group no. 411 ccl region address name of deceased date of birth ...

GROUP NO. 411 CCL
PHILIPPINE PUBLIC SCHOOL TEACHERS ASSOCIATION
245 Banawe St. , Quezon City
APPROVED DEATH NOTICE
FOR THE MONTH OF OCTOBER 2011
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
AMOUNT
BENEFIT
1 1 ILOCOS NORTE BASILIO , OLIVA C. 06/03/46 08/16/11 65 09/13/11 10/04/11 240542 150,000.00
2 2 CAGAYAN DELA CRUZ , DELIA C. 01/30/69 06/17/11 42 09/13/11 10/04/11 707150 150,000.00
3 3 PAMPANGA DUNGO , VIRGINIA A. 04/06/47 08/23/11 64 09/15/11 10/04/11 548926 150,000.00
4 AB ROMBLON FALLARCUNA , ILUMINADO A. 11/27/60 05/10/11 50 09/22/11 10/04/11 551160 150,000.00
5 10 MISAMIS ORIENTAL OBEMIO , ADMIGULO B. 05/19/48 05/25/11 64 09/19/11 10/04/11 271157 150,000.00
6 1 LA UNION VALDEZ , FREDERICK A. 09/21/53 03/07/11 57 09/19/11 10/04/11 693709 150,000.00
7 7 BOHOL ABREA , ASUNCION A. 08/15/51 03/20/11 60 08/10/11 10/05/11 521194 150,000.00
8 CARAGA BUTUAN CITY ODTOJAN , OFELIA A. 01/26/48 08/15/11 63 09/06/11 10/05/11 259891 150,000.00
9 NCR QUEZON CITY ARELLANO , ELIZABETH TEODORA A. 05/27/42 09/23/11 69 09/30/11 10/06/11 309216 150,000.00
10 7 NEGROS ORIENTAL ABEJERO , DIONISIO A. 03/10/49 08/15/11 62 09/23/11 10/07/11 240561 150,000.00
11 4A BATANGAS DALISAY , NENITA E. 09/10/57 09/06/08 50 08/24/11 10/07/11 515732 150,000.00
12 12 GENERAL SANTOS CITY DULDOCO , LERMA A. 01/11/58 07/21/11 53 08/24/11 10/07/11 539035 150,000.00
13 CARAGA BUTUAN CITY EDNILAN , EVELITA M. 11/24/53 09/10/11 57 10/03/11 10/07/11 270542 150,000.00
14 NCR MANILA EISMA JR. , RICARDO V. 07/31/62 07/14/11 48 09/08/11 10/07/11 689614 150,000.00
15 2 CAGAYAN PERLAS , BENJAMIN L. 03/31/45 07/02/11 66 07/22/11 10/07/11 216524 150,000.00
16 4A LAGUNA VICTORIA , MARIO B. 07/27/44 04/24/11 66 09/12/11 10/07/11 312557 150,000.00
17 3 TARLAC CASTRO , TERESITA Q. 08/24/51 03/15/11 59 10/04/11 10/10/11 245587 150,000.00
18 10 MISAMIS ORIENTAL CADAY , JOSEFINA D. 07/19/44 05/23/11 66 09/16/11 10/11/11 170566 150,000.00
19 9 ZAMBOANGA CITY SAMSARAJI , TALIB A. 02/10/52 04/16/11 59 06/02/11 10/11/11 276469 150,000.00
20 ARMM BASILAN CRISTOBAL , ANA ALELIE A. 09/18/65 01/26/11 46 03/03/11 10/12/11 532664 150,000.00
21 1 PANGASINAN JAMANDRE , PACITA Q. 07/04/49 02/01/11 61 09/20/11 10/12/11 228839 150,000.00
22 4A QUEZON BANDALES , JOSEFINA M. 08/27/58 05/25/11 52 09/29/11 10/12/11 722613 150,000.00
23 ARMM LANAO DEL SUR KULANGKAG , GAWAL A. 02/03/43 08/06/10 67 02/21/11 10/12/11 283139 150,000.00
24 NCR QUEZON CITY LERIN , MARIA FE P. 09/04/65 04/01/11 45 09/26/11 10/12/11 704799 150,000.00
