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Office of the Sangguniang Bayan Office of the Sangguniang Bayan

Bambang, Nueva Vizcaya Bambang, Nueva Vizcaya

_____________ ________________ _____________ ________________


Control No. Date Control No. Date
GAS SLIP GAS SLIP

TO: SAVE OIL GASOLINE STATION TO: SAVE OIL GASOLINE STATION
_______________________________liters Diesel _______________________________liters Diesel
_______________________________liters Gasoline _______________________________liters Gasoline
_______________________________liters Oil _______________________________liters Oil
_______________________________liters Brake Fluid _______________________________liters Brake Fluid
Purpose: Purpose:
_________________________________________ _________________________________________
_________________________________________ _________________________________________
With Allocation: With Allocation:

REGGIE G. CABARAL REGGIE G. CABARAL


SB Secretary SB Secretary

Approved: Approved:

ARNEL WENCESLAO Z. HERNANDEZ ARNEL WENCESLAO Z. HERNANDEZ


Vice Mayor/Pres. Officer Vice Mayor/Pres. Officer

Office of the Sangguniang Bayan Office of the Sangguniang Bayan


Bambang, Nueva Vizcaya Bambang, Nueva Vizcaya

_____________ ________________ _____________ ________________


Control No. Date Control No. Date
GAS SLIP GAS SLIP

TO: SAVE OIL GASOLINE STATION TO: SAVE OIL GASOLINE STATION
_______________________________liters Diesel _______________________________liters Diesel
_______________________________liters Gasoline _______________________________liters Gasoline
_______________________________liters Oil _______________________________liters Oil
_______________________________liters Brake Fluid _______________________________liters Brake Fluid
Purpose: Purpose:
_________________________________________ _________________________________________
_________________________________________ _________________________________________
With Allocation: With Allocation:

REGGIE G. CABARAL REGGIE G. CABARAL


SB Secretary SB Secretary

Approved: Approved:

ARNEL WENCESLAO Z. HERNANDEZ ARNEL WENCESLAO Z. HERNANDEZ


Vice Mayor/Pres. Officer Vice Mayor/Pres. Officer

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