You are on page 1of 3
_ _— COMMISSION ON ELECTIONS October Barangay and Sanggunl LK yDIDATE. FORM al Cais ‘Statemtent of Contributions and Expediters — , PANT I: PERSONAL INFORMATION OF THE CA wns | NAME OF CANDIDATE: aed NICHOLAS BERNARD __ ae Ca centr [2 §LEcrIvErosmion: aera eee om ae ——— ar = = ———— aa PART IE TOTAL, IN AND. ee I CORTRRTUONS METH TD asses a SASH CONTRIBUTIONS RECFIVED FROM OTHER SOU = a BERTONE manta er [EXPENDITURFS PAID OUT OF PERSONAL LNDS, RESOURCE SEE Ie) lel h 2 ferenorrunes rADOUTCF cas conTHIBUTIONS [EXPENDITURES INCURRED USING IVKIND CONTRIBUTIONS "TOTAL EXPENDITURES INCCURED| PART IIL SUMMARY REPORT OF LAWFUL EXPEND) IM. A= SUBTOTAL OF LAWFUL EXPENDITURES PER EXPENSE TYFF/CATEGORY. [ave expenses of eandidale and campaign personel during he campaign and adel PENT TURES. A lexpemen [Compensation famiglia engraphom anger and ler poss et orm | fampuign [Telephone mete prone ape Toms ERIN Pe Fa i a TAT | leouer charges |p [Setoney, rinsing ae dbuion of pint mati ate tay, [emptyenat of watcher te pls fe le |e ie Ie Me Rent mainte and faring campaign dues fie cepa tgs [Poi cing an ali i td Se isan Ta | Jrvetings nd lies Remapper ada TV and ole aveincaaos prone i nda, ca ele 11 }webste/ilcrnt a places SUB-TOTAL Wow A T91) LB EXPENDITURES INCURRED (tenia ents a Sched of E=penditares) Jempoymnt of count [Gopyng an dain to VOT sang nd Aging ego veel 1 fete tis He ape Rais aac lo, Wor aa ana ar ay eT commen ‘SUB-TOTAL (tom 110.) "TOTAL EXPENDITURES INCURRED] NicHOLAS BERNARD PLATA NAVARRO aaa ANE AND SIGNATURE aOR TT SECAON Bs FoR COMELEC UST OMIY- DO NOT ENCODE/ WRITING AWTIHING BEYOND HS UNE | aicaie 77s or code / document nami abet," rorat Geri re S yors2 taped arom eat Fate 1G One ph et Noor rac, —_— Scanned with CamScanner COMMISSION ON ELECTION ‘October 30,2023 snd Sangguniang Kabataan Elections :CTION CONTRIBUTION AND EXPENDITURES = sane oo fs =—| oom f Se a ne ' + gan Scheie of Unpand Ovtigations os = eee | eee eee CESS | enn | remeron [means Scanned with CamScanner ‘COMMISSION ON ELECTIONS October 30, 2023, FORM Barangay and Sangguniang Kabataan Elections 3 CERTIFICATION AND CONSENT ON DATA PRIVACY rnesgped cana ler sg daly sworn heey depose and sae tha soxERehons bated in Fors Zand oer support vers made lore as candidate an i was received by me and/or my duly aithorized representative: IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on November 28, 2023 AFFIX SIGNATURE HERE 0 NICHOLAS ##ANARD PLATA NAVARRO Scanned with CamScanner SUBSCRIBED ANDSWORNTObeforemeon UM, conor coe orate LAND TRANSPORTATION OFFICE Oyrctaeet sn rs) (orient ent yong ets EDMON G. HAMIG pone i cr mat {Place Notas Sal Signa ee)

You might also like