ACKNOWLEDGEMENT RECEIPT

We, person with disability and duly authorized representative of PWD, Nattanzan, Iguig, Cagayan, do hereby acknowledge receipt our Christmas Gift from
the .5% of 2014 Internal Revenue Allotment (IRA).

NO.
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NAME
Antonio, Pilar L.
Antonio, Victoria P.
Areola, Bernardino
Balunsat, Carl Louie
Banatao, Izza May T.
Banatao, Jimmy
Baquiran, Angela
Baquiran, Basilio
Barizo, Bernardo M.
Barizo, Manuel M.
Burgos, Joel
Burgos, Ricardo
Burgos, Teodora
Bermudez, Caridad L.
Caacbay, Sheryl P.
Callueng, Elisa B.
Callueng, Jennifer
Callueng, Josefino C.
Cordoba, Lagrimas
Delector, Jose S.
Delector, Remedios Y.
Delos Santos, Ronald P.
Delos Santos, Rosalina P.
Edralin, Otila M.
Erro, Vicenta

DATE OF BIRTH
02-05-28

10-02-83
05-12-09
12-28-65
03-13-38
04-16-71
10-05-57
12-07-48
07-29-95
02-14-60
08-07-33
05-28-86
10-31-26
05-07-80
12-25-38
07-28-47
05-04-33
11-15-34
11-26-38
10-19-26
02-26-26

TYPE OF DISABILITY
Paralyzed due to cardio vascular stroke
Paralyzed due to cardio vascular stroke
Amputated leg due to diabetes
Down syndrome due to accident
Mongoloid
Crippled due to polio
Broken limb due to accident
Paralyzed due to cardio vascular stroke
Lame due to accident
Amputated leg due t o diabetes
Deaf and mute
Deaf and mute
Lame due to cardio vascular stroke
Paralyzed due to cardio vascular stroke
Deaf and mute
Paralyzed due to cardio vascular stroke
Blind
Swollen leg due to arthritis
Blind
Cardio vascular stroke
Lung disease
Mental Disorder
Swollen torso due to hansen's disease
Paralyzed due to cardio vascular stroke

SIGNATURE

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Gabriel, Carmen D.
Gabriel, Jona Mina
Idello, Leonita L.
Maralli, Peter
Masirag, Adrian John Jose
Masirag, Antonio (Dumat)
Masirag, Ignacia
Molina, Cosme B.
Pascual, Olimpia
Pattalitan, Eric R.
Pedralvez, Elias B.
Pelovello, Florencia R.
Pelovello, Sofia M.
Penetrante, Basilia
Quilang, Gliceria V.
Ravelo, Aurea P.
Rumbaua, Conchita R.
Telan, Leonardo
Telan, Marcelina
Villanueva, Maximo
Villanueva, Pedro L.

07-25-35
01-17-2001
04-26-54
03-30-66
11-28-98
04-13-56
01-04-28
09-27-40
07-10-47
12-06-67
07-20-37
11-25-25
09-06-33
04-15-24
05-13-47
06-28-27
08-08-33
09-01-47
07-11-50
04-15-56
01-31-49

Paralyzed due to cardio vascular stroke

Hydrocephalus
Mental Disorder
Broken limb due to a fall
Deaf and mute
Paralyzed due to cardio vascular stroke
Blind
Paralyzed due to muscle dysfunction
Paralyzed due to cardio vascular stroke
Borned Paraplegic
Cardio vascular stroke
Paralyzed due to heart stroke
Hunchback
Paralyzed due to cardio vascular stroke
Paralyzed due to cardio vascular stroke
Blind due to arthritis
Paralyzed due to cardio vascular stroke
Blind and lame
Lame
Inborn paraplegic
Lame due to polio

Prepared by:

I hereby certify that the above listed Persons

with Disability received their Christmas Gift.

I hereby certify that each Person with Disability

whose name appear on the ACKNOWLEDGEMENT
RECEIPT received his Christmas Gift.

Signature:

Signature:

Signature:

Print Name:

Print Name:

Print Name:
Barangay Treasurer