25 9 DAPITAN CITY NATCHER , ADELA B. 10/03/61 02/19/11 49 08/17/11 10/12/11 736718 150,000.00
Total 3,750,000.00
10/05/11
10/07/11
10/21/11
10/11/11
10/10/11
10/07/11
10/07/11
10/10/11
10/06/11
10/10/11
10/10/11
10/11/11
10/07/11
10/10/11
10/07/11
10/07/11
10/10/11
10/11/11
10/11/11
10/12/11
10/12/11
10/17/11
10/20/11
10/13/11
10/17/11

GROUP NO. 411 CCL
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
AMOUNT
BENEFIT
26 5 SORSOGON ORIOSA , ROSA F. 05/18/46 07/20/10 64 08/22/11 10/12/11 225808 150,000.00
27 8 LEYTE PILANDE , PATROCINIA B. 12/24/48 06/27/11 62 08/15/11 10/12/11 506734 150,000.00
28 4A BATANGAS ABANTE , DEMETRIO A. 06/21/47 08/03/11 64 10/04/11 10/13/11 229256 150,000.00
29 3 ZAMBALES ESPINOSA , ISIDRA F. 05/15/50 05/23/11 61 09/09/11 10/13/11 236426 150,000.00
30 4A LAGUNA MALABANAN , VIRGINIA M. 11/27/47 06/19/11 63 10/03/11 10/14/11 288166 150,000.00
31 3 AURORA TOMAS , ANDRES O. 11/10/48 09/08//11 62 10/03/11 10/14/11 184112 150,000.00
32 3 TARLAC CAPARAS , MARIA G. 12/18/47 09/03/11 63 10/05/11 10/17/11 537283 150,000.00
33 ARMM MAGUINDANAO ANGAS , NILDA P. 12/06/61 05/15/11 49 09/19/11 10/17/11 288567 150,000.00
34 1 ILOCOS NORTE PASCUA , CRISANTE D. 06/27/45 09/07/09 64 09/14/11 10/17/11 168074 150,000.00
35 12 NORTH COTABATO PECONADA , ELSA P. 04/24/42 07/09/11 69 09/29/11 10/17/11 118444 150,000.00
36 8 ORMOC CITY BADIDLES , NERISA T. 07/15/48 09/12/09 61 09/19/11 10/18/11 673220 150,000.00
37 1 PANGASINAN CASTAÑETO , MILAGROS N. 03/29/46 09/11/11 65 09/30/11 10/18/11 519432 150,000.00
38 3 ANGELES CITY PUSOD , LEONARDO V. 03/30/46 06/03/11 65 09/21/11 10/18/11 308768 150,000.00
39 5 LEGAZPI CITY MORALEJO , HILDA S. 03/22/48 06/20/11 63 09/23/11 10/19/11 306757 150,000.00
40 2 ISABELA QUILANG , DIVINO A. 09/03/47 08/07/11 63 10/03/11 10/19/11 212311 150,000.00
41 5 SORSOGON ZAMORA , HERMELINA A. 04/02/47 05/20/11 64 09/23/11 10/19/11 691315 150,000.00
42 1 PANGASINAN UNDAYAG , CONSOLACION M. 09/12/44 07/11/11 66 09/30/11 10/20/11 263106 150,000.00
43 ARMM LANAO DEL SUR PACATOWA , OMBUS M. 06/04/42 02/24/11 67 07/28/11 10/21/11 168695 150,000.00
44 6 CAPIZ DELA CRUZ , LIZA R. 05/20/60 08/29/10 50 09/09/11 10/24/11 548562 150,000.00
45 5 MASBATE LENTERNA , NEMA R. 03/12/52 05/15/11 59 10/07/11 10/24/11 548664 150,000.00
46 NCR MANILA SAMONTE , BRIGIDA O. 10/08/45 11/29/10 65 10/06/11 10/24/11 301583 150,000.00
47 10 MISAMIS ORIENTAL MACARANDAN , JUDY B. 05/26/46 08/31/11 65 09/12/11 10/25/11 168932 150,000.00
48 3 BULACAN ANTONIO , WILMA C. 01/14/54 09/30/09 55 10/07/11 10/26/11 513500 150,000.00
49 4A ANTIPOLO CITY HERRERA , LEONORA P. 01/11/47 08/20/11 64 10/13/11 10/26/11 530161 150,000.00
