Center Name: ________________ _ PAYAS 2A ________________ _____

Meeting No.: _____________________________________________________

Date of Meeting: __________________________________________________
Time of Meeting: __________________________________________________
Client Agent
Amount Reference
No. CIF # Name of Member Initiated Assisted Signature
Paid Number
Payment Payment
1 1021165477 AGA M. ESPELITA
2 1021400801 AIDA V. PONTAWE
3 1020957694 ALONA M. BARBIRAN
4 1021467616 ANALIZA M. ESPILITA
5 1020944508 ARLENE G. BARBIRAN
6 1020963895 BEATRIZ M. PASCUA
7 1020954621 BERNARDO R. PASCUA
8 1020969939 CHRISTOPHER L. EVARISTO
9 1020957027 DELMAR C. MANZANO
10 1020953282 DOMINGO M. FERNANDEZ JR.
11 1021165483 EDNA S. GANIGAN
12 1020938922 EDUARD S. GANIGAN
13 1021161232 ELMER S. GANIGAN
14 1021123633 ELOISA S. GANIGAN
15 1020963880 EMELY D. DELOS SANTOS
16 1020939800 ERMA C. SANTOS
17 1020966163 EVA F. SANTOS
18 1021449909 FLORDILIZA M. FERNANDEZ
19 1020960345 FREDDIE BOY A. FERNANDEZ
20 1020959570 GREGORIA M. CAMARINO
21 1020953277 JENNIFER O. FERNANDEZ
22 1020960575 JOJO M. FERNANDEZ
23 1020961947 LETECIA E. BALBERAN
24 1020959324 MARISSA V. BALBERAN
25 1020954651 MICHELLE C. BARBIRAN
26 1020960807 MINERVA S. BARBIRAN
27 1020945962 NARCISO E. FERNANDEZ
28 1020961822 NORMA G. ANCHETA
29 1020967694 RAFFY E. BARBIRAN
30 1020969029 RINSY F. ABONGAN
31 1020950875 RODOLFO C. SANTOS
32 1020960518 ROSA O. TADENA
33 1020952776 ROSEMARIE P. FERNANDEZ
34 1020962311 SALOME V. BALBERAN
35 1020938133 SHERYL E. MARQUEZ
36 1020963890 VENERANDA L. EVARISTO
37 1020945073 VINCENT G. ANCHETA
38 1020943846 VIRGINIA B. MANZANO
39 1021236664 GINA M. EVARESTO
40 1020954641 JANET B. MORANTE
41 1020966765 JENNY C. SALAZAR
42 1021108844 JOANA MARIE S. OSILLA
43 1021400764 JOMARIE V. BALBERAN
44 1020939539 MARIA AGNES F. SANTOS
45 1020938526 MYRA C. MORANTE
46 1020939805 ROSEMARIE F. MANIACOP
47 1020943841 EDUARDO E. GANIGAN
48 1020963910 GLORIA O. BALBERAN
49 1020963925 GLORIA A. BARBIRAN
50 1020961917 MARIETA E. BARBIRAN
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80

Cash Breakdown Received by:

Total
Pieces Denomination ________________________________________________
Amount
1000 Konek2CARD Agent/ Date & Time
500
200 Remitted by:
100 ________________________________________________
50 (Signature over printed name)
20 (bills)
20 (coins) Noted by:
10
_____ ____________Jay-R M. Sibayan_ _________ _
5
Account Officer
1
TOTAL:

Amount in Words:_________________________________________________________________________________
PR #: ____________________________________________
OR #: ____________________________________________
Schedule of Loan Inventory
Name of Member Loan Type Loan Purpose Applied Amount
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Schedule of Loan Release Next Week: ___________________________
Name of Member Halaga ng Hiniram Paggagamitan Loan Type
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Agenda/Minutes for the week:

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Prepared by: ___________________________________

Confirmed by:________ Jay-R M. Sibayan _ _________

Comments and Findings of Monitoring Team:

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