‘COMMISSION ON ELECTIONS FORM May 8, 2022 1 National and Local Blections Statement of Contributions and Expenditures PART A: PERSONAL INFORMATION OF THE CANDIDATE Jaa. NAMEOFCANDIDATE[ Garputa ALLEN DAGURO Suna TST RT ROWAN env MALE aa canpipare Tyre 1D ltwDEPENDENT CANDIDATE (eat "A/A* fir Part A.3) (Use °° in appropriate bx) |CANDIDATE WITH SUPPORT OF A POLITICAL PARTY Jaa. NAMBofFoUIMICAL PART NA A CSTE OFT TCR laa os SANGGUNIANG BAYAN MEMBER [skip Pt AS. fend potion IAS. CONSTITUENCY OF THE ELECTIVE FOSTTION® LONE DISTRICT STA.MARIA w0cos suR BERTH a TORE FT MONICA TaN REGRD ee CONTACT DETAILS: MOBILYPHONENOS.| EMAIL ADDRESS| si : lax, PERMANENT ADDRESS NA NA NA FOUSEROIR SFOS EORBETGR)— era ——| POBLACION SUR istrict STA.MARIA mocos sur CRF REN a7 rrr PART B: CONTRIBUTIONS RECEIVED ont i ache fcr ni "200" frome sd) [sn JeasnconmumurioNs REcHVED FROM OTHER SOURCES om [s2_ Jeno con BUTIONS RicKIVED FROM OTHER SOURCES roa [3 feast conTRIBUTiONS RECEIVED FROM POLITICAL ARTY orcad wh para) roa [Bt fein CONTRIBUTIONS RECEIVED FROM POLITICAL PARTY: (or cndiaes with prt nl) ro “TOTAL CONTRIBUTIONS RECEIVED] ro. PART CG EXPENDITURES INCURRED loci! ras oie apocitesatae OOF From el) | [Ex [ExPENDITURES PAID OUT OF PERSONAL FUNDS / RESOURCES: Pe [c2.JoxrENDrTURES PAID OUT OF CASH CONTRIBUTIONS. roa [C3 JExPENDFTURES INCURRED USING IV-KIND CONTRIBUTIONS ra "TOTAL EXPENDITURES INCURRED] FART D: CERTIFICATION & ACKNOWLEDGMENT ‘The undersigned candidate ater being duly sworn o, hereby deposs and state that (2) This disclosure and its attachmen's are supported by receips, vouchers, and other documents reflecting dhe fl eve, acura, an ‘complete contributions received and expenditures incurred by the undersigned candidat and his/her duly authorized representative, (@) The expenditures incurred are for lawful purposes and the contributions were not received fom persons or etites profited bylaw sgivecontributions (6) The undersigned consants on the general wie and sharing of information obiained in this ditcosure and is atachments for logitima Purposes, IN WITNESS WHEREOF, the undersigned hereunto affix ms AFFIXSIGNATURE HERE “SUBSCRIBED AND SWORN TO before me on, sunt ama ian extiiing her ‘ating on date of exp N OIRIGE-CABATU Doc. Nos___N39 NOTARY PUBLIC “THIS SECTION 19 FOR COMELEC USE ONLY - DO NOT ENCODE] WRITING ANYTHING BEYOND THIS LINE SCR Stef Cntow Res) C-Contthaon Fees ‘Ds0r tet Expentare) (xyes Rete DSVOEaLeUnpeidORigtion) —LOBgaos Payable SLE Gum ReprtoLanfl sp) ——_-NOLOFPAGES, D oxtere pa pec: puis : th