ANNEXES DOCUMENTS

Police Investigation Report

with entry no. 149 dated May
17, 2014 issued by Solano
Police Station Solano, Nueva
Vizcaya.
Letter Request of Medico Legal
and Confinement Certificates
signed by Duty Investigator,
Omar S. Ancheta addressed to
the Chief of Record Section,
Veterans Regional Hospital,
Bayombong, Nueva Vizcaya.
Letter dated May 23, 2014
signed by the Supervising
Administrative Officer, Judith
C. Dial, addressed to
Provincial Governor Ruth R.
Padilla.
Letter dated May 23, 2014
signed by Provincial Legal
Officer Atty. Voltaire B. Garcia,
addressed to the Chief of Police
of Solano, Nueva Vizcaya,
regarding the release of the
motorcycle which was used by
the complainant.
Daily Time Record of the
complainant with inclusive
dates of May 1, 2014 to May
31, 2014
Application for Leave filed on
October 1, 2014.
Prescriptions of drugs issued
by Veterans Regional Hospital
PhilHealth Statement of
account issued by Veterans
Regional Hospital, Bayombong,
Nueva Vizcaya.
Official Receipt of partial
payment of medical expenses
with OR No. 5039070
Temporary Receipt dated May
24, 2014 issued by Melanie C.
Mallari, Professional Fee
Collection Clerk.
Notice of Discharge with SOA
NO. 4504 issued by Veterans
Regional Hospital, Bayombong,
Nueva Vizcaya.
Discharge Instruction
Summary
Promissory note dated May 24,
2014 executed by Donnabel F.
Corpuz.
Notice of Collection executed
by Atty. Zozimo P. Kimayo,
VRH Legal Officer.
Medical Certificate dated
October 8, 2014 issued by
Arnulfo C. Fulgencio M.D.
Letter addressed to the Office
of the Provincial Governor
informing that Robert L.
Corpuz will be reporting back
to work on September 23,
2014 and asking for exemption
from the use of Biometric
machine considering his
physical condition.
Letter addressed to the Office
of the Provincial Governor
informing that the
complainant has started to
report for work on October 1,
2014 and asking for the
exemption of wearing office
uniform considering his
physical condition.

Letter dated October 29, 2014

addressed to Provincial
Accountant Dominador P.
Dacumos, CPA requesting the
non-deduction of loans from
the salary earned from the
leave credits of the
complainant.

Official Receipts of Medicines

Application for medical
Reimbursement filed before
Nueva Vizcaya Alay Kapwa
Multi-Purpose Cooperative