Republic of the Philippines

Department of Education

PROMISSORY NOTE
FOR THE BOOKS RECEIVED, the undersigned Teachers hereby jointly promise to pay for the losses of Learning Materials
(LMs) of their possession. Payment must be given to the School Property Custodian as indicated below.

SY 2014 - SY 2015 - SY 2016 - SY 2017 - SY 2018 - Signature of

TOTAL
2015 2016 2017 2018 2019 Confirmation
₱ ₱
- -
₱ ₱
1,227.24 1,227.24
₱ ₱ ₱ ₱ ₱ ₱
215.00 870.00 - - - 1,085.00
₱ ₱ ₱ ₱ ₱
670.00 - - 710.00 1,380.00
₱ ₱ ₱ ₱ ₱
528.00 - - 232.70 760.70
₱ ₱ ₱ ₱
- - 204.48 204.48
₱ ₱ ₱
- - -
₱ ₱ ₱ ₱
- - 751.90 751.90
₱ ₱ ₱ ₱ ₱ ₱
248.00 426.00 - - 208.87 882.87
₱ ₱
523.22 523.22
₱ ₱ ₱ ₱ ₱ ₱
464.00 768.00 - - 1,511.77 2,743.77
₱ ₱ ₱ ₱ ₱ ₱
194.00 261.00 - - 86.26 541.26
₱ ₱ ₱ ₱
704.00 - - 704.00
₱ ₱ ₱ ₱
- - 366.52 366.52
₱ ₱ ₱ ₱
- - 209.17 209.17

Prepared by: Noted:

School Property Custodian School Principal