Form 57A
Form 57A
Form 57A
57(A)
(Revised March 24, 1976)
Bureau of the Treasury
Risk Number
ILOCOS NORTE
₱ 152,148.16
When extent or character of an Officer's control
Amount over funds or property cannot be inferred from the title
a) Public Funds or designation given, a full and complete statement of
(1) As Collecting Officer ₱ duties should be given above.
(2) As Disbursing Officer ₱ 152,148.16 (Use additional sheet if necessary)
}
Head of Agency or Office
City Mayor HON. LARISA C. FORONDA
Provincial Treasurer MUNICIPAL MAYOR
GENERAL FORM NO. 57(A) FIRST INDORSEMENT
(Revised March 24, 1976) ,20
}
RONIE R. AGRESOR Head of Agency or Office
(NAME) City Mayor
Provincial Treasurer (designation)
PUNONG BARANGAY
(DESIGNATION)
SECOND INDORSEMENT
BRGY. # 33 CABAYO VINTAR, ILOCOS NORTE
(BUREAU, PROVINCE OR CITY) ,20_____
Bond for the within mentioned position is approved and fixed in the
amount of P ______________________
By Authority of the
CHAIRMAN, COMMISSION ON AUDIT
}
Head of Agency or Office
HON. LARISA C. FORONDA
City Mayor
Provincial Treasurer
} HON. LARISA C. FORONDA
MUNICIPAL MAYOR
RM NO. 57(A)
rch 24, 1976)
GENERAL FORM NO. 57(A) FIRST INDORSEMENT
(Revised March 24, 1976) ,20
}
CHRISTOPHER A. AGRIAM Head of Agency or Office
(NAME) City Mayor
Provincial Treasurer (designation)
BARANGAY TREASURER
(DESIGNATION)
SECOND INDORSEMENT
BRGY. # 33 CABAYO VINTAR, ILOCOS NORTE
(BUREAU, PROVINCE OR CITY) ,20_____
Bond for the within mentioned position is approved and fixed in the
amount of P ______________________
By Authority of the
CHAIRMAN, COMMISSION ON AUDIT