CONGRESSMAN HILARION J. RAMIRO JR.

MNHS
Guba, Clarin, Misamis Occidental
___________________________
Date
The Schools Division Superintendent
Division of Misamis Occidental
Oroquieta City
Madam :
I have the honor to inform your office that I am cleared from all money and accountabilities
with the school.
The following requirements have been submitted:
1. Homeroom 2 keys w/labels____________ 18. Sworn Statement of Assets
2. Homeroom surrounding
and Liabilities
Cleanliness ____________ 19. Coop
3. Class Record
____________ 20. Canteen
4. Lesson Plan
____________ 21. Chairs
5. Grading Sheets
____________ 22. Class Table
6. BPS Form 1
____________ 23. Teachers Clearance
7. Form 2
____________ 24. Students Clearance
8. Form 138
____________ 25. Trash Cans (Bio & Non Bio)
9. Form 137
____________ 26. Donated Projects
10. Form 18 A
____________ 27. PTA Projects Liquidation
11. Reading Program Results ____________ 28. Subject Area Project (Specify)
12. Pre Post Test Results ____________ 29. Report Card
13. Library: Textbooks
____________ 30. ITTPR ( HT )
References
____________ 31. TLOC (HT & TEACHERS)
14. Shop Tools
____________ 32. Performance Rating w/Portfolio
15. HE Equipment
____________ 33. Miscellaneous
16. Science Equipment
____________ 34. DTR /Form 6
17. Payments of Lost Books ____________ 35. Narrative Report
w/Title Listing ____________ 36. Yr. Level Coordinator Banner

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_______________________
( Signature of Employee )
Ist Indorsement
CONGRESSMAN HILARION J. RAMIRO JR. MNHS
Guba, Clarin, Misamis Occidental _________
Respectfully forwarded to the Schools Division Superintendent, Division of Misamis
Occidental, Oroquieta City recommending approval.
His/Her last day of service is __________________________________

WILGERMINA D. JUHAILI
Teacher-in-charge