50 1 LA UNION MILANES , DOMERICO G. 12/08/53 08/22/11 57 10/05/11 10/26/11 266619 150,000.00
51 5 CATANDUANES BERNAL , MARIA T. 02/04/46 12/25/10 64 10/11/11 10/28/11 290973 150,000.00
52 5 MASBATE DOREMON , EDUARDO B. 08/18/57 06/25/11 53 10/03/11 10/28/11 524471 150,000.00
53 7 BOHOL LAGUMBAY , ALBERTO M. 08/07/42 05/29/11 68 10/07/11 10/28/11 156589 150,000.00
54 ARMM LANAO DEL SUR RANGIRIS , MONABAE G. 02/04/56 10/11/10 54 .04/11/11 10/28/11 524563 150,000.00
55 12 SULTAN KUDARAT SILAYEN , TERESITA S. 07/04/46 07/02/09 62 10/11/11 10/28/11 163108 150,000.00
Total 4,500,000.00
10/13/11
10/14/11
10/17/11
10/17/11
10/17/11
10/19/11
10/19/11
10/21/11
10/18/11
10/21/11
10/21/11
10/20/11
10/21/11

GROUP NO. 411 CCL
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
AMOUNT
BENEFIT
56 2 ISABELA ABAD , ANITA T. 05/16/42 07/22/11 69 09/16/11 10/04/11 116233 100,000.00
57 2 NUEVA VIZCAYA MAYANGAT , ALFONSO F. 08/09/64 09/13/10 46 08/18/11 10/04/11 681165 100,000.00
58 4A RIZAL DELA CRUZ , EDITHA A. 04/18/60 09/12/11 51 09/29/11 10/05/11 512105 100,000.00
59 8 LEYTE TABOADA , LUVIZMINDA C. 12/11/48 07/13/11 62 09/29/11 10/12/11 717466 100,000.00
60 10 GINGOONG CITY BARRIENTOS , RICO Y. 04/27/62 07/28/11 49 10/07/11 10/17/11 541186 100,000.00
61 4A QUEZON CABRERA , LEWELYN E. 11/26/44 09/09/11 66 09/29/11 10/17/11 227094 100,000.00
62 8 LEYTE ABAYHON , CRISTINA P. 07/24/44 08/06/11 67 09/19/11 10/18/11 210861 100,000.00
63 6 CAPIZ BACINILLO , ADAINA D. 06/29/53 06/08/11 57 09/15/11 10/18/11 677089 100,000.00
64 NCR MUNTINLUPA CITY MONTILLANO , CORAZON B. 07/12/44 07/01/11 66 09/29/11 10/20/11 218157 100,000.00
65 7 CEBU RANILE , TEODORO P. 05/06/45 09/16/11 66 10/07/11 10/20/11 274300 100,000.00
66 2 QUIRINO FERNANDO , CARMEN M. 01/11/48 08/03/11 63 10/07/11 10/20/11 257853 100,000.00
67 10 MISAMIS ORIENTAL OMOL , CARMEN P. 07/16/43 07/29/11 68 10/03/11 10/28/11 248510 100,000.00
Total 1,200,000.00
GROUP NO. 411 CCL
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
AMOUNT
BENEFIT
68 7 BOHOL LOCOT , FRANCISCO M. 12/03/42 03/10/11 68 08/15/11 10/04/11 213549 50,000.00
69 4B MINDORO ORIENTAL SORIANO , FLORENDA M. 08/22/44 08/30/11 67 10/03/11 10/04/11 258284 50,000.00
70 1 LAOAG CITY CRUZ , ANGELA B. 05/31/49 08/18/11 62 09/29/11 10/07/11 223046 50,000.00
71 3 NUEVA ECIJA BOTE , PERLA Y. 06/30/45 03/17/10 64 09/02/11 10/12/11 514376 50,000.00
72 6 ANTIQUE DELGADO , VIOLETA M. 05/19/44 09/10/10 63 09/23/11 10/12/11 551948 50,000.00
Total 250,000.00
Grand Total 9,700,000.00
* Date Approved pertains to the date of approval by the MAS Claims Department.
