Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao

MINISTRY OF HEALTH
IPHO-MAGUINDANAO
IRANUN DISTRICT HOSPITAL
NOTRE DAME SITE, POB. 1, PARANG, MAGUINDANO
GENERAL PAYROLL
We hereby acknowledge to have received from IRANUN DISTRICT HOSPITAL the sum herein specified opposite our respective name for the prizes during culmination program of Extended Special Vaccination Program

NO. RANK RHU NAME OF REPRESENTAIVE AMOUNT NO. SIGNATURE

1 CHAMPION 10,000.00 1
2 1ST RUNNER-UP 7,000.00 2
3 2ND RUNNER-UP 5,000.00 3
4 3RD RUNNER-UP 3,000.00 4
5 4TH-RUNNER-UP 2,000.00 5
6 5TH RUNNER-UP 1,500.00 6

TOTAL 28,500.00
CERTIFIED: Service has been duly rendered as stated: APPROVED: Funds available in the amount of P 28,500.00 CERTIFIED: Each RHU whose name appear above has paid the amount opposite his/her repective
name

DAYAN LAO ANDOY ATTY. IBRAHIM M. DISOMANGCOP, CPA FAODZIYAH K. CAMSA HARRIES MACAPEGES, MD
CHIEF ADMIN-Designate Finance & Management Officer II Cashier IV OIC Chief of Hospital