Professional Documents
Culture Documents
Attachment 2
Form 4: Annex E
(EDIT YOUR AGENCY LETTER HEAD)
Type of Designation
Application (e.g EFFECTIVITY AMOUNT BOND REMARKS
NAME OF PUBLIC New/Renewal Disbursing/ DATE RISK COVERAGE
OFFICER collecting/ FROM TO NO. WITH PENDING IF FOUND GUILTY, WHAT IS
signing ADMINISTRATIVE AND THE STATUS OF THE
ACCOUNTABILITY BOND PREMIUM OR CRIMINAL CASE (YES IMPLEMENTATION OF
officer) (FOR RENEWAL) OR NO) PENALTY
ANICETA S. LAWAG
(Treasurer) √ Disbursing 1,232,582.00 750,000.00 11,250.00 1 without pending
Officer administrative
and criminal case
Date:
1-22-2024