S E R V I C E R E C O R D

Name: LOPEZ ARMANDO Q. (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: July 23, 1957 Birthplace: Bayambang, Pangasinan

Policy Number: CM-2533303 AF-26009

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
06/25/84 04/30/84 SST-3 Permanent 10,440.00 Daniel Maramba None
05/01/84 12/31/84 -do- -do- 11,484.00 -do- -do-
01/01/85 12/31/85 -do- -do- 12,636.00 -do- -do-
01/01/86 06/30/86 -do- -do- 13,152.00 -do- -do-
07/01/86 02/28/87 -do- -do- 16,044.00 -do- -do-
03/01/87 12/31/87 -do- -do- 19,252.00 -do- -do-
01/01/88 06/30/98 -do- -do- 21,168.00 -do- -do-
07/01/89 12/31/92 Teacher I -do- 37,224.00 -do- -do-
01/01/93 12/31/93 -do- -do- 38,352.00 -do- -do-
01/01/94 12/31/94 -do- -do- 47,952.00 -do- -do-
01/01/95 12/31/95 -do- -do- 59,952.00 -do- -do-
01/01/96 06/23/96 -do- -do- 73,284.00 -do- -do-
06/24/96 12/31/96 Head Teacher III -do- 92,844.00 -do- -do-
01/01/97 10/31/97 -do- -do- 115,512.00 -do- -do-
11/01/97 06/23/99 -do- -do- 138,180.00 -do- -do-
06/24/99 12/31/99 -do- -do- 141,636.00 -do- -do-
01/01/00 06/30/01 -do- -do- 155,796.00 -do- -do-
07/01/01 06/23/02 -do- -do- 163,584.00 -do- -do-
06/24/02 07/31/03 -do- -do- 167,676.00 -do- -do-
08/01/03 08/19/04 O.I.C. PSAT -do- 167,676.00 PSAT -do-
08/20/04 06/30/07 Principal I -do- 190,092.00 -do- -do-
07/01/07 08/19/07 -do- -do- 209,100.00 -do- 10% inc
08/20/07 12/05/07 -do- -do- 214,332.00 -do- Step 2
12/06/07 06/30/08 Principal II -do- 221,652.00 -do- Promotion
07/01/08 Present -do- -do- 243,816.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Prepared by: Conforme:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)

Date Date
 S E R V I C E R E C O R D

Name: BAUTISTA RHODORA CITADEL REYES (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: October 9, 1977 Birthplace: Dagupan City

Policy Number: LP 77100901067

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
06/01/05 10/11/05 Teacher - I Volunteer - P.S.A.T. None
10/12/05 11/11/05 -do- Substitute 9,939.00 -do- -do-
11/12/05 12/08/05 -do- Volunteer - -do- -do-
12/09/05 06/30/07 Guidance Counselor I Permanent 119,268.00 -do- -do-
07/01/07 Present -do- -do- 131,196.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Prepared by: Conforme:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)

Date Date

Conforme:

RHODORA CITADEL R. BAUTISTA

Name of Employee
Guidance Counselor
Designation

____________________
Date
 S E R V I C E R E C O R D

Name: CASTRO RENATO C (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: February 5, 1950 Birthplace: Lingayen, Pangasinan

