Liquidation Form (BLANK)

5/28/2018 Liquidation Form (BLANK)

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Name: Position: Monthly Salary:

Php 17,255.00

Official Receipt 0002155916

FROM TO DEPAR-TURE ARRIVAL

10/25/2013 Iloilo Hall of Justice Tagbak Terminal, Jaro, 7:30am 8:15am PUJ 12.0

Iloilo CityTagbak Terminal, Jaro, Pototan Highway, Iloilo 8:20am 9:05am PUB 30.Iloilo CityPototan Highway, Iloilo Guanco St., Pototan,

Iloilo (Defendant's Res.) 9:10am 9:20am Trisikad 10.Guanco St., Pototan, Pototan Highway, Iloilo 10:15am 10:25am Trisikad 10.Iloilo (Defendant's Res.)Pototan Highway, Iloilo Tagbak Terminal, Jaro, 10:35am 11:15am PUB 30.Tagbak Terminal, Jaro, Iloilo Hall of Justice 11: 20am 11:50am PUB 12.

Incidental Expenses 500.

Prepared by: PHP 604.0

I certify that:

(1) I have reviewed the foregoing itinerary;

(2) The travel is necessary to the service;

(3) The period covered is reasonable; and

(4) The expenses claimed are proper.

ROCKY Z. TRESPECES - SHERIFF III

ROCKY Z. TRESPECES SheriffOfficial Station:

Muncipal Trial Court in Cities, Branch 8 - Iloilo City

Date: September 30, 2013

Purpose of Travel:To serve Summons re SCC No. 265-2013 (formerly Civil Case No. 22075) entitled "ST. PAUL'S HOSPITAL vs.

MARIO PEAFLORIDA and MYRIADITH PEAFLORIDA" for Sum of Money at Guanco St., Pototan, Iloilo.

DATEPLACES TO BE VISITED TIME MEANS OF

TRANSPOR-TATION AMOUNT

ACTUAL ITINERARY OF TRAVELLIQUIDATION OF EXPENSES

REPUBLIC OF THE PHILIPPINESMUNICIPAL TRIAL COURT IN CITIES

6th Judicial RegionBranch 8Iloilo City


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Noted by:

HON. MA. THERESA N. ENRIQUEZ-GASPARHON. MA. THERESA ENRIQUEZ-GASPAR

Presiding Judge Executive Judge

Plaintiff/Plaintiff's RepresentativeMA. FE E NIEVES (Print Name and Signature)

Branch Clerk of Court

Approved by:

ST. PAUL'S HOSPITAL


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Date:Official Receipt No.:

ACTUAL ITINERARY OF TRAVEL

LIQUIDATION OF EXPENSES

DATE

PLACES TO BE VISITED

FROM TO

TIME

AMOUNT

ARRIVAL

PhP

Prepared By:



Name: Position: Monthly Salary:

Official Station:Municipal Trial Court in Cities, Branch 1 - Iloilo City

Purpose of Travel:

MEANS OFTRANSPORTATIONDEPAR-

TURE

I certify that:(1) I have reviewed the foregoing itinerary;

(2) The travel is necessary to the service;(3) The period covered is reasonable; and4 The ex enses claimed are ro er.


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.

Branch Clerk of Court

_______________________________Plaintiff/Plaintiff's Representative

(Print Name and Signature)

Approved By:

Presiding Judge

Noted By:

Executive Judge


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PhP

Prepared By:

JERRY DE LA PUERTA - PROCESS SERVER

Official Receipt No.: Date:

DATE

PLACES TO BE VISITED TIME

FROM TO ARRIVAL

ACTUAL ITINERARY OF TRAVEL

LIQUIDATION OF EXPENSES



Name:JERRY DE LA PUERTA

Position:Process Server

Monthly Salary:Php

Official Station:Municipal Trial Court in Cities, Branch 1 - Iloilo City

Purpose of Travel:

MEANS OFTRANSPORTATION

DEPAR-TURE

I certify that:

(1) I have reviewed the foregoing itinerary;(2) The travel is necessary to the service;(3) The period covered is reasonable; and

4 The ex enses claimed are ro er.


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.

MARIBELLE H. ARMADABranch Clerk of Court

___________________________Plaintiff/Plaintiff's Representati

(Print Name and Signature)

Approved By:

ANNE BEATRICE G. AGUANA-BALMACEDAPresiding Judge

Noted By:

MA. THERESA E. GASPARExecutive Judge


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AMOUNT


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___e

Liquidation Form (BLANK)

Documents

Transcript of Liquidation Form (BLANK)