Republic of the Philippines

Department of Education
REGION X
DIVISION OF GINGOOG CITY

ODIONGAN CENTRAL SCHOOL

Barangay Odiongan, Gingoog City

ACKNOWLEDGEMENT RECEIPT

November 21, 2023

This is to acknowledge that I have received the amount of SIX HUNDRED SIXTY PESOS ONLY
(Php 660.00) as payment of reimbursement X-RAY, MEDICAL LAB, MEDICAL CERT. of
SBFP at Odiongan Central School, Brgy. Odiongan, Gingoog City.

Received by:

LORENA SACAL
Payee

Noted by:

HAZEL L. PELIAS, Ph.D.

Principal I

REIMBURSEMENT LETTER
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF GINGOOG CITY

ODIONGAN CENTRAL SCHOOL

Barangay Odiongan, Gingoog City

NOVEMBER 21, 2023

Ma’am,

The undersigned humbly request for reimbursement in the amount of Six Hundred Sixty Pesos Only
(Php 660.00) for x-ray, medical laboratory, and medical cert. of SBFP.

We are delightful for your favourable response for this regard.

Respectfully yours,

LORENA SACAL
Payee

Noted:

HAZEL L. PELIAS, PH. D

Principal I