Republic of the Philippines

COMMISSION ON ELECTIONS
Office of the Election Officer
City/ Municipality, Province

CERTIFICATE OF COMPLIANCE
(For the October 30, 2023 Barangay and
Sangguniang Kabataan Elections)

This is to certify that MR. MARK ANTHONY C. DE GUZMAN who is a candidate

for MEMBER, SANGGUNIANG KABATAAN, has duly submitted the following campaign
finance statements/reports, in connection with the October 30, 2023 Barangay and Sangguniang
Kabataan Elections, consisting of the following:

DOCUMENT TITLE
Statement of Contributions and Expenditures (SOCE) Form
Contribution Receipts
Expenditure Receipts
Authority to Incur Expenditures (AIE) Form
Authority to Receive Contributions (ARC) Form
Notice of Public Rally (NPR) Form
Statement of Expenses on Public Rally (SER) Form
Report of Contracts/ Business Firms (RCF) Form
Summary of Advertising Contracts (SAC) Form
Soft/Electronic Copy (i.e PDF, Excel or Word File Format
of the signed and notarized copy of the SOCE)
Special Power of Attorney Form
Others, pls. specify

This Certification is solely to acknowledge the receipt of SOCE from said candidate
and/or his/her duly authorized representative. The Commission is not precluded from compelling
the submission of lacking documents, or pursuing any action against the candidate.
Issued this __ of November 2023 in San Carlos City, Pangasinan.

MILETTE V. LOPEZ
ACTING CITY ELECTION OFFICER IV
(Note: Please put check (√) in the table the documents actually submitted by the candidate and/or his/her authorized
representative, or place N/A if not applicable.)