Republic of the Philippines PROVINCE OF ORIENTAL MINDORO Calapan City Tel. Nos. 286-7104 / 286-2296 PROVINCIAL SOCIAL WELFARE AND DEVELOPMENT OFFICE TO : Dra. Emelita Luna Goco Luna Goco Medical Center Lalud, Calapan City FROM : The PSWDO DATE : 01 MARCH 2019 SUBJECT : GUARANTEE This is to intervene in behalf of our client, EVANGELINE HIDALGO, 51 years old from Aurora, Naujan, Oriental Mindoro. She was diagnosed with pelvic mass, she needs to undergo CT scan lower abdomen. Family is financially incapable to pay for it; hence, she sought for possible assistance to this office. In this connection, our office will shoulder the amount of Three Thousand Five Hundred Pesos only (Php 3,500. 00) to be deducted from her bill. Thank you very much. ZARAH C. MAGBOO PSWDO Republic of the Philippines PROVINCE OF ORIENTAL MINDORO Calapan City Tel. Nos. 286-7104 / 286-2296 PROVINCIAL SOCIAL WELFARE AND DEVELOPMENT OFFICE SUMMARY OF STATEMENT OF ACCOUNTS (LUNA GOCO MEDICAL CENTER) DATE RECIEVED NAME 08-04-20 08-18-20 Joel D. Cariño Teodorico M. De Castro TOTAL SEX F 0 1 M 1 0 1 1 NO.OF CLIENTS AMOUNT 1 I 5,000.00 7,000.00 2 Php 12,000.00 Prepared by: JANNETE M. CIELO, RSW, MSSW SWO II DATE RECIEVED NAME 08-04-19 08-15-18 Teodorom. De castro Rehom Fuentes, et.al TOTAL SEX F 1 2 M 0 3 4 4 NO.OF CLIENTS AMOUNT 1 5 7,000.00 18,250.00 8 P 31,250.00 Date Received Name No. of Clients Amount 10-28-16 CHAN, CHARLOTTE 4 21,500.00 11-23-16 DAVID, MA.EDERLIE 9 35,500.00 11-23-16 ALCARIA, MARUH 7 26,000.00 11-23-16 ELARMO, ARON PAUL 3 11,500.00 TOTAL PHP 94,500.00 Prepared by: JANNETE M. CIELO, RSW SWO II