Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF TARLAC PROVINCE

LIST OF CLAIMANTS

Name of School: MALASA ELEMENTARY SCHOOL

Name of District: BAMBAN WEST DISTRICT

Employee Name Employee LBP Account Amount

(Last Name, First Name, MI) Number Number Reimbursed
BANAG, ANJENETT C. 5380281 2945033471 2,135.00
CORTEZ, AMABELLE S. 5386060 2945034591 2,400.00
CRISOSTOMO, JESSICA B. 5380282 1615018780 1,385.00
GARCIA, PAULA NATALIA M. 5395594 2945037582 1,800.00
NOVENO, GRACE P. 5384173 0875037277 2,700.00
SIBAL, ROMEVA M. 5380257 2945033986 3,000.00

Total
13, 420.00

Prepared by:

JENNY M. LUANZON
District/Central School/Junior and Senior High School Bookkeeper

Noted:

FERDINAND G. MARCOS
School Head/ESP- II
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF TARLAC PROVINCE

CERTIFICATION

This is to certify that the personnel stated herein has actually incurred mobile/internet expenses
in the performance of his/her official duties and responsibilities during the Work-From-Home scheme,
and did not claim any load/telephone/internet allowance from the school MOOE for the months stated
therein of (Anupul Elementary School), Bamban West District, and thus, entitled to receive
Communication Allowance. To wit:

Name of Employee: Regina B. Perez

Position/Designation: Teacher I

Month Amount Incurred O.R./Reference Communication

Number Allowance
March, 2020 200 3A8E2D0B3E21 200.00
April, 2020 150 7DFC3346F6FD 150.00
May, 2020 150 88FF3D1D21C0 150.00
June, 2020 150 07C5E383089 210.00
20 7863D87F325A
20 78A587049ECF
20 6225B0E7A60A
July, 2020 150 63B61D7CAB05 150.00
August, 2020 20 4333FA039912 219.00
199 D19E0CC2D6EE
September, 2020 20 BCA01B7C146D 190.00
150 EV7IG7EZMTST
20 7IS4GQBF10
October, 2020 150 EV7JJ7JSD7CN 170.00
20 7JS3L64M7N
November, 2020 150 EV7KJ20F3898 150.00
December, 2020 300 7LE3S84CZ1 300.00

Total P 1, 889.00

Certified by:

GRACE ANN P. MARISTELA

School Head/OIC
 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : MARCH 3, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

TWO HUNDRED , 200.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF MARCH, 2020

rental or transportation should show inclusive
dates,

AS COMMUNICATION ALLOWANCE

purpose, distance, inclusive points of travel,

etc.)
PAYEE
Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE
Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC
 MARCH 2020

Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : APRIL 14, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

ONE HUNDRED FIFTY, 150.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF APRIL, 2020

rental or transportation should show inclusive
dates,

AS COMMUNICATION ALLOWANCE

purpose, distance, inclusive points of travel,

etc.)
PAYEE
Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE
Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

APRIL 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : MAY 16, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

ONE HUNDRED FIFTY, 150.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF MAY, 2020

rental or transportation should show inclusive
dates,

AS COMMUNICATION ALLOWANCE

purpose, distance, inclusive points of travel,

etc.)
PAYEE
Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE
Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

MAY 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : JUNE 29, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

TWO HUNDRED TEN, 210.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF JUNE, 2020

rental or transportation should show inclusive
dates,
AS COMMUNICATION ALLOWANCE

purpose, distance, inclusive points of travel,

etc.)
PAYEE
Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE
Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC

WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

JUNE 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : JULY 15, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

ONE HUNDRED FIFTY, 150.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF JULY, 2020

rental or transportation should show inclusive date

AS COMMUNICATION ALLOWANCE

purpose, distance, inclusive points of travel,

etc.)
PAYEE

Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE

Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

JULY 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : AUGUST 15, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

TWO HUNDRED NINETEEN, 219.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF AUGUST, 2020

rental or transportation should show inclusive
dates,
AS COMMUNICATION ALLOWANCE
purpose, distance, inclusive points of travel,
etc.)
PAYEE
Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE _

Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

AUGUST 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : SEPTEMBER 28, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

ONE HUNDRED NINETY, 190.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF SEPTEMBER, 2020

rental or transportation should show inclusive
dates,

AS COMMUNICATION ALLOWANCE

purpose, distance, inclusive points of travel,

etc.)
PAYEE

Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE

Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

SEPTEMBER 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : OCTOBER 28, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

ONE HUNDRED SEVENTY, 170.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF OCTOBER, 2020

rental or transportation should show inclusive
dates,
AS COMMUNICATION ALLOWANCE

purpose, distance, inclusive points of travel,

etc.)
PAYEE
Name/Signature: LORENA C. BENDOY/ BENDOY SARI SARI STORE
Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

OCTOBER 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : NOVEMBER 19, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

ONE HUNDRED FIFTY, 150.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF NOVEMBER, 2020

rental or transportation should show inclusive
dates,

AS COMMUNICATION ALLOWANCE
purpose, distance, inclusive points of travel,
etc.)
PAYEE
Name/Signature: LORENA C. BENDOY / BENDOY SARI SARI STOR
Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC

WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

NOVEMBER 2020
Appendix 46
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name : DEPED TARLAC PROVINCE Fund Cluster : 01 - Regular

Date : DECEMBER 14, 2020 RER No. :

RECEIVED from REGINA B. PEREZ

(Name)

TEACHER I the amount of

(Official Designation)

THREE HUNDRED, 300.00 PESOS ONLY

(In Words) (in Figures)

in payment for PREPAID SMARTLOAD

(Payments for subsistence, services,

FOR THE MONTH OF DECEMBER, 2020

rental or transportation should show inclusive
dates,
AS COMMUNICATION ALLOWANCE
purpose, distance, inclusive points of travel,
etc.)
PAYEE
Name/Signature: LORENA C. BENDOY / BENDOY SARI SARI STORE
Address : 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC
Res. Cert. No.: CCI2019 00981115 Date of Issue: January 6, 2021
Place of Issue: CUT-CUT II, CAPAS TARLAC
WITNESS
Name/Signature: BERNADETTE C. BENDOY
Address: 1606 MALUTUNG GABUN, CUT-CUT I, CAPAS TARLAC

Res. Cert. No.: CCI2019 00981114 Date of Issue: January 6, 2021

Place of Issue: CUT-CUT II, CAPAS TARLAC

DECEMBER 2020