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SUPPLEMENTAL MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS: This contract made and entered by and between: The Department of Social Welfare and Development - Field Office I, with office address at Quezon Avenue, San Fernando City, La Union herein represented by Director MARCELO NICOMEDES J. CASTILLO, hereinafter referred to as the First Party; -andGIOVANNE R. DUCUSIN, of legal age, Filipino and with residence address at 135 Baccuit Norte, Bauang, La Union, hereinafter referred to as Second Party; -WITNESSETH that1. The FIRST PARTY shall grant additional Cost of Services to the SECOND PARTY in the amount of P20,000.00 in recognition of his/her contribution in the implementation of programs and services of the Department;

2. Any task consequence arising from the said increase shall be shouldered by the SECOND PARTY. 3. Nothing in this AGREEMENT shall bind the FIRST PARTY to grant similar benefit to the SECOND PARTY in the event of the renewal of Contract of Service. IN WITNESS WHEREOF, Both parties have hereunto set their hands this ____ day of ____________, 2013 at ___________________________.

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Field Office I By: MARCELO NICOMEDES J. CASTILLO Regional Director

SECOND PARTY

GIOVANNIE R. DUCUSIN

Signed in the presence of: MARLENE FEBES D. PERALTA Assistant Regional Director/ RDPM MARINA G. CABAERO Administrative Officer V

GIOVANNIE R. DUCUSIN

ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES ________________________________

BEFORE ME, a Notary Public for and in the above jurisdiction, personally appeared the following:

MARINA G. CABAERO Administrative Officer

NAME

IDENTIFICATION NO. 22693692 06475480

DATE/PLACE ISSUED 01-09-13/CSFLU 01-03-13/Dagupan City, Pangasinan

MARCELO NICOMEDES J. CASTILLO GIOVANNIE R. DUCUSIN

known to me to be the named persons who executed the foregoing instrument and acknowledged to me that the same is their own free will and voluntary act and deed. This instrument consists of two (2) pages including this page wherein this Acknowledgement is written, and is signed by the parties and their instrumental witnesses on each and every page hereof.

MARCELO NICOMEDES J. CASTILLO MARLENE FEBES D. PERALTA Regional Director Asst. Regional Dir./Regional Deputy Program Manager

WITNESS MY HAND AND SEAL, this _______ day of _______________ 2013, at ____________________, Philippines.

________________________________ NOTARY PUBLIC

Doc. No. ____________; Page No. ____________; Book No. ____________; Series of 2013

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