Department of EducationRegion VIII

DIVISION OF SOUTHERN LEYTEDISTRICT OF SAN RICARDO

School Year: 2013-2014

The District SupervisorPintuyan, Southern Leyte(Through Channels)

Sir:

I have the honor to advice that Office that I have completely accounted for and settled all money and property responsibility for which I was responsible in ESPERANZA NATIONAL HIGH SCHOOL and that all reports required of me are submitted on the dates shown below:

Reports Required Date Submitted1. BPS Form 1 _________________________________________2. BPS Form 2 _________________________________________3. CS Form 48 for the last School Month _________________________________________4. School Form 5 (I-IV) _________________________________________5. DepEd Form 137-A for students enrolled _________________________________________6. DepEd Form 138-A (I-IV)-Report Cards _________________________________________7. Grade Sheets (I-IV) _________________________________________8. All Money Responsibilities: Other Collections _________________________________________9. Form 9 _________________________________________10. Diploma _________________________________________11. Form 86 (X-ray/Urinalysis) _________________________________________12. Enhanced Learning Parks _________________________________________13. Inventory of Books, Equipment and Other School

Properties _________________________________________14. Safekeeping of Property (Room, Padlock, etc.) _________________________________________15. Broken Desk and Other School Furniture Repaired _________________________________________16. Duplicate Keys to Classroom left to OIC/TIC/School Head _________________________________________17. Liquidation of School Club Funds _________________________________________18. School 201 File (Updated) c/o JCCanon _________________________________________

JACKYLOU SALUDES-SARSALE Teacher

SOFRONIA S. MERCADO FLORDELIZA T. COME Secondary School Principal School Nurse

School O.K. as to the above responsibility

JOSEFINA S. CONCEPCION School Property Custodian

TERESITA V. CAMPOS MARIA CHIREZA C. FIGURA PTA Treasurer School Treasurer

-------------------------------------------------------------------------------------------------------------------------------------------------1st Endorsement

District of San Ricardo, Esperanza National High School

Respectfully forwarded to the District Supervisor, San Ricardo, Southern Leyte, with the information that complete clearance is being granted. The best service of the above teacher for the school year 2013-2014 in the Municipality of San Ricardo, Southern Leyte on ____________________________, 2014.

APPROVED:ASTERIO A. CLERIGO District Supervisor