Road Clearing Form

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Mar Angelo Tangcangco

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Road Clearing Form

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ROAD CLEARING FORM

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Annex “A”

Monthly Cumulative Monitoring Report

On Road Clearing Operations
(Pursuant to PRRD’s Directive and DILG Memorandum Circular No. 2019-121 dated 29 July 2019 and DILG MC No. 2019-167 dated 4 October 2019)

Region III
Province of Pampanga
Municipality of Candaba
Barangay __________________________
(for the month of ______________________________ CY 2020)

Conducted Road Clearing

Operations Location of Road Clearing Operations
[Check appropriate column] [Street name/Address] Date of Operation Action Taken Remarks
YES NO

Prepared by: Attested by:

_______________________________________________ ______________________________________________________
Punong Barangay Municipal Mayor

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