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COMMISSION ON AUDIT
Region III, San Fernando, Pampanga
-versus-
x----------------------------------------------x
APPEAL MEMORANDUM
APPELLANTS, to this Honorable Office, most respectfully submit this Appeal Memorandun, viz:
I. Preliminary Statement
This is an appeal on the COA Notice of Disallowance No. ______________ dated ________, issued
by ________________________, against _(appellant)__ on the ____(payment of various benefits to the
officials and employees of the)____.
III. Issues
a. (Whether or not the payment of benefits and allowances to _______ be allowed in audit);
IV. Discussion
ACCORDINGLY, premises considered, it is most respectfully asked that this Honorable Office
REVERSE and/or SET ASIDE Notice of Disallowance No. _______ dated _________.
Other relief just and equitable under the premises are likewise prayed for.
Sgd. Mr. X