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Republic of the Philippines

Province of Agusan del Norte


City of Cabadbaran
Barangay 4 – Perpetual Succor

LIST OF ACCOUNTABLE OFFICERS


(FOR NEW APPLICANTS)

REMARKS
NAME OF PUBLIC OFFICER DESIGNATION AMOUNT OF ACCOUNTABILITY (WITH/WITHOUT PENDING
CASE, STATE NATURE OF CASE)

REX D. LAMOSTE BARANGAY CAPTAIN WITHOUT CASE

DIOLY R. BATITANG BARANGAY TREASURER WITHOUT CASE

Prepared By: Certified and Approved By:

SHEENA B. ANTIGA REX D. LAMOSTE


BARANGAY SECRETARY BARANGAY CAPTAIN
(Signature over Printed Name) (Signature over Printed Name)

NOTE: (1) GEN. FORM 58 & 57(a) (2) SWORN STATEMENT OF ASSETS & LIABILITIES LATEST C.Y. 2012 (3) I.D. PICTURE 3x4.
(4)APPOINTMENT / DESIGNATION ORDER. (ALL IN THREE (3) COPIES)

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