10/10/11
10/10/11
10/05/11
10/13/11
10/19/11
10/21/11
10/20/11
10/21/11
10/21/11

GROUP NO. 631 OLD PLAN
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
AMOUNT
BENEFIT
1 NCR MANILA GARCIA , ADELINA R. 01/31/30 02/07/11 81 09/13/11 10/07/11 162687 7,000.00
2 1 ILOCOS NORTE LACISTE , ROSARIO S. 10/20/18 03/12/11 92 05/04/11 10/12/11 23865 7,000.00
3 1 ILOCOS NORTE PASCUA , RESURRECCION C. 03/07/25 08/12/11 86 10/05/11 10/12/11 20460 7,000.00
4 6 AKLAN SANTOS LUCIA A. 12/10/21 08/16/11 89 10/10/11 10/19/11 78246 7,000.00
5 3 TARLAC AVILLANOZA , MARIA D. 09/08/14 09/13/11 97 10/04/11 10/24/11 16044 7,000.00
Total 35,000.00
* Date Approved pertains to the date of approval by the MAS Claims Department.
GROUP NO. 411 NEW PLAN
PHILIPPINE PUBLIC SCHOOL TEACHERS ASSOCIATION
245 Banawe St. , Quezon City
APPROVED DEATH NOTICE
FOR THE MONTH OF OCTOBER 2011
PHILIPPINE PUBLIC SCHOOL TEACHERS ASSOCIATION
245 Banawe St. , Quezon City
APPROVED DEATH NOTICE
FOR THE MONTH OF OCTOBER 2011
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
AMOUNT
BENEFIT
1 3 TARLAC GARCIA , MINDA W. 06/17/59 07/21/11 52 09/15/11 10/06/11 528609 150,000.00
2 3 TARLAC CARREON , AMELIA C. 08/03/41 09/05/11 70 10/06/11 10/28/11 107169 150,000.00
10/10/11
10/17/11
10/14/11
10/21/11
10/12/11

3 NCR VALENZUELA CITY TEODORO , ADELAIDA M. 12/11/39 09/06/11 71 10/03/11 10/12/11 235696 100,000.00
4 1 PANGASINAN ANDAYA , NORMA V. 08/14/35 07/29/11 75 09/22/11 10/19/11 174643 100,000.00
5 2 CAGAYAN BULAUITAN , CORAZON L. 10/23/38 03/15/11 72 05/30/11 10/28/11 105620 100,000.00
6 CARAGA AGUSAN DEL NORTE SALISE , REGINA M. 09/07/37 08/29/10 72 05/31/11 10/06/11 180627 50,000.00
7 CAR MT. PROVINCE BOTENGAN , MARTINA P. 07/16/33 05/08/10 76 09/09/11 10/12/11 92903 50,000.00
8 4B ROMBLON MEÑEZ , PRIMO F. 02/09/33 09/01/11 78 09/23/11 10/18/11 197012 50,000.00
9 1 LA UNION GALLARDO , ZOSIMA S. 12/26/33 01/24/11 77 07/27/11 10/25/11 5308 50,000.00
10 4B MINDORO OCCIDENTAL BEREÑA , LIMNEO C. 11/22/34 03/11/11 76 09/06/11 10/04/11 171772 30,000.00
11 3 AURORA CURITANA , JOSE B. 04/01/26 11/02/10 84 09/29/11 10/05/11 99597 30,000.00
12 5 ALBAY REMONTE , DOMINGO R. 05/03/25 07/16/11 86 09/21/11 10/06/11 63758 30,000.00
13 6 AKLAN RADISLAO , VICTORINA B. 03/18/28 02/17/11 82 08/16/11 10/06/11 75841 30,000.00
14 8 ORMOC CITY SOLLANO , DIOSDADA P. 01/08/30 03/15/11 81 08/01/11 10/17/11 133237 30,000.00
