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route of 190 Oe Or Province Barony Son onus LIST OF ACCOUNTABLE PUBLIC OFFICERS wo] ta | a | conact # 08203219068 (werverthout pending case state nate of se) No Pennine case IMANDO, MO, PSN, ANT CGO FORMENO 57) rey. Sam Rogue a Davae be Ore Prove L_ _ [REQUEST FOR BONDING AND/OR CANCELLATION OF BOND OF "ACCOUNTABLE OFFICIALS AND EMPLOYEES OF "THE REPUBLIC OF THE PHILIPPINES. cuaaaas comme i or, TES ee on os aco avo DE m0 Mera Perna ivan tee 19,000.00) Scumassterer toms Gia Sewwern Omar F-$0,000600| nus insite nse ree heco Ce ee ee agg | OR RECTRTENTE rape men fareesen F one "tance 60,000.00) eee eS —__ a sor, TaBSTRER EE aor ames ‘or, TESTER “eRESirarae me tO SRE [8 BRT OF ERS TOTERES = 2,060.00 a Fr ONEOrTEeF rahe rer | vest aeny ore) Masel eager REQUEST Fer BONDING AxD/OR CANCELLATION OF Rox OF ACCOUNTABLE OFFICIALS AND EMPLOYEES OF THE REPUBLIC OF THE PHILIPPINES consemo . GaLacaa Dees 31 992020 Respects ontande, tug he Bureau, Provo iy Arson WHE Tamra Te PRiapn He ecarmnng SORT of he bond pronosesn dor 7h hin equest emsb"Yuns ey taco T1/AcrR woIoHAL ZARSCR Tae Cy Testuer ot Proves Treeurer¥A00 saat. rams ayaa pe cao oT, SA ROGEEACO DATAD DE 08D FROYTICR TEURERU PROVINCE OR TY 2 espe oncrdea into Tease afte Phitpies, and Sond fr te wt mertened poston approved an eed the amountotP nde Rt No. shore notes By Auenay othe owe hing’ Sopra Bing Ne apele Dretaman ALAA somes (ncuding tae af te spouse and weno ‘yeas fo ang in delat use te emp nay fh rege eet ee Ba dren below etc (28) ny spsely [NET WORTH Tota Assets es Total Lniites = * Adina shee/« may be used necessary, Page of _ 205,c00,00, ‘BUSINESS INTERESTS AND FINANCIAL. CONWECTIONS (frottage! ar Cn Bee 18 of eg arn aa 121/We do net have ary Busines eres ancl conection. Sire ds nth fy lest earners) 1 herby certify that these are tre and carect aeons of my sats, Lables, net worth, busines interests and fancial connections, including thowe ef my spouse snd unmarried ciren below tighten (18) years of age ving in my hourcoll, and that tothe best of my Knowledge, the above fumerated ar names of my relatives in the poverment within fourth el dese of cnsangsiniy or say | hereby authorise the Ombudsman or his/her duly authorized representative 1 obsin end secure frm all appropriate government apenies, icing. the Bureau of theral Reveove sich te inchde the of my spouse and unmared children eiow 18 yeaa of apr ting with me in my ‘household covering prevousyers to incude the year [ifs assumed fein goverment. commands) Tn ID #72A962-458 comfort Dei Dent a SUBSCRIBED AND SWORN to before me thie cay of, afiant exhibiting tome te aluvesated svernent ie’ denen card Page 2of Repub of the Php MUNICIPAL TRIAL COURT OF MACO 1 Judicial Region Province of Davao de Oro "Municipality of Maco "000" TO WHOM IT MAY CONCERN: ‘This fs to certify that according to the records, now available in ths office MRS. CONSUELO N, GALAGALA a resident of P-2, Brgy. San Roque, Maco, Davao de Oro, Philippines, has never been charged nor convicted of any crime or violation of Municipal Ordinance, This certification is being Issued upon the request of Mrs. GALAGALA in Connection with her application for RENEWAL OF FIDELITY BOND and for whatever legal purpose it may serve her best. Given this 12" day of December, 2020 at Maco, Davao de Oro, VERIFIED FROM THE DOCKET: ecu INSUELO)N. GA (Signature of Appiant) SOcORHO T. DIGAL Com, Tax Cert. No.18000722 rk of Court If Issued at: “Maco, Davao de Oro Issued on;_JAN. 6, 2020 JOF OLR. No. 7601281 SAIO.R.No,7602140 ‘Amount: 50,00 "THUMe MaRKS ‘HePUNLE OF THE PHUPNES [DEPARTMENT OF INANE [BUREAU OF THE TREASURY Regina tee ‘Omwocy son CONFIRMATION LETTER. WS. ALVERA R. RMANDO, MO, FPSMS, RAT Papal apt inept Maco Ico, Compose Vay Mayor anand Was frm you bat he aque fa: brn andor conan of ba to owns a ripe yout Oice/Agncy has etn pone un ay ero the eyo Bando POs wand hy Be Davao det Nome Prova One Tagu ay fa seas | eT [Namo and Position of = Soneipusicomem | ten fame | Ancrtet | song |eoents CONSUELON GALAGALA | Surarauy San Rome | 66-19-2664R | Proo.co0.00 | varaz018 | wzz020 Borger Maco Coot ‘The covrage of approve ban sro yor tom suo Be renaed ono bo He amr dle, ethene tans oman cmenig er dy yous, channs ascorbate vt eer thin tase pred uty ne oc ROSALIA. DE LEON ‘returoro tho Ply % MA. ELENA AGNES JULIET P. SULLAN Chl Tressury Operations Ore V Otter Charge coors

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