the JDVP-TVL partner school's Bank Account: the details of which are as
follows:

School Account Name : Unicare Specialist International, Inc.

Account Number : 200018631538
Branch : Eastwest Bank - DAGUPAN BRANCH
Amount Due : ____P 1,253,700.00 pesos___________

Requirement: Please attach an IMI1 or STI1 Printout signed by the bank's branch manager.

Certified: Endorsed for Processing: Endorsed for Payment:

Schools Division Superintendent DepEd Regional Director IV

Director/Representative Bureau of Curriculum Development

Annex 8 A Page 7
Annex 8
GreenMont Systems International, Inc.

JOINT DELIVERY VOUCHER PROGRAM FOR SENIOR HIGH SCHOOL

TECHNICAL VOCATIONAL LIVELIHOOD SPECIALIZATION
(JDVP-TVL)

BILLING STATEMENT
SY 2017-2018

This Billing Statement also serves as the contract between DepEd and the private school or non-DepEd public
SHS or TVI with regard to the latter's participation in accordance with the program guidelines issued for the
school year stated below.

All supporting Documents regarding this billing statement are with the School Division Offices.

Instructions: Please accomplish and submit original 4 copies (need to include control number of vouchers).

Billing to: Department of Education Date:

School ID:
Gov't. Recognition Billing Statement
FBS/WTR-201501042006 Year Issued:
No.: No.:
School Name: GREENMONT SYSTEMS INTERNATIONAL, INC.
Province: City/Municipality:
Region: I District: 4TH
PANGASINAN DAGUPAN CITY

TOTAL GRANTEES AND AMOUNT DUE

Public Senior High No. of Voucher
Subsidy per Grantee Total Amount Due
School Grantees
112 students P 61,600.00
San Jacinto National ( Food and Beverage P550.00
High School Services NC II Assessment (Assessment Fee)
Fees
TOTAL AMOUNT DUE P 61,600.00

We certify as correct and accurate under the penalty of perjury, all information we have provided in this
statement and in the required pertinent documents.

___________________________________ ____________________________________
Public SHS Parents’ Association Faculty Association
President/Representative President/Representative/JDVP Partner

__________________________________ DR. AURORA D. MAMARADLO, D.HUM

Public SHS School Head JDVP-TVL Partner School Head

Note: Signature over printed name

Annex 8 A Page 8
Annex 8
GreenMont Systems International, Inc.

Kindly deposit payment to the JDVP-TVL partner school's Bank Account: the details of which are as
follows:

School Account Name : GreenMont Systems International, Inc.

Account Number : 200010877748
Branch : Eastwest Bank - DAGUPAN BRANCH
Amount Due : ____P 61,600.00 pesos___________

Requirement: Please attach an IMI1 or STI1 Printout signed by the bank's branch manager.

Certified: Endorsed for Processing: Endorsed for Payment:

Schools Division Superintendent DepEd Regional Director IV

Director/Representative Bureau of Curriculum Development

Annex 8 A Page 9