15 1 PANGASINAN LUSTINA , PETRA A. 01/31/26 08/11/11 85 10/05/11 10/05/11 32891 30,000.00
16 4A CAVITE LOYOLA , ANGELO L. 05/31/30 07/16/11 81 10/11/11 10/24/11 29448 30,000.00
17 9 ZAMBOANGA CITY SALIH , MERCEDES F. 09/22/30 04/01/11 80 04/27/11 10/25/11 105398 30,000.00
18 CARAGA AGUSAN DEL NORTE ANDOY , ROSA B. 08/30/27 07/20/11 83 09/06/11 10/28/11 163799 30,000.00
19 2 NUEVA VIZCAYA CASTILLO , JUANA Y. 06/26/28 08/11/11 83 10/05/11 10/28/11 31493 30,000.00
20 4A BATANGAS ADAN , LETICIA A. 02/24/46 04/09/11 65 09/21/11 10/05/11 247543 14,000.00
21 3 TARLAC SAMSON , LORETO A. 04/18/32 03/16/11 78 09/21/11 10/06/11 222486 14,000.00
22 NCR MANILA ISIDRO , GORGONIA D. 12/09/18 07/13/11 92 09/20/11 10/06/11 210679 14,000.00
23 3 TARLAC MADRIAGA , CRISPINA M. 10/25/24 09/14/11 85 09/28/11 10/06/11 110447 14,000.00
24 CAR MT. PROVINCE APOLINAR , LOURDES D. 12/15/27 01/15/10 82 06/21/11 10/12/11 80727 14,000.00
25 12 SULTAN KUDARAT DOPLAYNA , REBECCA T. 09/28/28 07/22/11 82 08/08/11 10/12/11 52882 14,000.00
Total
GROUP NO. 411 NEW PLAN
1,184,000.00
DATE OF
DATE
AMOUNT
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH DEATH AGE FILED DATE APPROVED MAS NO. BENEFIT
26 7 CEBU ZABLAN , FLORENTINA E. 10/16/17 09/27/10 92 08/15/11 10/12/11 100655 14,000.00
27 3 PAMPANGA BELTRAN , ALFONSO N. 10/17/21 06/09/11 92 08/18/11 10/17/11 142798 14,000.00
28 10 MISAMIS ORIENTAL BERNAS , ROSITA M. 04/23/15 12/13/10 95 01/18/11 10/17/11 42396 14,000.00
29 4A CAVITE CITY SAN MIGUEL , ESTHER F. 06/25/14 10/12/10 96 10/03/11 10/18/11 34656 14,000.00
30 CARAGA AGUSAN DEL NORTE CUHIT , TEODOSIA G. 05/24/23 08/07/11 88 09/28/11 10/19/11 28364 14,000.00
31 8 NORTHERN SAMAR CUI , JOSE O. 08/27/17 08/11/11 93 10/12/11 10/19/11 70150 14,000.00
32 5 SORSOGON DE BORJA , EUFRACIO L. 04/14/27 08/30/11 84 09/23/11 10/19/11 163497 14,000.00
33 8 LEYTE DELVO , MIGUELA M. 09/29/14 08/27/11 96 10/03/11 10/19/11 85955 14,000.00
34 8 NORTHERN SAMAR ROBIS , SOLEDAD O. 08/17/23 04/16/11 87 10/05/11 10/19/11 5893 14,000.00
10/14/11
10/21/11
10/07/11
10/17/11
10/21/11
10/05/11
10/12/11
10/07/11
10/17/11
10/19/11
10/24/11
10/07/11
10/07/11
10/21/11
10/13/11
10/14/11
10/13/11
10/19/11
10/19/11
10/21/11
10/21/11
10/21/11
10/21/11
10/21/11
10/21/11

35 7 NEGROS ORIENTAL SOMIS , ADELINA L. 02/09/18 06/17/10 92 09/30/11 10/19/11 60605 14,000.00
36 NCR MANILA VERACRUZ , LUZ R. 05/20/24 06/07/11 87 10/05/11 10/19/11 231411 14,000.00
