Sta. Rosa - Certification - Senior Citizen

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Republic of the Philippines

Province of Cagayan
Municipality of Iguig

BARANGAY STA. ROSA


OFFICE OF THE BARANGAY CAPTAIN

CERTIFICATION
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY that _______________________________________, ________,
(name)
(age)
__________________ and a resident of __________________________________ a
(civil status)
(name of barangay)
member of the FCSAP of Iguig with OCSA ID NO. ____________________ dated
__________________.
Issued this ______ day of ________________________ 2014 for any purpose it
may serve.

Certified by:
CARLOS M. BALISI
Barangay Captain
Witness:
MYRNA PEAFLOR
Senior Citizen OSCA-Chairman

FAUSTINO G. MOLINA
Senior Citizen - Brgy. President

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