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Annex “A”

Monthly Cumulative Monitoring Report


On Road Clearing Operations
(Pursuant to PRRD’s Directive and DILG Memorandum Circular No. 2019-121 dated 29 July 2019 and DILG MC No. 2019-167 dated 4 October 2019)

Region VIII
Province of Leyte
Municipality of Dagami
Barangay Lapu-lapu Dist.II
(for the month of NOVEMBER CY 2021)

Conducted Road Clearing


Operations Location of Road Clearing Operations
[Check appropriate column] [Street name/Address] Date of Operation Action Taken Remarks
YES NO

Prepared by: Inspected by: Noted by: Attested by:

_______________________________________________ ENGR. IMELDA DELLORO CHERRYLINE P. ACERO ABUNDIO I. DELUSA


Punong Barangay Municipal Engineer MLGOO Municipal Mayor

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