Republic of the Philippines

Department of Education
REGION XI
SCHOOL DIVISION OF DAVAO ORIENTAL
NASA ELEMENTARY SCHOOL
MAY 15, 2023

The Record Section

Deped, Division of Davao Oriental

SIR/MADAM,

I HAVE THE HONOR TO SUBMIT PERTINENT PAPERS OF MARK C. LARIOSA FOR

SALARY CLAIM,
TO WIT:

1. FORM 48 – 3 COPIES ORIGINAL

2. FORM 7 – 3 COPIES ORIGINAL
3. CERTIFICATE OF FIRST DAY OF SERVICE - 3 COPIES (PHOTOCOPY)
4. APPOINTMENT ORDER - 3 COPIES (PHOTOCOPY)
5. ASSIGNMENT ORDER - 3 COPIES (PHOTOCOPY)
6. PANUNUMPA - 3 COPIES (PHOTOCOPY)
7. BIR FORM - 3 COPIES (PHOTOCOPY)
8. COMMUNTITY TAX - 3 COPY (PHOTOCOPY)
9. ATM NUMBER/DEPOSIT SLIP - 3 COPY (PHOTOCOPY)
10. MDR/PHILHEALTH - 3 COPY (PHOTOCOPY)

Respectfully Submitted,

MITZIE A. FLORES
Principal – I
 Republic of the Philippines
Department of Education
REGION XI
SCHOOL DIVISION OF DAVAO ORIENTAL
NASA ELEMENTARY SCHOOL

CERTIFICATION

This is to certify that Mark C. Lariosa, is a Substitute – Teacher vice Jean O.

Lange, Teacher – I of Nasa Elementary School, who is on Maternity Leave
effective January 30, 2023 to May 14, 2023.

This is to certify further that the First Day of Service of Mark C. Lariosa was on
January 30, 2023.

Done this 15th day of MAY, 2023 at Talisay, San Isidro, Davao Oriental.

Respectfully Submitted,

MITZIE A. FLORES
Principal – I