Commission on Elections FORM

May 9, 2022
National and Local Elections AIE
Authority to Incur Expenditures
Date filed: 06/03/2022

The undersigned candidate hereby grants the authority to incur election expenses to
his/her agent N/A N/A N/A
(Surname) (First Name) (Middle Name)
Said person is authorized to incur expenses for/on behalf of the candidate for the upcoming May 9,
2022 National and Local Elections. He/she is only authorized to incur expenses with a maximum
limit of:
EIGHT THOUSAND THREE HUNDRED NINETY EIGHT PESOS ONLY. (₱)8,398.00
(Amount in words) (Amount in figures)

AFFIX SIGNATURE HERE 

Before printing, encode name here  RUBEN DS. BRIONES
Date signed: 06/03/2022
ELECTORAL PARTY INFORMATION: Accomplish this part only if you are the party treasurer
NAME of PARTY N/A N/A N/A
TREASURER: (SURNAME) (FIRST NAME) (MIDDLE NAME)
NAME OF
ELECTORAL
PDP-LABAN PDP-LABAN
PARTY: (COMPLETE NAME OF PARTY) (ACRONYM)
PARTY  Political Party Contact information:
TYPE:  Party-List Group (Phone no. & e-mail address)
CANDIDATE INFORMATION: Accomplish this part only if you are a candidate)
NAME OF BRIONES RUBEN DELOS SANTOS
CANDIDATE: (SURNAME) (FIRST NAME) (MIDDLE NAME)
District,
Elective office
Municipality/city/province
sought:
MUN. COUNCILOR of elective office: 5TH, Balatan, Camarines Sur
Contact information:
Name of party:
(Phone no. & e-mail address) 09098101787
AGENT INFORMATION: (Person authorized to incur expenditures, whose name appears in main body)
Home/Office N/A
Address:
Telephone & N/A
E-mail Address: Sept292002@gmail.com
Mobile No.: N/A
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES )
City/Municipality of __________________)

BEFORE ME, on and in , personally appeared the following persons with

competent evidence of their identity:
Name Doc. Type ID No. Expiry Date Issuing Authority

Said persons acknowledged under oath to me under penalty of law, that the whole contents of this document
are true and the same are their free and voluntary acts and deeds.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No.: NOTARY PUBLIC

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