Republic of the Philippines

Province of ZamboangaSibugay

ZamboangaSibugayProvincialHospital
Sanito, Ipil, Zamboanga Sibugay

OFFICE OF THE PROVINCIAL GOVERNOR

Name: Renato S. Guevara
DATE

APRIL 1-3,
2015

SPECIFICATION

APRIL 6 -10,
2015

APRIL 1317,
2015

APRIL 2024,
2015

APRIL 2730,
2015

ACTUAL
OUTPUT

REMARKS

3 days

Done

5 days

Done

Assist Transfer of Admin

Office
Assist Transfer of Head
Nurse Office

5 days

Done

Demolish of Temp.
Structure at Admin
Office
Hauling of Filling
Material at in front of
private room

5 days

Done

Assist Transfer of Billing

Section
Demolish of Flag Pole
Structure

4 days

Done

Fabrication of Machine
Table
Fabrication of CabinetBilling
Fabrication of bodega
back of OPD
Assist transfer of
Salvage Steel and
Woods at Bodega

Prepared by:
____________________

Renato S.

Guevara
CERTIFICATION
This is to certify that the above named personnel has performed and accomplished
the above activity under supervision inclusive for the mentioned there in.
This 12th day of May, 2015at Ipil Zamboanga Sibugay.

Noted by:

OSCAR C. TADEO
Building Administrator

Approved by:

ARTHUR W. LUSPO, MD
PHO-I / OIC-Chief of Hospital

Republic of the Philippines

Province of ZamboangaSibugay

ZamboangaSibugayProvincialHospital
Sanito, Ipil, Zamboanga Sibugay

OFFICE OF THE PROVINCIAL GOVERNOR

Name: Danilo Absin
DATE

APRIL 1-3,
2015

SPECIFICATION

APRIL 6 -10,
2015

APRIL 1317,
2015

APRIL 2024,
2015

APRIL 2730,
2015

ACTUAL
OUTPUT

REMARKS

3 days

Done

5 days

Done

Assist Transfer of Admin

Office
Assist Transfer of Head
Nurse Office

5 days

Done

Demolish of Temp.
Structure at Admin
Office
Hauling of Filling
Material at in front of
private room

5 days

Done

Assist Transfer of Billing

Section
Demolish of Flag Pole
Structure

4 days

Done

Fabrication of Machine
Table
Fabrication of CabinetBilling
Fabrication of bodega
back of OPD
Assist transfer of
Salvage Steel and
Woods at Bodega

Prepared by:
____________________
Danilo Absin
CERTIFICATION
This is to certify that the above named personnel has performed and accomplished
the above activity under supervision inclusive for the mentioned there in.
This 12th day of May, 2015at Ipil Zamboanga Sibugay.

Noted by:

OSCAR C. TADEO

Approved by:

Building Administrator

ARTHUR W. LUSPO, MD
PHO-I / OIC-Chief of Hospital

Republic of the Philippines

Province of ZamboangaSibugay

ZamboangaSibugayProvincialHospital
Sanito, Ipil, Zamboanga Sibugay

OFFICE OF THE PROVINCIAL GOVERNOR

Name: Raffy S. Lomoljo
DATE

APRIL 1-3,
2015

SPECIFICATION

APRIL 6 -10,
2015

APRIL 1317,
2015

APRIL 2024,
2015

APRIL 2730,
2015

ACTUAL
OUTPUT

REMARKS

3 days

Done

5 days

Done

Assist Transfer of Admin

Office
Assist Transfer of Head
Nurse Office

5 days

Done

Demolish of Temp.
Structure at Admin
Office
Hauling of Filling
Material at in front of
private room

5 days

Done

Assist Transfer of Billing

Section
Demolish of Flag Pole
Structure

4 days

Done

Fabrication of Machine
Table
Fabrication of CabinetBilling
Fabrication of bodega
back of OPD
Assist transfer of
Salvage Steel and
Woods at Bodega

Prepared by:
____________________

Raffy S.

Lomoljo

CERTIFICATION
This is to certify that the above named personnel has performed and accomplished
the above activity under supervision inclusive for the mentioned there in.
This 12th day of May, 2015at Ipil Zamboanga Sibugay.

Noted by:

OSCAR C. TADEO

Approved by:

Building Administrator

ARTHUR W. LUSPO, MD
PHO-I / OIC-Chief of Hospital

Republic of the Philippines

Province of ZamboangaSibugay

ZamboangaSibugayProvincialHospital
Sanito, Ipil, Zamboanga Sibugay

OFFICE OF THE PROVINCIAL GOVERNOR

Name: Reymar Macasaol
DATE

APRIL 1-3,
2015

SPECIFICATION

APRIL 6 -10,
2015

APRIL 1317,
2015

APRIL 2024,
2015

ACTUAL
OUTPUT

REMARKS

3 days

Done

5 days

Done

Assist Transfer of Admin

Office
Assist Transfer of Head
Nurse Office

5 days

Done

Demolish of Temp.
Structure at Admin
Office
Hauling of Filling
Material at in front of
private room

5 days

Done

Fabrication of Machine
Table
Fabrication of CabinetBilling
Fabrication of bodega
back of OPD
Assist transfer of
Salvage Steel and
Woods at Bodega

APRIL 2730,
2015

Assist Transfer of Billing

Section
Demolish of Flag Pole
Structure

4 days

Done

Prepared by:
____________________
Reymar
Macasaol
CERTIFICATION
This is to certify that the above named personnel has performed and accomplished
the above activity under supervision inclusive for the mentioned there in.
This 12th day of May, 2015at Ipil Zamboanga Sibugay.

Noted by:

OSCAR C. TADEO

Building Administrator

ARTHUR W. LUSPO, MD
PHO-I / OIC-Chief of Hospital

Approved by: