Annex H-1

Republic of the Philippines

Commission on Elections

SUMMARY REPORT OF EXPENDITURES

Date of Elections May 13, 2013
Name of
person filing
this Report

(Surname)

(First Name)

(Middle Name)

Home/Office
Address
Telephone &
Mobile No.

Taxpayers Identification No.

(TIN) of candidate/party

___-___-___

Email address
If the filer of this report is
an agent or party treasurer,
please provide the
following details:

(Complete name of candidate/party on whose

behalf report was filed)

(Elective office; specify

N/A if party)

Nature of the Lawful Expenditure

Amount

A. Traveling expenses of candidates & campaign personnel in the course of

the campaign & personal expenses incident thereto
B. Compensation of campaigners, clerks, stenographers, messengers, & other
persons
C. Telegraph & telephone tolls, mobile phone usage fees, prepaid cellphone
load, internet access, postages, freight & express delivery charges
D. Stationery, printing & distribution of printed materials relative to the
candidacy
E. Employment of watchers at the polls
F. Rent, maintenance & furnishing of campaign headquarters, office or place
of meetings
G. Political meetings & rallies & the use of sound systems, lights &
decorations during said meetings & rallies
H. Newspaper, radio, TV & other advertisements to promote the candidacy,
including website/internet ad placements
SUBTOTAL

Other Lawful Expenses Incurred:

I.

Employment of counsel

J. Copying & classifying lists of voters, investigating & challenging the right
to vote of persons registered in the lists
K. Printing of sample ballots in such color, size & maximum number as may
be authorized by the Commission
TOTAL LAWFUL EXPENSES INCURRED
The undersigned hereby certifies that the expenses listed above are true and correct:
(Report Filers Full Name & Signature)

Date Filed

SUBSCRIBED AND SWORN TO before me this

day of
, affiant exhibiting his/her
with number
with expiry date
.

Doc. No.

, 20
, issued by

NOTARY PUBLIC

Page No.
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Book No.
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Series of 2014.