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Republic of the Philippines

Supreme Court
Office of the Court Administrator
Manila

Office on Halls of Justice

Name of Project: REPAIR AND REHABILITATION OF HALL OF JUSTICE BUILDING


____________________________________________________________________________________________________________________________________________________
Location: SAN JUAN, SOUTHERN LEYTE
General Contractor: DAYBREAK ENTERPRISES - ENGINEERING AND CONSTRUCTION
Sub-Contractor: ____________________________________________________________________________________________________________________________________________________
WORKER'S RECORD LOG

Had any
Location of Origin Prior to Site Mode of COVID-19
No. Name Age Sex Address Contact No. Signature
Deployment Transportation SYMPTOMS
( Y / N)
FELIX REQUEZ 37 M MERCEDES, E. SAMAR LAGUNA PRIVATE 09774205832 N
JAYSON DELANTAR 40 M MERCEDES, E. SAMAR LAGUNA PRIVATE 09774205832 N
RAMEL NOGALES 22 M MERCEDES, E. SAMAR LAGUNA PRIVATE 09774205832 N
ANTONIO PANTALION 45 M MERCEDES, E. SAMAR LAGUNA PRIVATE 09774205832 N
ALDRIN DICHOSO 39 M MERCEDES, E. SAMAR LAGUNA PRIVATE 09774205832 N
RODOLFO CABANGUISAN 33 M MERCEDES, E. SAMAR LAGUNA PRIVATE 09774205832 N
LEONCIO DAGUNOT 52 M MERCEDES, E. SAMAR LAGUNA PRIVATE 09774205832 N

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