Division of City Schools,

SFHS Cpd., , Quezon City

PROOF OF SERVICE

I certify that I served a copy of the:

___________________________________________ to the persons named below and

the date and time of receipt and their signature/s indicated across their names.

Name Date & Time of Receipt Signature

_______________________ __________________ ____________

_______________________ __________________ ____________

_______________________ __________________ ____________

_______________________ __________________ ____________

_______________________ __________________ ____________

________________________________
Name of Server and Position