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B.P.S Form 52 Department of Education Site No.

________
Region VI - Western Visayas Surveyed ________
DIVISION OF CADIZ CITY Registered ________
CADIZ CITY In Process of ________

Building Card No. 1 Registration ________

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024 Prepared below a sketch of the
Municipality: CADIZ CITY Floor Area: 1260 SQ.M building.
Barrio: CADUHA-AN No. of Rooms: 20 (Floor plan) indicate dimension,
Owned by: DECS, CADIZ CITY Standard Classrooms _______________________ classrooms, office storeroom,
Used for: SECONDARY Non-Standard Classrooms ___________________Library, etc.
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: Materials:
Plan No. Walls: CONCRETE Roofing:
Perm.: / Standard _________Floor: CONCRETE Partition ___________
Semi Perm ________________ Special __________ Ceiling : CONCRETE Paint: IVORY
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows __________________________________
Date Started Data on Toilet
Date Accepted Type No. __________________________________
Date Occupied 2019 Superstructure ____________________________
Date Insured Water Supply ______________________________
Date Completed: 2019
Amount of Insurance Cost: 35,000,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST: 35,000,000.00

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor Obligation Total
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan Reversion Bal. Total
Completed Fund Fund Issue ce
No. Amt. bution
2019

CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 2

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area: 1008 SQ.M
Barrio: CADUHA-AN No. of Rooms: 16
Owned by: DECS, CADIZ CITY Standard Classrooms _______________________
Used for: SECONDARY Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: Materials:
Plan No. Walls: CONCRETE Roofing:
Perm.: / Standard _________Floor: CONCRETE Partition ___________
Semi Perm ________________ Special __________ Ceiling : CONCRETE Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: JELOUCIES/FLASH WINDOW
Date Started Data on Toilet
Date Accepted Type No. __________________________________
Date Occupied 2019 Superstructure ____________________________
Date Insured Water Supply ______________________________
Date Completed: 2019
Amount of Insurance Cost: 28,000,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
2019
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

28,000,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 3

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area:
Barrio: CADUHA-AN No. of Rooms: 3
Owned by: DECS, CADIZ CITY Standard Classrooms _______________________
Used for: SECONDARY Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: MULTIPURPOSE BUILDING Materials:
Plan No. Walls: CONCRETE Roofing:
Perm.: / Standard _________Floor: CONCRETE Partition ___________
Semi Perm ________________ Special __________ Ceiling : CONCRETE Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: JELOUCIES/FLASH WINDOW
Date Started Data on Toilet
Date Accepted 1989 Type No. __________________________________
Date Occupied 1989 Superstructure ____________________________
Date Insured Water Supply ______________________________
Date Completed: 1989
Amount of Insurance Cost: 245,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
1989
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

245,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 4

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area: 86.62 SQ.M
Barrio: CADUHA-AN No. of Rooms: 1
Owned by: DECS, CADIZ CITY Standard Classrooms _______________________
Used for: Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: Materials:
Plan No. Walls: CONCRETE Roofing: GI SHEETS
Perm.: / Standard _________Floor: CONCRETE Partition ___________
Semi Perm ________________ Special __________ Ceiling : PLYWOOD Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: WOODEN JELOUCIES
Date Started Data on Toilet
Date Accepted Type No. __________________________________
Date Occupied 1993 JUNE 25 Superstructure ____________________________
Date Insured Water Supply ______________________________
Date Completed: 1993
Amount of Insurance Cost: 250,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
1993
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

250,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 5

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area:
Barrio: CADUHA-AN No. of Rooms: 1
Owned by: Standard Classrooms _______________________
Used for: Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: CDF BUILDING Materials:
Plan No. Walls: CONCRETE Roofing: GI SHEETS
Perm.: / Standard _________Floor: CONCRETE Partition ___________
Semi Perm ________________ Special __________ Ceiling : PLYWOOD Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: WOODEN JELOUCIES
Date Started Data on Toilet
Date Accepted 1995 Type No. __________________________________
Date Occupied Superstructure ____________________________
Date Insured Water Supply ______________________________
Date Completed: 1996
Amount of Insurance Cost: 250,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
1996
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

