Annex “A”

Monthly Cumulative Monitoring Report

On Road Clearing Operations
(Pursuant to PRRD’s Directive and DILG Memorandum Circular No. 2019-121 dated 29 July 2019 and DILG MC No. 2019-167 dated 4 October 2019)

Region V (BICOL)
Province of Masbate
City/Municipality of Pio V. Corpus
Barangay Poblacion
(for the month of _______________ CY ________)

Conducted Road Clearing

Operations Location of Road Clearing Operations
(Check appropriate column) Date of Operation Action Taken Remarks
(Street name / Address)
YES NO

Prepared by: Attested by:

______________________________ ______________________________
Punong Barangay City/Municipal Mayor