Republic of the Philippines

Department of Education
Region I
Division of La Union
Santo Tomas District
TOCOC ELEMENTARY SCHOOL

Item Recieved
Name of Teacher Signature
cartridge Ink folder

1.Rizzalyn F. Aban 2

2.Agnes A. Mendoza 3 5

3.Florence Laura E. Villanueva 2

4.Michael Jim R. Estrada 1 2

5.Aileen P. Villanueva 1 3

6.Tomas C. Villanueva Jr. 2

7.Evelyn J. Manauis 2

8.Florante R. Estrada 1 2 10

9. Criselda V. Paculan

Total 3 18 15

Noted:

CRISELDA V. PACULAN
Head Teacher III
 Republic of the Philippines
Department of Education
Region I
Division of La Union
Santo Tomas District
TOCOC ELEMENTARY SCHOOL

Item Recieved
Name of Teacher Signature
Bond paper Ink cartridge

1.Rizzalyn F. Aban 3 4

2.Agnes A. Mendoza 3 5 2

3.Florence Laura E. Villanueva 3 4

4.Michael Jim R. Estrada 3 5

5.Aileen P. Villanueva 3 4

6.Tomas C. Villanueva Jr. 3 5

7.Evelyn J. Manauis 3 4

8.Florante R. Estrada 3 4 2

9. Criselda V. Paculan 2

Total 26 35 4

Noted:
 CRISELDA V. PACULAN
Head Teacher III

Republic of the Philippines

Department of Education
Region I
Division of La Union
Santo Tomas District
TOCOC ELEMENTARY SCHOOL

Grade Level Name of Teacher No. of Signature

copies/pages
Kindergarten Rizzalyn F. Aban 1,066

1 Agnes A. Mendoza 532

2 Florence Laura E. Villanueva 5,726

3 Michael Jim R. Estrada 4,823

4 Aileen P. Villanueva 3,712

5 Tomas C. Villanueva Jr. 5,456

6 Evelyn J. Manauis 11,280

Other Modules 32,595

Noted:

CRISELDA V. PACULAN
Head Teacher III