250,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 6

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area: 36.20 SQ.M
Barrio: CADUHA-AN No. of Rooms: 1
Owned by: Standard Classrooms _______________________
Used for: HE Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: Materials:
Plan No. Walls: CONCRETE Roofing: GI SHEETS
Perm.: / Standard _________Floor: CEMENT Partition ___________
Semi Perm ________________ Special __________ Ceiling : PLYWOOD Paint: IVORY
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: JELOUCIES
Date Started Data on Toilet: 4x5 FT
Date Accepted Type No.: ONE
Date Occupied 1992 JUNE 27 Superstructure: ANNEX
Date Insured Water Supply: INSTALLED 2003
Date Completed: JUNE 1992
Amount of Insurance Cost: 120,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
JUNE 1992
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

120,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 7

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area: 49 SQ. M
Barrio: CADUHA-AN No. of Rooms: 1
Owned by: Standard Classrooms _______________________
Used for: Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: DEPED MODIFIED BUILDINGMaterials:
Plan No. Walls: CONCRETE Roofing: GI SHEETS
Perm.: / Standard _________Floor: TILES Partition ___________
Semi Perm ________________ Special __________ Ceiling : PLYWOOD Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: JELOUCIES/SLIDING
Date Started Data on Toilet:
Date Accepted Type No.:
Date Occupied 1996 Superstructure:
Date Insured Water Supply:
Date Completed: 1996
Amount of Insurance Cost: 200,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
1996
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

200,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 8

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area:
Barrio: CADUHA-AN No. of Rooms: 6
Owned by: Standard Classrooms _______________________
Used for: Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: DEPED BUILDING FOR SHS Materials:
Plan No. Walls: CONCRETE Roofing: CONCRETE
Perm.: / Standard _________Floor: CONCRETE Partition: CONCRET
Semi Perm ________________ Special __________ Ceiling : CONCRETE Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: JELOUCIES
Date Started Data on Toilet:
Date Accepted Type No.:
Date Occupied 2017 Superstructure:
Date Insured Water Supply:
Date Completed: 2017
Amount of Insurance Cost: 3,600,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
2017
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

3,600,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 9

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area:
Barrio: CADUHA-AN No. of Rooms: 8
Owned by: Standard Classrooms _______________________
Used for: Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: DEPED BUILDING FOR SHS Materials:
Plan No. Walls: CONCRETE Roofing: CONCRETE
Perm.: / Standard _________Floor: CONCRETE Partition: CONCRET
Semi Perm ________________ Special __________ Ceiling : CONCRETE Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: JELOUCIES
Date Started Data on Toilet:
Date Accepted Type No.:
Date Occupied 2017 Superstructure:
Date Insured Water Supply:
Date Completed: 2017
Amount of Insurance Cost: 6,000,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
2017
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

ARD

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

6,000,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 10

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area: 72 SQ. M
Barrio: CADUHA-AN No. of Rooms: 2
Owned by: Standard Classrooms _______________________
Used for: Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: MARCOS TYPE Materials:
Plan No. Walls: CONCRETE Roofing:
Perm.: / Standard _________Floor: CONCRETE Partition:
Semi Perm ________________ Special __________ Ceiling : Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows:
Date Started Data on Toilet:
Date Accepted Type No.:
Date Occupied 2017 Superstructure:
Date Insured Water Supply:
Date Completed: 1970
Amount of Insurance Cost: 40,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella
work Authoriz Labor
Pre-materials on e - neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuran
Aid Act. Contri- Loan
Completed Fund Fund Issue ce
No. Amt. bution
1970
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

