APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Sto. Angel OCAMPO MYKA ANNE T.

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Utility P 732.00
DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ in Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

MYKA ANNE T. OCAMPO

Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR ______________________________ _______ APPROVED
_______ DISAPPROVED due to

RENAN D. ENCOMIENDA
Barangay Treasurer

EDLYN G. SANTILLANA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify ______________________

ERWIN C. PASTRANA
Mun. Mayor
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ___day of ________, 2019 at the Mauban, Quezon for the Leave
Benefits.

EMMA T. SANTILLANA
Chairman on Committee on Appropriation

Certified Approved:

DANTE E. LASCANO
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY BAGONG BAYAN

CERTIFICATION

To Whom It May Concern:

.
This is certify that MYKA ANNE T. OCAMPO Barangay Chairman, of Barangay

Cagsiay III, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ______day of _________, 2022 at Mauban, Quezon from the Leave Credit.

DANTE E. LASCANO
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that MYKA ANNE T. OCAMPO, Barangay CHAIRMAN, under the
Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ______ day of ___________, 2022 at Mauban, Quezon for Leave Credits.

RENAN D. ENCOMIENDA
Barangay Treasurer

DANTE E. LASCANO
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III VILLARAZO ELENA DERECHO

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Kagawad P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ in Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

ELENA D. VILLARAZO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR_____________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
BarangayTreasurer
CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________
ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this _____day of ________, 2019 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY BAGONG BAYAN

CERTIFICATION

To Whom It May Concern:

This is certify that ELENA D. VILLARAZO Barangay Kagawad, of Barangay Cagsiay

III, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ___ day of ______, 2019 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that ELENA D. VILLARAZO, Barangay Kagawad, under the

Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ____ day of ________________ at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III CALONG ALMA PONTERES

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Kagawad P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ In Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

ALMA P. CALONG
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR______________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify)
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this__ day of_________, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY BAGONG BAYAN

CERTIFICATION

To Whom It May Concern:

This is certify that ALMA P. CALONG , Barangay Kagawad, of Barangay Cagsiay III,

Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ___ day of _______, 2019 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY BAGONG BAYAN

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that ALMA P. CALONG , Barangay Kagawad, under the Sangguniang
Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ____day of ________, 2019 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III MARTINEZ MARIO SAN JUAN

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Kagawad P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ in Hospital
______ Other (Specify) _______ Out Patient (Specity)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

MARIO S. MARTINEZ
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR _____________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________ ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ___ day of ______, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY CHAIRMAN

CERTIFICATION

To Whom It May Concern:

This is certifying that MARIO S. MARTINEZ, Barangay Kagawad, of Barangay

Bagong Bayan, Mauban, and Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this___ day of _______, 2018 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay

Republic of the Philippines

 Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that MARIO S. MARTINEZ, Barangay Kagawad, under the

Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this___ day of _________, 2018 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III TALENTO REXY JEREZ

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Kagawad P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ Within the Philippines
______ to seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ in Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

REXY J. TALENTO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR ___________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________ ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ___ day of ______, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY CAGSIAY III

CERTIFICATION

To Whom It May Concern:

This is certify that REXY J, TALENTO, Barangay Kagawad, of Barangay Cagsiay III,

Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ___ day of ____, 2018 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that REXY J. TALENTO, Barangay Kagawad, under the Sangguniang
Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ___ day of ______, 2018 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III BERNARDO ALLAN VELARDE

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Kagawad P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ in Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

ALLAN V. BERNARDO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR ______________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________ ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ____day of ______, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY CAGSIAY III

CERTIFICATION

To Whom It May Concern:

This is certify that CARLOTA M. DE MESA, Barangay Kagawad, of Barangay Bagong

Bayan, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this____ day of ________, 2018 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that CARLOTA M. DE MESA, Barangay Kagawad, under the

Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ____ day of ______________ 2018 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III CUSTODIO ROSALIE TALENTO

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Kagawad P 6,000.,00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ In Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

ROSALIE T. CUSTODIO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR _____________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________ ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ___day of ______, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY CAGSIAY III

CERTIFICATION

To Whom It May Concern:

This is certify that ROSALIE T. CUSTODIO, Barangay Kagawad, of Barangay

Cagsiay III, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ___ day of ______, 2018 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that ROSALIE T. CUSTODIO, Barangay Kagawad, under the

Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ____day of __________, 2018 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III IMPRESO FERNANDO ORTIZ

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Kagawad P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ In Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

FERNANDO O. IMPRESO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR ____________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________ ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY BAGONG BAYAN

