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Department of Education

Region X
Division of Bukidnon
District of Kalilangan
LAMPANUSAN NATIONAL HIGH SCHOOL

TEACHER’S CLEARANCE

WANNA LIZA C. CABALLERO


Name of Teacher

Sir:

I have the honor to advise you that I have satisfactorily accounted for all the money and property for I was
responsible and that all the reports required of me have been submitted on the date and duly attested to as follows:
A. Reports/Money Responsibility Date Received by Person In-Charge
1. Form 1
2. Form 18-E(Form 5)
3. Form 137
4. Form 138
5. IPCRF
6. Assets and Liabilities
7. School Cooperative/School Teacher

B. Property Responsibility
1. Title of Books/Instructional Materials/Tools Returned
Quantity Title of Books/Materials/Tools Date District Property Custodian

2. Title of Books/Instructional Materials/Tools Lost


Quantity Title of Books/Materials/Tools Unit Price Total Amount O.R. No. District Property
Paid Custodian

Until further notice, my mailing address will be __ LAMPANUSAN,KALILANGAN, BUKIDNON,8718______________


________________________________________________________________________.

Very truly yours,

WANNALIZA C. CABALLERO
Teacher I

Approved:

GARRY M. ILAGAN
School Head

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