Sheet1Department of EducationRegion VI- Western VisayasDivision of Negros OccidentalENRIQUETA MONTILLA DE ESTEBAN MEMORIAL HIGH SCHOOLRiego St. Brgy. Zone 2, Pulupandan, Negros Occidental

TEACHER'S YEAR END CLEARANCETHE REGIONAL DIRECTORDepartment of EducationRegion VI- Western VisayasDuran St., Ilo-ilo City(Through Channel)

SIR:

I have the honor to advise you that I have satisfactorily settled accounts for money and property for which was responsible onthis Division and that all reports of me were submitted on the dates below;A.Accounting DocumentsC.Library & Property Inventory1Form 48LAURIE ANN N. OCTAVIANO15Books/References/IMMARITESS C. PINEDA2Community Tax A & B16Property InventoryEMILIANO D. SONGALING3SALNLILIAN A. DULOSA

B.School Records/ Forms ParaphernaliaD.Financial Report4Form 1 & 2DIANA V. MACALANGGAN17Raffle Ticket (EMEMHS Night)MARITESS C. PINEDA5Form 137MARILYN N. GALVEZ18Cooperative MembershipSARAH M. VILLARUEL6Form 13819Canteen Funds7Form 520High School Day Collection (per Teacher)JENNY T. ALVAREZ8Class Records/ Grade SheetsCARMEN C. TEOSO21JS PromMARILYN N. GALVEZ9Instruction Plan/LogMARITESS C. PINEDA22Graduation Expenses10Test Notebook/ Item Bank11Orientation List/ Rank ListE.Medical RequirementsGrade 7NATY C. ROSALES23X-Ray Result/ Urine/ Stole/ CBCGrade 8LOUREY M. VILLARAIZThird YearSARAH M. VILLARUELFourth YearJOCELYN D. ROBETE12PAST w/ MOVsMARILYN N. GALVEZ13Performance Contract14Monthly Accomplishment Report

Until further notice, my mailing address will be

Very Truly Yours,

EMILIANO D. SONGALINGProperty Custodian(SignatureOver Printed Name)

MARITESS C. PINEDAJOSEPHINE H. JARDELIZALibrarianGuidance Counselor

DIANA V. MACALANGGANLAURIE ANN N. OCTAVIANORecords In-ChargeDisbursing Officer

LILIAN A. DOLOSAMARILYN N. GALVEZBookeeperPrincipal

page 2INVENTORY OF CLASSROOM/ SCHOOL PROPERTIESA. BOOK/ INSTRUCTIONAL MATERIALS

NAME/ TITTLEQUANTITYACQUISITIONDATE RECEIVEDCONDITIONREMARKS

I. BOOKS

II. FURNITURES/EQUIPMENT/TOOLS

III. LOST BOOKS

I hereby certify that the school properties above are in

Very Truly Yours,

(SignatueOver Printed Name)1st IndorsementDivision of Negros OccidentalBacolod City

Respectfully forwarded to the Regional Director- DepEd Region VI- Western Visayas, Duran St.,Ilo-ilo City, with the information that the last day of service of this teacher in this Division was .The forgoing statement is correct and a complete clearance is hereby granted.NOTED:

GENE E. ESPINOSATeacher In-Charge

Recommending Approval:MICHELLE L. ACOYONGOIC Asst. Schools Division SuperintendentAPPROVED:

ANTHONY H. LIOBET, CESO VISchools Division Superintendent

page 1Department of EducationRegion VI- Western VisayasDivision of Negros OccidentalENRIQUETA MONTILLA DE ESTEBAN MEMORIAL HIGH SCHOOLRiego St. Brgy. Zone 2, Pulupandan, Negros Occidental

TEACHER'S YEAR END CLEARANCE

THE REGIONAL DIRECTORDepartment of EducationRegion VI- Western VisayasDuran St., Ilo-ilo City(Through Channel)

SIR:

I have the honor to advise you that I have satisfactorily settled accounts for money and property for which was responsible on I have the honor to advise you that I have satisfactorily settled accounts for money and property for which was responsible on this Divisionand that all reports of me were submitted on the dates below;

A. Accounting Documents1Form 48LAURIE ANN N. OCTAVIANO2Community Tax A & B3SALNLILIAN A. DULOSA

B. School Records/ Forms Paraphernalia4Form 1 & 2JOSEPHINE H. JARDELIZA5Form 137GENE E. ESPINOSA6Form 1387SF 58Miscellaneous FeesDIANA V. MACALAGGAN9Class Records/ Grade SheetsMT's10Instruction Plan/LogMT's11Test Notebook/ Item BankMT's12Orientation List/ Rank ListGrade 7NATY C. ROSALESGrade 8LOUREY M. VILLARAIZThird YearGLORY E. DELIMAFourth YearSARAH M. VILLARUEL13PAST w/ MOVsGENE E. ESPINOSA14Performance Contract15Monthly Accomplishment Report/ Per Dept.

C. Library & Property Inventory16Books/References/IMSUZETTA T. DETABLAN17Property InventoryEMILIANO D. SONGALING

D. Financial Report18EMEMHS NightMARITESS C. PINEDA19Cooperative MembershipSARAH M. VILLARUEL20Canteen Funds21High School Day Collection (per Teacher)JENNY T. ALVAREZ22Graduation Expenses/Financial ReportsGENE E. ESPINOSA

E. Medical Requirements23X-Ray Result / Urine / Stool / CBC

Until further notice, my mailing address will be

Very Truly Yours,

(SignatureOver Printed Name)

EMILIANO D. SONGALINGJOSEPHINE H. JARDELIZAProperty CustodianGuidance Counselor

SUZETTA T. DETABLANLAURIE ANN N. OCTAVIANOLibrarianDisbursing Officer

DIANA V. MACALANGGANLILIAN A. DOLOSARecords In-ChargeBookeeper

GENE E. ESPINOSAPrincipal