Republic of the Philippines Region X

MUNICIPALITY OF KAPATAGAN Province of Lanao del Norte

OFFICE OF THE MUNICIPAL MAYOR Tel. /Fax No. 063-382-8313

CERTIFICATE OF CLEARANCE FROM MONEY, PROPOERTY &

LEGAL ACCOUNTABILITIES
(date)

To whom it may concern:

This is to certify that ______(name)___________, _____(Position), __________ status,

effective ____________________ up to _____________ under the Local Government Unit of
Kapatagan, Lanao del Norte is hereby cleared of all accountabilities herein enumerated insofar
as to this office is concerned.

Purpose of Clearance: ___________________________________________________

INCLUSIVE DATES: _______________________________________________

OK as to money and property accountability

OFFICE REMARKS

1. GENERAL SERVICES OFFICE MEMORANDUM RECEIPTS (MR):

______________________________

WENEFREDO M. LAURON
General Services Officer

Date: _________________________

2. ACCOUNTING OFFICE Un-liquidated TEV______________

Others_______________________

CHRISTINE M. MABALA
Administrative Officer V /
Office In-Charge

Date:________________________

3. TREASURER’S OFFICE Cash Advances _________________

OR’s _________________________

1
 Date:_________________________

ALEXANDER D. ABABA, CPA

Municipal Treasurer

Date: ________________________

4. BUDGET OFFICE _____________________________

_____________________________

LEA T. PABILING
Municipal Budget Officer

Date: ________________________

5. MUN. AGRICULTURE OFFICE _____________________________

_____________________________

FEDELINA M. CUARESMA, PhD.,Agri.

Municipal Agriculturist

Date: _______________________

6. PERSONNEL SECTION / UNIT Records File___________________

SAL/Leave/etc._________________
Others________________________

MARYLILIBETH B. LAGUNSAD
HRMO V

Date: ________________________

7. MUNICIPAL HEALTH OFFICE ___________________________

___________________________

NILDA S. MENDOZA, MD.

Municipal Health Officer

Date:_________________________

8. APPROVED / DISAPPROVED:

BARRY Y. BAGUIO
Municipal Mayor

Date: ___________