37 CARAGA BUTUAN CITY ALEGADO , CIRIACO T. 05/04/23 08/20/11 88 10/03/11 10/24/11 786 14,000.00
38 10 MISAMIS OCCIDENTAL TORRES , JESUS C. 03/05/28 09/24/10 82 10/21/11 10/24/11 79614 14,000.00
39 3 PAMPANGA HERNANDEZ , JESUSA B. 03/03/24 12/11/08 84 10/06/11 10/25/11 11321 14,000.00
40 3 PAMPANGA HERNANDEZ , MONICO B. 05/04/24 07/30/11 88 10/06/11 10/25/11 25224 14,000.00
41 5 MASBATE NICOLAS JR. , JULIAN C. 01/15/20 07/11/11 91 10/19/11 10/25/11 173024 14,000.00
42 1 PANGASINAN PADLAN , JOSEFINA M. 10/19/25 09/19/11 85 10/07/11 10/25/11 264852 14,000.00
43 10 BUKIDNON BALAGOT , FLORENCIA L. 02/22/29 10/13/11 82 10/18/11 10/26/11 107957 14,000.00
44 6 AKLAN BALDEVIESO , LUCERA T. 01/10/24 07/24/11 88 10/07/11 10/26/11 109164 14,000.00
45 7 NEGROS ORIENTAL SAMANE , MILDRED H. 08/13/26 06/18/11 84 08/25/11 10/26/11 47016 14,000.00
46 NCR CALOOCAN CITY BELTRAN , AQUILINA L. 04/01/23 10/21/11 88 10/27/11 10/27/11 49443 14,000.00
47 4B MINDORO ORIENTAL INOCENCIO , JOSEFINA L. 08/27/24 09/28/10 86 10/26/11 10/28/11 72418 14,000.00
48 1 PANGASINAN TAMONDONG , MARIA N. 02/24/14 10/04/10 96 10/26/11 10/28/11 27164 14,000.00
49 7 BOHOL PIZAÑA , DOMINADOR M. 05/04/16 06/07/11 95 10/07/11 10/28/11 59788 14,000.00
Total 336,000.00
Grand Total 1,520,000.00
* Date Approved pertains to the date of approval by the MAS Claims Department.
MAS 65
PHILIPPINE PUBLIC SCHOOL TEACHERS ASSOCIATION
245 Banawe St. , Quezon City
APPROVED DEATH NOTICE
FOR THE MONTH OF OCTOBER 2011
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
AMOUNT
BENEFIT
1 CARAGA AGUSAN DEL SUR QUIÑO , DIVINA O. 06/09/75 06/13/10 35 07/08/11 10/05/11 5996 400,000.00
2 ARMM TAWI-TAWI MASDAL , HISSAR L. 10/15/59 10/18/10 51 09/26/11 10/26/11 5214 100,000.00
10/21/11
10/20/11
10/27/2011
10/28/2011

3 8 EASTERN SAMAR MAESTRE , JANE L. 03/15/69 06/08/11 42 08/31/11 10/27/11 18635 100,000.00
Total 600,000.00
NOTES:
* Date Approved pertains to the date of approval by the MAS Claims Department.
MAS 65 for ARMM and CARAGA were paid 50% of the death benefits for humanitarian consideration only since that their causes of death were already
existing at the time they applied for membership.
MAS 65 for Region 8 was death by accident.
RETURN 50%
PHILIPPINE PUBLIC SCHOOL TEACHERS ASSOCIATION
245 Banawe St. , Quezon City
APPROVED DEATH NOTICE
FOR THE MONTH OF OCTOBER 2011
REGION ADDRESS NAME OF DECEASED DATE OF BIRTH
DATE OF
DEATH AGE
DATE
FILED DATE APPROVED MAS NO.
