Department of Education

Region X
Division of Bukidnon
District of Kadingilan
BAGOR ELEMENTARY SCHOOL

SCHOOL CLEARANCE

July 12, 2023

The School Principal
Sir/Madam:
I have the honor to advice you that I have satisfactorily accounted for all the money and property for which I
was responsible and that all reports are required of me have been submitted on the date and duly attested as follows:
A. Forms/Reports/Money Responsibility Date School Head Teacher Signature
Form 1 7-12-2023 DEXEE GIEL C. CANOY
Form 2 7-12-2023 DEXEE GIEL C. CANOY
Form 3 7-12-2023 DEXEE GIEL C. CANOY
Form 5 7-12-2023 DEXEE GIEL C. CANOY
Form 8 7-12-2023 DEXEE GIEL C. CANOY
Form 10 7-12-2023 DEXEE GIEL C. CANOY
IPCRF 7-12-2023 FE D. BACLAAN
SALN 7-12-2023 DEXEE GIEL C. CANOY
Inventory of School/Class Property 7-12-2023 KAREN LOUIE B. BANTOLINAO
School Treasurer 7-12-2023 MARILOU B. MERAFUENTES
Gen PTA Treas. 7-12-2023 GRACE JOI H. DUMANGOG
Updated Portfolio 7-12-2023 FE D. BACLAAN
Accomplishment Report 7-12-2023 FE D. BACLAAN
BTEA 7-12-2023 MARILOU B. MERAFUENTES
KDTEA 7-12-2023 MARILOU B. MERAFUENTES

B. Property Responsibilities
1. Title of Books/Instructional Materials/Tools Returned
Quantity Title 0f Books/IM’s Date School Property Custodian
7-12-2023 KAREN LOUIE B. BANTOLINAO
7-12-2023 KAREN LOUIE B. BANTOLINAO
7-12-2023 KAREN LOUIE B. BANTOLINAO
7-12-2023 KAREN LOUIE B. BANTOLINAO
7-12-2023 KAREN LOUIE B. BANTOLINAO
7-12-2023 KAREN LOUIE B. BANTOLINAO

2. Title of Books/Instructional Materials/Unreturned or Lost

QUANTITY TITLE OF BOOKS/IM’S/TOOLS Unit Total OR No. School/District
Price Amount Paid Property
Custodian

Until further notice, my mailing address will be __________________________________________________.

____________________________
Teacher
Approved by:
FE D. BACLAAN
School Principal I