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barangay clearance example for secretraties
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OFFICE OF THE PUNONG BARANGAY BARANGAY DIVISORIA
This is to certify that ABIGAIL MARTINEZ AYSON , Filipino, citizen, with residence and postal address at Purok 3, Divisoria, Santiago City, has no pending case nor derogatory record on file in this office. I further certify that the said person is known to be a person of good moral character and reputation. Issued this 4 th^ day of September, 2019 at Barangay Divisoria, Santiago City, upon the request of PLT CHARLIE M. VIERNES for whatever legal purposes it may serve. HON. EMILIO C. GONZALVO Punong Barangay
This is to certify that ABIGAIL MARTINEZ AYSON , Filipino, citizen, with residence and postal address at Purok 3, Divisoria, Santiago City, has no pending case nor derogatory record on file in this office. I further certify that the said person is known to be a person of good moral character and reputation. Issued this 4 th^ day of September, 2019 at Barangay Divisoria, Santiago City, upon the request of PLT CHARLIE M. VIERNES for whatever legal purposes it may serve.
Sangguniang Barangay Member_
OFFICE OF THE PUNONG BARANGAY BARANGAY DIVISORIA BARANGAY OFFICIALS HON. EMILIO C. GONZALVO Punong Barangay SANGGUNIANG BARANGAY MEMBERS: HON. FERNANDO S. MINDAROS HON. JOEL B. OLALAN HON. FLORENTINO P. PADUA JR. HON. DANILO S. MILLER HON. WILLIAM R. FABROS HON. DANILO M. ELARDO HON. ROLANDO T. GELACIO HON. EDBERT M. ORTIZ SK CHAIRMAN o0o BARANGAY SECRETARY EDNALYN B. UALAT BARANGAY TREASURER GEMMALYN C. ORDANZA BARANGAY CLEARANCE TO WHOM IT MAY CONCERN: This is to certify that _________________________________, a native of _________________________, ____________, ___________, Filipino citizen, with residence and postal address at Purok ___, Divisoria, Santiago City , whose specimen signature and thumb marks appears below, has neither pending case nor derogatory record on file in this office. I further certify that that the said person is known to me to be a person of good moral character and reputation. Issued this _______ day of _________________, 2021 at Barangay Divisoria, Santiago City, upon the request of the interested party for __________________________________________.
(Printed Name and Signature Above) HON. EMILIO C. GONZALVO Punong Barangay Left Thumb Right Thumb . Res. Cert. No.: _____________ O.R. No.: _____________ Issued on: ___________ _ Date issued:__________ Issued at: Santiago City NOTE: NOT VALID WITHOUT DRY SEAL Series 2021 NOT VALID WITHOUT OFFICIAL RECEIPT