Annex “A”
Monthly Cumulative Monitoring Report
On Road Clearing Operations
(Pursuant to PRRD’s Directive and DILG Memorandum Circular No. 2019-121 dated 29 July 2019 and DILG MC No. 2019-167 dated 4 October 2019)
Region ______
Province of __________________________
City/Municipality of _______________________
Barangay __________________________
(for the month of ______________________________ CY _________)
Conducted Road Clearing
Operations Location of Road Clearing Operations
[Check appropriate column] [Street name/Address] Date of Operation Action Taken Remarks
YES NO
Prepared by: Attested by:
_______________________________________________ ______________________________________________________
Punong Barangay City/Municipal/Mayor