CS Med Burial Ed
CS Med Burial Ed
CS Med Burial Ed
Province of Aurora
CERTIFICATION ON APPROPRIATIONS, FUNDS AND OBLIGATION OF ALLOTMENT
Request Obligation no:
Payee: WINNIE M. JACOBA Approved Amount: PhP 2,000.00
Function Allotment Class Expense Code Amount Certification:
I hereby certify as to the existence of appropriations for the
TERESITA D. MAPUYAN
Municipal Budget Officer Date
Total Amount requested Php PhP 2,000.00 Certification:
Amount in words: TWO THOUSAND I hereby certify as to the availability of funds for the
PESOS ONLY expenditures in the specified herein:
Requesting Official:
AUREA R. DIAZ
Municipal Treasurer Date
ELENA D. GONZALES AMADO M. GENETA Certification:
MSWDO Municipal Mayor Date I hereby certify
the amount specified herein:
Particulars Amount
Payment of MEDICAL Assistance as per attached supporting papers amounting to……. 2,000.00
Amount Due PHP 2,000.00
A Certified: B Certified: C Certified:
Expenses/Cash Advances Necessary, Completeness and propriety of supporting Funds available for the purpose.
valid, proper, lawful and incurred under documents/previous cash advance
my direct supervision liquidated/existence of fun held in trust
Record of the Case Study for Assistance in the amount of TWO THOUSAND
PESOS ONLY( Php 2,000.00 ).
Prepared by:
Noted by:
JANINE G. GONZALES
ELENA D. GONZALES Administrative Aide
MSWDO
CERTIFICATE OF ELEGIBILITY
Record of the Case Study for Assistance in the amount of TWO THOUSAND
PESOS ONLY( Php 2,000.00 ).
Prepared by:
Noted by:
JANINE G. GONZALES
ELENA D. GONZALES Administrative Aide
MSWDO
SOCIAL CASE STUDY REPORT
Client came personally in this office (MSWD) asking Educational Assistance for her son , who is presently
enrolled at Wesleyan University- Philippines as Grade 102 Client claimed that the family could not afford to
support all educational expenses needed, Hence, MSWD assistance is really needed.
V. RECOMMENDATION:
Client is highly recommended to avail Educational Assistance amounting to ONE THOUSAND PESOS
ONLY ( Php 1,000.00 ).
Prepared by:
AMADO M. GENETA
Municipal Mayor
Mount Carmel High School of Maria Aurora
Client and family valued education so much that's why, despite of simpleness and hardship in life client has th
helped each other just to support the educational needs of school ages children. Family's source of income is through
support the basic needs of the family hence, social intervention is very much needed to ease their burden.
life client has the strong determination to pursue her study. Parent
me is through ice cream vendor with such income is just enough to
en.
SOCIAL CASE STUDY
August 28, 2021
Date
I. IDENTIFYING INFORMATION:
Client came personally in this office (MSWD) asking Medical Assistance for herelf , who is suffering
fromuUrinal Tract Infection, Breast Mass as diagnosed by the physician. Client claimed that the family could not
afford to support all medical expenses needed, Hence, MSWD assistance is really needed under AICS program.
V. RECOMMENDATION:
Client is highly recommended to avail medical assistance amounting ONE THOUSAND FIVE HUNDRED
PESOS ONLY (Php 1,500.00).
Prepared by:
MAYNARD F. MIANA
Noted: Administrative Aide
Client came personally in this office (MSWD) asking Burial assistance for her wife (NELIA) who died due to
CONGESTIVE HEART FAILURE as diagnosed by the Physician. Client claimed that the family could not afford to
support all funeral expenditures needed, Hence, MSWD assistance is really needed under AICS program.
V. RECOMMENDATION:
Client is highly recommended to avail burial assistance amounting to FIVE THOUSAND PESOS ONLY (Php
5,000.00).
Prepared by:
MAYNARD F. MIANA
Noted: Administrative Aide
Client came personally in this office ( MSWD ) asking Emergency Shelter Assistance because he was a
victim of residential fire that transpired last May 5, 2021 around 11:30 am in Brgy. Villa Aurora, Maria Aurora,
Aurora . Client claimed that they dont have enough money to support all the necessary expenditures. ,Hence,
MSWD assistance is really needed under AICS program .
V. RECOMMENDATION:
Client is highly recommended to avail Emergency Shelter Assistance amounting to TEN THOUSAND
PESOS ONLY (Php 10,000.00).
Prepared by:
MAYNARD F. MIANA
Noted: Administrative Aide