Policy Number: CM-2511488

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
02/25/85 02/24/86 Janitor Temporary 5,382.00 PSAT None
02/25/86 03/30/86 -do- Permanent 6,552.00 -do- -do-
07/01/86 02/28/87 -do- -do- 7,236.00 -do- -do-
03/01/87 12/31/87 Utility Worker I -do- 8,321.00 -do- -do-
01/01/88 06/30/89 -do- -do- 9,144.00 -do- -do-
07/01/89 12/31/89 -do- -do- 24,000.00 -do- -do-
01/01/90 12/31/92 -do- -do- 24,240.00 -do- -do-
01/01/93 12/31/93 -do- -do- 24,480.00 -do- -do-
01/01/94 12/31/94 -do- -do- 34,080.00 -do- -do-
01/01/95 12/31/95 -do- -do- 46,080.00 -do- -do-
01/01/96 12/31/96 -do- -do- 53,280.00 -do- -do-
01/01/97 12/31/99 -do- -do- 58,284.00 -do- -do-
01/01/00 02/24/00 -do- -do- 64,116.00 -do- -do-
02/25/00 12/01/03 -do- -do- 69,000.00 -do- -do-
01/01/04 12/07/04 -do- -do- 70,728.00 -do- -do-
12/08/04 06/30/07 Adm. Aide - I -do- 70,728.00 -do- -do-
07/01/07 02/24/08 Adm. Aide - I -do- 77,796.00 -do- 10% inc
02/25/08 Present Adm. Aide - I -do- 79,740.00 -do- Step 8
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)
 S E R V I C E R E C O R D

Name: FERRER MARCIANO Q (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: October 27, 1949 Birthplace: Binmaley, Pangasinan

Policy Number: CM-2510048

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
06/28/82 08/21/83 Auto Mechanic II Temporary 5,928.00 PSAT None
08/22/83 04/30/84 -do- Permanent 5,928.00 -do- -do-
05/01/84 12/31/84 -do- -do- 6,552.00 -do- -do-
01/01/85 06/30/85 -do- -do- 7,236.00 -do- -do-
07/01/86 02/28/87 -do- -do- 7,990.00 -do- -do-
03/01/87 12/31/87 -do- -do- 9,190.00 -do- -do-
01/01/88 06/30/89 -do- -do- 10,109.00 -do- -do-
07/01/89 12/31/89 Mechanic I -do- 27,000.00 -do- -do-
01/01/90 12/31/92 -do- -do- 27,540.00 -do- -do-
01/01/93 12/31/93 -do- -do- 27,816.00 -do- -do-
01/01/94 12/31/94 -do- -do- 37,416.00 -do- -do-
01/01/95 12/31/95 -do- -do- 49,416.00 -do- -do-
01/01/96 12/31/96 -do- -do- 61,416.00 -do- -do-
01/01/97 12/31/97 -do- -do- 71,292.00 -do- -do-
01/01/98 12/31/99 -do- -do- 74,784.00 -do- -do-
01/01/00 06/27/01 -do- -do- 82,260.00 -do- -do-
06/28/01 06/30/01 -do- -do- 86,376.00 -do- -do-
07/01/01 06/27/03 -do- -do- 90,745.00 -do- -do-
06/28/03 12/07/04 -do- -do- 93,012.00 -do- -do-
12/08/04 06/30/07 Admin. Aide IV -do- 93,012.00 -do- -do-
07/01/07 Present Admin. Aide IV -do- 102,312.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)
 S E R V I C E R E C O R D

Name: GUTIERREZ JOSE R (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: December 17, 1971 Birthplace: Lingayen, Pangasinan

Policy Number: CM-2528199

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
01/18/99 10/17/99 Utility Worker I Casual 200/day PSAT -do-
10/18/99 12/31/99 -do- Permanent 52,800.00 -do- -do-
01/01/00 06/30/01 -do- -do- 58,080.00 -do- -do-
07/01/01 01/17/02 -do- -do- 60,984.00 -do- -do-
01/18/02 12/07/04 -do- -do- 62,508.00 -do- Step 2
12/08/04 01/17/05 Administrative Aide I -do- 62,509.00 -do- -do-
01/18/05 06/30/07 -do- -do- 76,068.00 -do- Step 3
07/01/07 01/17/08 -do- -do- 70,476.00 -do- 10% inc
01/18/08 Present -do- -do- 72,240.00 -do- Step 4
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)
 S E R V I C E R E C O R D

Name: NEGRILLO, JOCELYN C. (If married woman give full maiden name)
(Surname) (First Name) M.I.

