COMMISSION ON ELECTIONS FORM

October 30, 2023

Barangay and Sangguniang Kabataan Elections SER-C
Statement of Expenses on Public Rally

ACABAL RUEL OCAT JR

NAME OF CANDIDATE:
(SURNAME) (FIRST NAME) (MIDDLE NAME) (EXTENSION)

DUNGO-AN MANJUYOD NEGROS ORIENTAL VII

ELECTIVE POSITION: SK CHAIRPERSON CONSTITUENCY:
BARANGAY CITY/MUNICIPALITY PROVINCE REGION

DATE OF RALLY: OCTOBER 28, 2023 Rally Venue & Address: COVERED COURT, PROPER, DUNGO-AN, MANJUYOD NEGROS ORIENTAL

PART B: CONTRIBUTIONS RECEIVED BY CANDIDATE FOR THE PUBLIC RALLY

DATE OF RECEIPT OF RECEIPT CONTRIBUTOR'S TAXPAYER CONTRIBUTION TYPE
NAME OF CONTRIBUTOR ADDRESS OF CONTRIBUTOR AMOUNT / VALUE
CONTRIBUTIONS NUMBER ID No. (TIN) (Cash/In-Kind)
NONE NONE NONE NONE NONE NONE NONE

TOTAL CONTRIBUTIONS (IN CASH & IN KIND) RECEIVED FOR THE PUBLIC RALLY ₱ -

PART C: EXPENSES INCURRED BY THE CANDIDATE FOR THE PUBLIC RALLY

DATE EXPENSE WAS RECEIPT BUSINESS FIRM/ NAME OF BUSINESS FIRM OR ADDRESS OF BUSINESS FIRM OR
DESCRIPTION OF EXPENSE AMOUNT
INCURRED NUMBER CONTRACTOR'S TIN CONTRACTOR CONTRACTOR
NONE NONE NONE NONE NONE NONE NONE

TOTAL EXPENSES INCURRED FOR THE PUBLIC RALLY ₱ -

PART D: CERTIFICATION, CONSENT & ACKNOWLEDGMENT

I hereby certify that: (1) the expenses listed in Part C were made by me as candidate or by my duly authorized representative; SUBSCRIBED & SWORN TO before me this
(2) the contributions listed in Part B were received by me as candidate or by my duly authorized representative; (3) all entries affiant exhibiting his/her expiring on
specified above are true & correct; (4) both contributions & expenses are supported by receipts, invoices, & similar (Gov't-Issued Identification) (ID Number)
documents; (5) the expenses were incurred in accordance with the Omnibus Election Code & other pertinent laws; and (6) the
udersigned consents on the general use and sharing of information obtained in this disclosure and its attachments for , and issued by .
legitimate and authorized purposes. (Expiry Date of ID) (Issuing Government Agency)

Doc. No.: ______

Page No.: ______
RUEL O. ACABAL JR. NOV. 15, 2023 Book No.: ______
(SIGNATURE OVER PRINTED NAME) DATE SIGNED Series of 2023. NOTARY PUBLIC