ARD

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

40,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

Schools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 11

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area:
Barrio: CADUHA-AN No. of Rooms: 1
Owned by: Standard Classrooms _______________________
Used for: SECONDARY Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: PAMANA BUILDING Materials:
Plan No. Walls: CONCRETE Roofing: GI SHEETS
Perm.: / Standard _________Floor: CONCRETE Partition:
Semi Perm ________________ Special __________ Ceiling: HARDIFLEX Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows:
Date Started Data on Toilet: 2 TOILETS
Date Accepted Type No.:
Date Occupied 2024 Superstructure:
Date Insured Water Supply: YES
Date Completed: 2024
Amount of Insurance Cost: 3,790,600.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella-
work Authoriz Labor
Pre-materials on e neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuranc
Aid Act. Contri- Loan
Completed Fund Fund Issue e
No. Amt. bution
2024
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

ARD

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

3,790,600.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

chools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 12

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area:
Barrio: CADUHA-AN No. of Rooms: 1
Owned by: Standard Classrooms _______________________
Used for: SECONDARY Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: BLSP TYPE I Materials:
Plan No. Walls: CONCRETE Roofing: GI SHEETS
Perm.: / Standard _________Floor: CONCRETE Partition:
Semi Perm ________________ Special __________ Ceiling: PLYWOOD Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: MESH WIRE
Date Started Data on Toilet: NO TOILETS
Date Accepted Type No.:
Date Occupied 1989 Superstructure:
Date Insured Water Supply: NO
Date Completed: 1989
Amount of Insurance Cost: 110,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella-
work Authoriz Labor
Pre-materials on e neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuranc
Aid Act. Contri- Loan
Completed Fund Fund Issue e
No. Amt. bution
2024
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

ARD

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

110,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

chools DIVISION SUPERINTENDENT


B.P.S Form 52 Department of Education
Region VI - Western Visayas
DIVISION OF CADIZ CITY
CADIZ CITY
Building Card No. 13

SCHOOL BUILDING CARD

Province: NEGROS OCCIDENTAL Date Card Submitted: MAY 8, 2024


Municipality: CADIZ CITY Floor Area:
Barrio: CADUHA-AN No. of Rooms: 1
Owned by: Standard Classrooms _______________________
Used for: SECONDARY Non-Standard Classrooms ___________________
(Prim. Int. Sec. H.E. etc) Industrial Classrooms _______________________
Kind of Building: BLSP TYPE I Materials:
Plan No. Walls: CONCRETE Roofing: GI SHEETS
Perm.: / Standard _________Floor: CONCRETE Partition:
Semi Perm ________________ Special __________ Ceiling: PLYWOOD Paint: CREAM
Temp. _________ Non-Standard _______________ Door: FLASH Structure __________
Year Mo. Date Windows: MESH WIRE
Date Started Data on Toilet: NO TOILETS
Date Accepted Type No.:
Date Occupied 2024 Superstructure:
Date Insured Water Supply: NO
Date Completed: 1990
Amount of Insurance Cost: 105,000.00
Date Insurance Expired Satisfactory _______________________________

DATA OF CONSTRUCTION TOTAL COST:

Statement of Date
Construct Nat’l Supervisi Surcharg Miscella-
work Authoriz Labor
Pre-materials on e neous
completed ed

National Vol.
Date Prov. Mun. Bond Insuranc
Aid Act. Contri- Loan
Completed Fund Fund Issue e
No. Amt. bution
2024
CERTIFIED CORRECT:

Checked/Verified: ARELLANO B. ADION


PRINCIPAL/HEAD TEACHER

CHAIRMAN
SCHOOL BUILDING PROGRAM Schools DIVISION SUPERINTENDENT
Site No. ________
Surveyed ________

Registered ________
In Process of ________
Registration ________

ARD

Prepared below a sketch of the


building.
(Floor plan) indicate dimension,
classrooms, office storeroom,
Library, etc.

105,000.00

Obligation Total

Reversion Bal. Total


CERTIFIED CORRECT:

ARELLANO B. ADION
PRINCIPAL/HEAD TEACHER

chools DIVISION SUPERINTENDENT

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