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Republic of the Philippines

Department of Education
Region VI-Western Visayas
Division of Capiz
District of Ivisan
DON JUAN S. JARENCIO MEMORUAL SCHOOL

Borrowers Slip

Date:
Due Date:

This is to certify that the teacher received the following books.


Title No. Copies Remarks
Police Dogs 10
Water Rescue Dogs 10
Fire Dogs 10
Ostrich 10
Kraak 10
Duglit 10
Why the Sky is High 10
May Mga Lihim Kami ni Ingkong 10
Naku ang Pula ng Mata Ko 10

Borrower:

_______________________
Borrower’s Signature

Noted:
JEMMA C. MAQUIRAN
School LR Coordinator

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