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CBFM FORM 02

Request for Fund Release


___ 1st Tranche ____ 2nd Tranche

Region V Date (mm/dd/yy) Nov. 24, 2023


Province CAMARINES SUR Sub-Project ID No.
Total Sub-Project Cost 728,347.00
Municipality SAN FERNANDO
LCC 36,417.00
Grant Funds 691,930.00
Barangay LUPI
Contingency 3,397.00

Sub-Project Title
Improvement of Child Development Center

To: The Regional Project Director


DSWD Regional Office 5

May we request for the transfer of funds to the following LBP Community Bank Account for
the implementation of the KALAHI-CIDSS PMNP approved Sub-Project stated above.

LBP Branche: LBP – NAGA GENERAL LUNA BRANCH


Address: LBRDC Bldg. General Luna St.Brgy Abella, Naga City

Cumulative
Previous
Account Bank Amount of No. of this Total
Amounts
Name: Account No. this Request Tranche including this
Released
Request
DSWD
KALAHI-
CIDSS PMNP 0042-1395-99 688,533.00 1st 0.00 688,533.00
BRGY LUPI

Requested by:

EUGENIA Q. PAA HON. ARNULFO A. PAILE


CNSPMC Chairperson Punong Barangay

Reviewed as to completeness of Requirements:

BABY JANE M. MANDAC HON. FERMIN M. MABULO


Area Coordinator MNC Chairperson
Date: __________________ Date: _________________

Regional Project Management Office:

Recommended by: Approved by:

ROSALIE M. BARIZO MELCHOR L. SAÑANO


Regional Project Coordinator ARDO
Date: __________________ Date: _________________
CBFM FORM 02

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