Date of Birth: May 30,1968 Birthplace: Binmaley, Pangasinan

Policy Number: CM-2522523

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
03/02/98 01/11/99 Libraruan III Temporary 116,016.00 PSAT None
01/12/99 12/31/99 -do- Permanent 116,016.00 -do- -do-
01/01/00 12/31/00 -do- -do- 127,620.00 -do- -do-
01/01/01 03/01/01 -do- -do- 134,004.00 -do- -do-
03/02/01 03/01/04 -do- -do- 137,352.00 -do- Step 2
03/02/04 03/01/07 -do- -do- 140,796.00 -do- Step 3
03/02/07 06/30/07 -do- -do- 144,312.00 -do- Step 4
07/01/07 06/30/08 -do- -do- 154,872.00 -do- 10% inc
07/01/08 Present -do- -do- 174,624.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)

Conforme:

JOCELYN C. NEGRILLO
School Librarian III
 S E R V I C E R E C O R D

Name: PADILLA AMBROSIO C (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: December 9, 1966 Birthplace: Lingayen, Pangasinan

Policy Number: CM-2514292

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
09/01/86 08/31/87 Security Guard I Temporary 6,552.00 PSAT None
09/01/87 12/31/87 -do- Permanent 7,236.00 -do- -do-
01/01/88 06/30/89 -do- -do- 9,144.00 -do- -do-
07/01/89 12/31/90 -do- -do- 25,872.00 -do- -do-
01/01/91 12/31/90 -do- -do- 26,136.00 -do- -do-
01/01/94 12/31/94 -do- -do- 35,736.00 -do- -do-
01/01/95 12/31/95 -do- -do- 47,736.00 -do- -do-
01/01/96 12/31/96 -do- -do- 60,000.00 -do- -do-
01/01/97 10/31/97 -do- -do- 65,904.00 -do- -do-
11/01/97 08/31/99 -do- -do- 72,268.00 -do- -do-
09/01/99 12/31/99 -do- -do- 74,268.00 -do- -do-
01/01/00 06/30/01 -do- -do- 76,116.00 -do- -do-
07/01/01 12/31/01 -do- -do- 78,036.00 -do- -do-
01/01/02 08/31/04 -do- -do- 81,984.00 -do- -do-
09/01/04 06/30/07 -do- -do- 84,012.00 -do- -do-
07/01/07 Present -do- -do- 92,412.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)
 S E R V I C E R E C O R D

Name: VENTAYEN BONIFACIO L (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: November 30, 1945 Birthplace: Lingayen, Pangasinan

Policy Number: CM-2501571

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
08/16/69 06/30/73 Carpenter Temporary 9.32/day DPWH Lingayen None
08/01/75 12/31/75 Watchman -do- 2,952.00 Asingan S.A.T. -do-
01/01/76 04/30/77 -do- -do- 3,792.00 -do- -do-
05/01/77 06/30/77 -do- -do- 4,171.00 -do- -do-
07/01/77 02/27/78 -do- -do- 4,308.44 -do- -do-
02/28/78 08/31/80 -do- Permanent 4,308.44 -do- -do-
09/01/80 2/28/1981 Security Guard I Temporary 4,680.00 PSU-CAT Lingayen -do-
03/01/81 06/30/81 -do- -do- 5,382.00 -do- -do-
07/01/81 04/30/84 -do- -do- 5,640.00 -do- -do-
05/01/84 12/31/84 -do- -do- 6,240.00 -do- -do-
01/01/85 06/30/86 -do- -do- 6,888.00 -do- -do-
07/01/86 07/10/86 -do- -do- 7,608.00 -do- -do-
07/11/86 02/28/87 Casual Emergency 19.91/day Pangasinan S.A.T. -do-
03/01/87 04/03/88 -do- -do- 22.90/day -do- -do-
04/04/88 05/31/88 Janitor Permanent 8,321.00 -do- -do-
06/01/88 06/30/89 -do- -do- 9,144.00 -do- -do-
07/01/89 12/31/93 Utility Worker I -do- 24,000.00 -do- Step 2
01/01/94 12/31/94 -do- -do- 33,840.00 -do- Step 3
01/01/95 12/31/95 -do- -do- 45,840.00 -do- -do-
01/01/96 12/31/96 -do- -do- 53,040.00 -do- -do-
01/01/97 10/31/97 -do- -do- 55,584.00 -do- Step 4
11/01/97 12/31/99 -do- -do- 56,856.00 -do- -do-
01/01/00 04/03/00 -do- -do- 62,544.00 -do- Step 5
04/04/00 12/31/00 -do- -do- 64,116.00 -do- -do-
01/01/01 06/30/01 -do- -do- 65,676.00 -do- -do-
07/01/01 04/03/03 -do- -do- 67,320.00 -do- -do-
04/04/03 04/07/04 -do- -do- 69,000.00 -do- Step 6
04/08/04 04/03/06 Adm Aide I -do- 69,001.00 -do- -do-
04/04/06 06/30/07 -do- -do- 70,728.00 -do- Step 7
07/01/07 06/30/08 -do- -do- 75,900.00 -do- 10% inc
07/01/08 Present -do- -do- 85,572.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)

