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Republic of the Philippines

Department of Education
Caraga Administrative Region
Division of Agusan del Norte
Carmen District 1
CARMEN NATIONAL HIGH SCHOOL

CLEARANCE
MR. ARSENIO T. CORNITES, JR., CESO V
Schools Division Superintendent
Division of Agusan del Norte
Butuan City

Thru: ADELAIDA S. PACON


District Supervisor

Sir/Madam:

I have the honor to inform you that I have satisfactorily accounted of all property for which I am
responsible in the school. Reports required have been submitted on the dates shown below:

School Form 1 ROSEMALYN L. PAHAMTANG Form 138 ROSEMALYN L. PAHAMTANG


School Form 2 ROSEMALYN L. PAHAMTANG Form 48 CARMEN E. ESTOQUE
School Form 3 ROSEMALYN L. PAHAMTANG Property Inventory MARLYN L. SALEM
School Form 5 ROSEMALYN L. PAHAMTANG Updated 201 File ROSEMALYN L. PAHAMTANG
School Form 6 ROSEMALYN L. PAHAMTANG School Canteen REMEGILDA R. TAYON
Consol. Grade Sheets ROSEMALYN L. PAHAMTANG COOP Cash VICKY F. JADOL
Ranking ROSEMALYN L. PAHAMTANG IPCRF ROSEMALYN L. PAHAMTANG
Form 137 ROSEMALYN L. PAHAMTANG

The last of my authorized duty in this school is ______________________________________________.


My mailing address is __________________________________________________________________.
Note: Enter the dates of reports submitted or not required on the case may be.

CHERRIE E. MANZO
(Printed Name/Signature)

Initials: Other Reports


Principal ARLYN V. AGUILOR A. MAR ROSEMALYN L. PAHAMTANG
Checker of Forms ROSEMALYN L. PAHAMTANG B. Narrative Reports ROSEMALYN L. PAHAMTANG
Librarian JANETH F. MEJARITO C. MPS ROSEMALYN L. PAHAMTANG
Science Laboratory CRISTINA D. TANTOY D. TQ/TOS ROSEMALYN L. PAHAMTANG
Faculty Treasurer VICKY F. JADOL E. Class Record ROSEMALYN L. PAHAMTANG
Supply Officer CARMEN A. ESTOQUE F. Lesson Plan ROSEMALYN L. PAHAMTANG
Disbursing Officer WELLA E. SALUDAR

1st Endorsement
Carmen District 1
_________, 2019

Respectfully forwarded to the Schools Division Superintendent, Division of Agusan del Norte, the herein clearance
of the above-stated staff. Conditions/Complete Clearance is hereby recommended.

ADELAIDA S. PACON
District Supervisor

Approved:

ARSENIO T. CORNITES, JR., CESO V


Schools Division Superintendent

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