406673:SHS-170616

Senior High School Voucher Program

Billing Statement
School Year 2019 - 2020
First Semester

This Billing Statement also serves as the contract between DepEd and the Non-DepEd Senior High School with regard to the latter's participation in the
SHS program of DepEd in accordance with the program guidelines issued for the school year stated above.

All supporting information regarding this billing statement may be viewed at www.peac.org.ph.

Instructions: Please submit 4 copies.

Billed to: Date:

Department of Education September 23, 2019, 7:42 pm

School ID: 406673 Billing Statement No.: 406673:SHS-170616 Full Payment

School Name: Datu Ibrahim Paglas Memorial College
Region: ARMM Province: Maguindanao Municipality: Datu Paglas

Total Voucher Program Beneficiaries (VPBs) and Amount Due

Grade Level No. of VPBs Total Amount Due by Grade Level

Grade 11 136 2,380,000.00

Grade 12 79 1,382,500.00
Total 215 3,762,500.00

I certify as correct and accurate under the penalty of perjury, all information we have provided in our school database at the PEAC website
www.peac.org.ph that are automatically translated into this Billing Statement.

Mr. ZUKARNO PENDATUN HADJINOR

ADMINISTRATOR

Note: Signature over printed name.

Kindly deposit payment to the school's account with Land Bank of the Philippines (LBP), the details of which are as follows:

School Account Name: DATU IBRAHIM PAGLAS MEMORIAL COLLEGE SHS VP

Account number: 3661-0025-56
Branch: BULUAN MAGUINDANAO
Amount Due: 3,762,500.00

Requirement: Please attach an IMI1 or STI1 printout signed by the bank's branch manager.

Certified all documents complete: Recommended for payment: Endorsed for payment:

Dr. Evelyn V. Dollete Mohagher M. Iqbal Rhodora Angela F. Ferrer

PEAC Regional Program Director/Representative MHBTE-BARMM/Minister PEAC Executive Director

Note: Signature over printed name.