Conforme:

BONIFACIO L. VENTAYEN
ADA - I
 S E R V I C E R E C O R D

Name: YARCIA RENATO C. (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: February 5, 1950 Birthplace: Aringay, La Union

Policy Number: CM-2506959

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
01/02/82 09/30/82 Casual Casual PSAT None
10/01/82 04/30/84 Clerk Permanent 5,382.00 -do- -do-
05/01/84 12/31/84 -do- -do- 5,928.00 -do- -do-
01/01/85 06/30/86 -do- -do- 6,552.00 -do- -do-
07/01/86 02/28/87 -do- -do- 7,236.00 -do- -do-
03/01/87 12/31/87 -do- -do- 8,321.00 -do- -do-
01/01/88 06/30/89 -do- -do- 9,144.00 -do- -do-
07/01/89 12/31/89 -do- -do- 25,872.00 -do- -do-
01/01/90 12/31/91 -do- -do- 26,400.00 -do- -do-
01/01/92 12/31/93 -do- -do- 26,664.00 -do- -do-
01/01/94 12/31/94 -do- -do- 36,264.00 -do- -do-
01/01/95 12/31/95 -do- -do- 48,264.00 -do- -do-
01/01/96 12/31/96 -do- -do- 60,264.00 -do- -do-
01/01/97 10/31/97 -do- -do- 69,240.00 -do- -do-
11/01/97 12/31/98 -do- -do- 70,980.00 -do- -do-
01/01/99 12/31/99 -do- -do- 70,980.00 -do- -do-
01/01/00 06/30/01 -do- -do- 78,084.00 -do- -do-
07/01/01 09/30/01 -do- -do- 81,984.00 -do- -do-
10/01/01 12/31/01 -do- -do- 84,012.00 -do- -do-
01/01/02 09/30/03 -do- -do- 84,012.00 -do- -do-
10/01/03 06/30/07 -do- -do- 86,124.00 -do- -do-
07/01/07 present -do- -do- 94,740.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)

Date Date
 S E R V I C E R E C O R D

Name: TIGNO VILLAMOR M. (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: October 15, 1949 Birthplace: Lingayen, Pangasinan

