THE PHILIPPINE RED CROSS GINGOOG CITY CHAPTER GINGOOG CITY

Date: January 29, 2013 MR. ALEXANDER T. ROSSETE Manager, Membership and Fund Generation PRC National Headquarters Bonifacio Drive, Port Area Manila

Attention: Fund Generation Department Membership and Fund Drive Unit Dear Mr. Rosete:
We are sending you herewith our summary list of PRC Members with corresponding amount of premium and administrative costs declared to Prudential Guarantee Assurance through the LBC Courier Service in the total amount of Seventeen Thousand Five Hundred Thirty Pesos (P 17,530.00) Please find the details as follows: Report No. Types of Membership Period of Enrollment Total No. of Members Date Transmitted to Prudential Guarantee through the Email Total amount of Premium and Admin Costs to be Remitted to NHQ P 660.00 P 16, 320 ---------P 300.00 ---------P 250.00 --------P 17, 530.00

01-01-S-2013 01-01-S-2013 01-01-S-2013 01-01-S-2013 01-01-S-2013 01-01-S-2013 01-01-S-2013

Classic Bronze Silver Gold Platinum Senior Senior Plus

January 01-15, 2013 January 01-15, 2013 January 01-15, 2013 January 01-15, 2013 January 01-15, 2013 January 01-15, 2013 January 01-15, 2013

22 172 --------1 1 296

January 29, 2013 January 29, 2013 ------January 29, 2013 ------January 29, 2013 -------

The Payment for the premium and administrative costs of the above declaration of members was remitted through the following: Mode of Payment __Cash

X Check Bank Account PNB

Check No. 0000081692

__ ** Bank Deposit Account No.

Thank you and God Bless Sincerely, Marilyn T. Abian Chapter Administrator