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ____day of _____, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY CAGSIAY III

CERTIFICATION

To Whom It May Concern:

This is certify that FERNANDO O. IMPRESO, Barangay Kagawad, of Barangay

Cagsiay III, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ____day of ______, 2018 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that FERNANDO O. IMPRESO, Barangay Kagawad, under the

Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this___ day of __________, 2018 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III NOVIO EDERLYNA PONTERES

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

BRGY. TREASURER P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ Within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ In Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

EDERLYNA P. NOVIO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR ________________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________ ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ___ day of ______, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY

CERTIFICATION

To Whom It May Concern:

This is certify that EDERLYNA P. NOVIO, BRGY. TREASURER, of Barangay

Cagsiay III, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ____day of ______, 2018 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that EDERLYNA P. NOVIO BRGY. TREASURER, under the

Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ___ day of ______, 2018 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Cagsiay III DE MESA CARLOTA MURILLO

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

Barangay Secretary P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ In Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

CARLOTA M. DE MESA
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR _____________________________ _______ APPROVED
_______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify) ______________________ ALEXANDER L. BENAVIDEZ
Barangay Chairman
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this____ day of _______, 2018 at the Mauban, Quezon for the Leave
Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE BARANGAY CAGSIAY III

CERTIFICATION

To Whom It May Concern:

This is certify that CARLOTA M. DE MESA, Barangay Secretary, of Barangay

Cagsiay III, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this ___ day of ___________, 2018 at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY CAGSIAY III

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that CARLOTA M. DE MESA Barangay Secretary, under the

Sangguniang Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this ____ day of _____, 2018 at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay
 APPLICATION FOR LEAVE CREADITS/BENEFITS

Barangay Bagong Bayan CRISTO REYMARK BORROMEO

OFFICE/AGENCY LAST NAME FIRST NAME MIDDLE NAME

March 5, 2014 SK Chaiman P 6,000.00

DATE OF FILING POSITION SALARY/MONTH

TYPE OF LEAVE WHERE LEAVE WILL BE SPENT

IN CASE OF VACATION LEAVE
______ VACATION _______ within the Philippines
______ To seek employment _______ Abroad (Specify)
______ Other (Specify)

______ SICK INCASE OF SICK LEAVE

______ MATERNITY _______ In Hospital
______ Other (Specify) _______ Out Patient (Specify)

NO OF WORKING DAYS APPLIED COMMUTATION

FOR _____ DAYS ___ SESSION _______ Requested
INCLUSIVES DATES ___________ _______ Not Requested

REYMARK B. CRISTO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE CREADITS RECOMMENDATION

AS FOR December 1, 2012 to Nov. 30, 2013 _______ APPROVED
P 7600 x 30 days / 20.91667 = P 10,900.40 _______ DISAPPROVED due to

EDERLYNA P. NOVIO
Barangay Treasurer

CARLOTA M. DE MESA
Barangay Secretary

APPROVED FOR: DISAPPROVED DUE TO:

______ Day’s with pay ______________________
______ Day’s without pay
______ Other (Specify)
______________________
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY BAGONG BAYAN

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

To Whom It May Concern:

This is to certify that the Leave Benefits of the Barangay Officials have available
of funds,

Issued this ________ day of ______________ at the Mauban, Quezon for the
Leave Benefits.

REXY J. TALENTO
Chairman on Committee on Appropriation

Certified Approved:

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY BAGONG BAYAN

OFFICE OF THE BARANGAY BAGONG BAYAN

CERTIFICATION

To Whom It May Concern:

This is certify that REYMARK B. CRISTO, SK CHAIRMAN of Barangay Bagong

Bayan, Mauban, Quezon, satisfactory completed Attendance of Monthly Meeting.

Issued this _____day of ______________ at Mauban, Quezon from the Leave Credit.

ALEXANDER L. BENAVIDEZ
Punong Barangay
 Republic of the Philippines
Province of Quezon
Municipality of Mauban
BARANGAY BAGONG BAYAN

OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MY CONCERN;

This is to certify that REYMARK B. CRISTO, SK Chairman under the Sangguniang

Barangay, in this municipality.

 Has no pending criminal nor administrative case filed with this office against him/her.
 Is cleared of money and property accountabilities in so far as this office is concerned.

Issued this _____day of _______________ at Mauban, Quezon for Leave Credits.

EDERLYNA P. NOVIO
Barangay Treasurer

ALEXANDER L. BENAVIDEZ
Punong Barangay