Policy Number: CM-2516455

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
06/01/87 07/07/87 Sec. Guard Temporary 7,236.00 PSAT None
07/08/87 12/31/87 -do- -do- 8,321.00 -do- -do-
01/01/88 12/31/88 -do- -do- 8,321.00 -do- -do-
01/01/89 12/31/89 -do- -do- 9,144.00 -do- -do-
01/01/90 03/31/90 -do- -do- 9,144.00 -do- -do-
03/25/92 13/31/92 -do- Permanent 25,472.00 -do- -do-
01/01/93 12/31/93 -do- -do- 35,472.00 -do- -do-
01/01/94 12/31/94 -do- -do- 47,472.00 -do- -do-
01/01/95 12/31/95 -do- -do- 59,472.00 -do- Step 2
01/01/96 12/18/96 -do- -do- 59,472.00 -do- -do-
12/19/96 12/31/96 Clerk I -do- 59,472.00 -do- -do-
01/01/97 12/31/97 -do- -do- 62,736.00 -do- -do-
01/01/98 12/31/98 -do- -do- 62,736.00 -do- Step 3
01/01/99 12/22/99 -do- -do- 62,736.00 -do- -do-
12/23/99 12/31/99 -do- -do- 64,296.00 -do- -do-
01/01/00 06/30/01 -do- -do- 70,728.00 -do- -do-
07/01/01 12/31/01 -do- -do- 74,268.00 -do- Step 4
01/01/02 09/30/02 -do- -do- 74,268.00 -do- -do-
01/01/02 12/07/04 Clerk II -do- 78,264.00 -do- -do-
12/08/04 12/31/04 Adm Aide IV -do- 78,265.00 -do- -do-
01/01/05 06/30/07 -do- -do- 80,208.00 -do- Step 2
07/01/07 09/09/07 -do- -do- 88,224.00 -do- 10% inc
09/10/07 06/30/08 Administrative Asst II -do- 114,960.00 -do- Promotion
07/01/08 Present -do- -do- 126,456.00 -do- 10% inc
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)

Date Date

Conforme:

VILLAMOR M. TIGNO
Administrative Assistant II
 S E R V I C E R E C O R D

Name: NAS SHEILA MARIE MACOB (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: September 16, 1973 Birthplace: San Carlos City

Policy Number:

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
11/23/07 Present Administrative Asst III Permanent 123,000.00 P.S.A.T. None
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Prepared by: Conforme:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)

Date Date

Conforme:

SHEILA MARIE M. NAS

Name of Employee

Administrative Assistant III

Designation
 S E R V I C E R E C O R D

Name: FERNANDZ ARLENE V (If married woman give full maiden name)
(Surname) (First Name) (M.I.)

Date of Birth: November 29, 1967 Birthplace: Lingayen, Pangasinan

Policy Number: CM-25172 AF-23633 AF-23828 AF-26078

This is to certify that the employee named above actually rendered services in this office
as shown by the service record below each line of which is supported and other papers actually
issued by this office and approve by the authorities concerned.

SERVICE Record of Appointment Office/Entity Remarks

(Inclusive Dates) Designation Status Salary Place of Leave of Absence
From To Assignment with out pay
06/21/93 12/31/93 Dentist I Permanent 45,600.00 PSAT None
01/01/94 12/31/94 -do- -do- 54,000.00 -do- -do-
01/01/94 12/31/94 -do- -do- 66,000.00 -do- -do-
01/01/96 12/31/96 -do- -do- 86,088.00 -do- -do-
01/01/97 10/31/97 -do- -do- 103.032.00 -do- -do-
11/01/97 07/11/99 -do- -do- 126.060.00 -do- -do-
07/12/99 12/31/99 -do- -do- 138,000.00 -do- -do-
01/01/00 06/30/01 -do- -do- 142,000.00 -do- -do-
07/01/01 12/31/01 -do- -do- 149,232.00 -do- -do-
01/01/02 06/20/02 -do- -do- 149,232.00 -do- -do-
06/21/02 06/20/05 -do- -do- 152,964.00 -do- -do-
06/21/05 06/30/07 -do- -do- 156,780.00 -do- -do-
07/01/07 10/06/07 -do- -do- 172,464.00 6/13/07 - 10/06/07
10/07/07 Resigned Resigned
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Prepared by: Certified Correct:

RENATO C. YARCIA ARMANDO Q. LOPEZ

Clerk I Principal II
Administrative Officer (Designate)
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