Академический Документы
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Культура Документы
2015
Per CSC Resolution
No. 1500088
Promulgated on
January 23, 2015
Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: SAGUSAY SUEDA O POSITION: RHE PNCO / SPO3
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: PNP HOSPITAL REGION
13
ADDRESS: P2, PATINAY, PROSPERIDAD, AGUSAN OFFICE ADDRESS: CAMP RAFAEL
DEL SUR RODRIGUEZ
LIBERTAD BUTUAN CITY
1. ASSETS
2.
a. Real Properties*
Subtotal: 310,000.00
b. Personal Properties*
I hereby certify that these are true and correct statements of my assets, liabilities, net
worth, business interests and financial connections, including those of my spouse and unmarried
children below eighteen (18) years of age living in my household, and that to the best of my
knowledge, the above-enumerated are names of my relatives in the government within the fourth
civil degree of consanguinity or affinity.
SUBSCRIBED AND SWORN to before me this 12th day of February 2018, affiant exhibiting to me
the above-stated government issued identification card.
Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: PALMA RITCHE LOU B. POSITION: CHIEF MEDICAL DISPENSARY
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: PHILIPPINE NATIONAL POLICE
ADDRESS: 57 CUSTODIO ST, CENTRAL, PLACER, SURIGAO OFFICE ADDRESS: CAMP QUINTIN MERECIDO
DEL NORTE HOSPITAL, CATITIPAN, DAVAO
CITY
1. ASSETS
a. Real Properties*
FARM/ AGRI AGRICULTURAL TUBAJON, DINAGAT 300, 000 1,000,000 1999 DONATION 400,000.00
ISLAND
RESIDENTIAL RESIDENTIAL TUBAJON, DINAGAT 250,000 900,000 1999 DONATION 350,000
LOT ISLAND
HOUSE AND RESIDENTIAL BUTUAN CITY 1,250,000 1,900,000 2008 PAG IBIG 1,500,000
LOT
RESIDENTIAL RESIDENTIAL SURIGAO CITY 300,000 900,000 1999 DONATION 400,000
LOT
LOT RESIDENTIAL SAMAL, DAVAO 200,000 200,000 2016 LOAN 200,000
Subtotal: 2,850,000
b. Personal Properties*
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JEWELRIES 1996-2016 600,000.00
APPLIANCES AND FURNITURES 1997-2016 1,200,000.00
TOYOTA VIOS SEDAN 2016 730,000.00
NISSAN NAVARA 2017 1,300,000.00
Subtotal : 4,710,000.00
TOTAL ASSETS (a+b): 7,660,000.00
* Additional sheet/s may be used, if necessary.
3. LIABILITIES*
I hereby certify that these are true and correct statements of my assets, liabilities, net
worth, business interests and financial connections, including those of my spouse and unmarried
children below eighteen (18) years of age living in my household, and that to the best of my
knowledge, the above-enumerated are names of my relatives in the government within the fourth
civil degree of consanguinity or affinity.
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Date: _ FEBRUARY 15, 2018__
SUBSCRIBED AND SWORN to before me this 15th day of February 2018, affiant exhibiting to me
the above-stated government issued identification card.
Revised as of January
2015
Per CSC Resolution
No. 1500088
Promulgated on
January 23, 2015
Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: MEDRANO MICHAEL T. POSITION: GENERAL DUTY NURSE
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: PHILIPPINE NATIONAL POLICE
ADDRESS: 7 ST., GUINGONA SUBD., JP RIZAL, BUTUAN CITY OFFICE ADDRESS: LIBERTAD, BUTUAN CITY
1. ASSETS
a. Real Properties*
N/A
Page 5 of ___
Subtotal:
b. Personal Properties*
Subtotal : 211,000.00
TOTAL ASSETS (a+b): 211,000.00
* Additional sheet/s may be used, if necessary.
4. LIABILITIES*
I hereby certify that these are true and correct statements of my assets, liabilities, net
Page 6 of ___
worth, business interests and financial connections, including those of my spouse and unmarried
children below eighteen (18) years of age living in my household, and that to the best of my
knowledge, the above-enumerated are names of my relatives in the government within the fourth
civil degree of consanguinity or affinity.
N/A
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
SUBSCRIBED AND SWORN to before me this 14th day of February 2018, affiant exhibiting to me
the above-stated government issued identification card.
Revised as of January
2015
Per CSC Resolution
No. 1500088
Promulgated on
January 23, 2015
Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: SAMORIN RONALD WILBUR E. POSITION: P.E. PNCO
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: RHS 13
ADDRESS: P2, BLK 4, LOT 11, EMILY HOMES, LIBERTAD, OFFICE ADDRESS: LIBERTAD, BUTUAN CITY
BUTUAN CITY
1. ASSETS
a. Real Properties*
Subtotal: 650,000.00
b. Personal Properties*
Subtotal : 446,500.00
TOTAL ASSETS (a+b): 1,096,500.00
* Additional sheet/s may be used, if necessary.
5. LIABILITIES*
986,358.36
NET WORTH : Total Assets less Total Liabilities = 110,141.64
* Additional sheet/s may be used, if necessary.
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RELATIVES IN THE GOVERNMENT SERVICE
(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service)
NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS
SPO2 LOUIE E. SAMORIN BROTHER OPERATION PNCO REGIONAL HEALTH SERVICE 13
I hereby certify that these are true and correct statements of my assets, liabilities, net
worth, business interests and financial connections, including those of my spouse and unmarried
children below eighteen (18) years of age living in my household, and that to the best of my
knowledge, the above-enumerated are names of my relatives in the government within the fourth
civil degree of consanguinity or affinity.
SUBSCRIBED AND SWORN to before me this 15th day of February 2018, affiant exhibiting to me
the above-stated government issued identification card.
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