DESIGNATION EFFECTIVE DATE BOND TYPE OF WHAT IS THE NAME OF PUBLIC OFFICER (e.g. Disbursing/Collecting/ RISK NO. COVERAGE ADMINISTRATIVE APPLICATION From To STATUS OF THE Signing Officer) AND/OR CRIMINAL ACCOUNTABILITY BOND PREMIUM IMPLEMENTATION For renewal CASE (Yes or No) OF PENALTY? DIMZON, VEAH JOY N/A (1) Sangguniang Kabataan (SK) 26,995.23 22,500.00 337.50 1 yr(s) NO Not Applicable
DARROCA NEW Chairman
DACILLO, RYAN N/A LUMBAYAN (1) Sangguniang Kabataan (SK) 26,995.23 22,500.00 337.50 1 yr(s) NO Not Applicable
NEW Treasurer
Totals 53,990.46 45,000.00 675.00
Prepared By: Reviewed By: Certified and Approved By:
RYAN L. DACILLO VEAH JOY D. DIMZON MA. THERESA C. FRANCELIZO
SK TREASURER SK CHAIRPERSON BARANGAY CAPTAIN Signature over printed name Signature over printed name Signature over printed name Position Position Designation of Authorized Official