1 7 BOHOL OCHAVILLO , SABAS G. 04/12/27 10/23/10 83 09/28/11 10/03/11 45040 1,139.85
2 CARAGA SURIGAO DEL SUR DE CASTRO , EDILBERTA A. 09/06/39 04/14/11 72 09/23/11 10/06/11 109768 3,826.85
3 CARAGA SURIGAO DEL NORTE MAKINANO , EMILIANA A. 06/29/30 03/21/11 80 09/21/11 10/06/11 51821 1,672.10
4 4A QUEZON ENTIENZA , NATIVIDAD N. 11/30/36 06/03/11 74 09/29/11 10/06/11 206106 3,880.00
5 7 NEGROS ORIENTAL AQUINO , ANTONIO M. 04/10/44 03/08/09 64 08/16/11 10/12/11 282235 7,642.00
6 9 ZAMBOANGA DEL NORTE ACOSTA , SABINA Y. 08/29/29 05/22/11 81 09/21/11 10/12/11 118212 1,181.41
7 3 ZAMBALES ESTELLA , CARLITO E. 05/04/31 06/26/11 80 09/29/11 10/12/11 231248 1,286.50
8 8 SAMAR GARCIA , CONCEPCION B. 09/08/59 05/28/11 84 09/23/11 10/18/11 60156 1,145.58
9 ARMM TAWI-TAWI JABAL , ABUKASIM A. 12/16/43 09/11/05 67 07/18/11 10/18/11 250781 2,705.75
10 2 ISABELA TUMOLVA , EULOGIO A. 03/11/37 01/05/11 73 09/22/11 10/19/11 122230 4,145.16
11 2 CAGAYAN GUTIERREZ , CONSOLACION R. 08/31/35 04/05/10 74 10/12/11 10/21/11 125451 5,559.58
12 6 CAPIZ FALCIS , MANSUETA F. 12/16/44 10/10/08 83 09/29/11 10/24/11 261092 10,990.50
13 ARMM TAWI-TAWI JULHAYA , MUIS T. 07/17/68 03/19/05 37 03/16/11 10/25/11 724040 1,745.00
14 8 SOUTHERN LEYTE ENTUNA , DAMIANA D. 09/27/20 05/05/11 90 10/14/11 10/26/11 885250 1,012.40
15 CARAGA SURIGAO DEL SUR NAHIAL , ALBERTO P. 11/15/40 03/02/09 68 0413/11 10/28/05 184429 4,897.50
AMOUNT
BENEFIT REMARKS
Lapsed 10-1990
" 09-2001
" 09-1997
" 03-2002
" 01-2006
" 07-1993
" 03-1996
" 07-1991
" 12-2000
" 06-2002
" 09-2000
" 09-1998
" 02-2005
" 10-1987
" 01-2004

16 5 CAMARINES NORTE YULIP , ACELITA E. 07/30/46 05/15/09 62 10/11/11 10/28/11 268863 9,182.75
Total 62,012.93
* Date Approved pertains to the date of approval by the MAS Claims Department.
GROUP NO. 411 CCL 150,000.00 8,250,000.00 55
100,000.00 1,200,000.00 12
50,000.00 250,000.00
9,700,000.00
5 GM'S OFFICE
ACCIDENT AUDITOR
MAS 65 400,000.00
100,000.00
100,000.00
600,000.00
GROUP NO. 631 OLD PLAN 7,000.00
GROUP NO. 411 NEW PLAN 150,000.00
100,000.00
PHILIPPINE PUBLIC SCHOOL TEACHERS ASSOCIATION
245 Banawe St. , Quezon City
APPROVED DEATH NOTICE
FOR THE MONTH OF OCTOBER 2011
35,000.00
300,000.00
300,000.00
1 ACCOUNTING
1
1 ICT DEPT./
SUB OFFICE
5
NETWORK ADMINISTRATOR
Prepared by:
2
3 ELENE GRACE F. DEL ROSARIO
" 10-2007

50,000.00
30,000.00
14,000.00
200,000.00
300,000.00
420,000.00
1,520,000.00
RETURN 50% 62,012.93
GRAND TOTAL 11,917,012.93
4
10
Clerk II, MAS Claims Department
30 Certified Correct:
16
MARIA LEDA BASCO BALBAS
145 Head, MAS Claims Department

10/03/11
10/10/11
10/06/11
10/14/11
10/14/11
10/14/11
10/21/11
10/21/11
10/21/11
10/21/11