Barangay Clearance: Office of The Barangay Chairman

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REPUBLIC OF THE PHILIPPINES

PROVINCE OF LAGUNA
MUNICIPALITY OF PAKIL
BARANGAY KABULUSAN

YP OFFICE OF THE BARANGAY CHAIRMAN

BARANGAY CLEARANCE
BARANGAY
OFFICIALS
TO WHOM IT MAY CONCERN:
HON. ROMEO M. DE RAMOS
Barangay Chairman This is to certify that the name mentioned above is in legal age a
Filipino citizen, whose signature appears below, is a bona fide resident
HON. BELINA R. CINENA of this Barangay Kabulusan, Pakil, Laguna, Philippines.
Kagawad

This certifies that the aforementioned name has no


HON. DILBERT O. LAGARAS Derogatory Record in our Barangay Files to date with the validity
Kagawad
of Six (6) months.

HON. WILLY R. PASSION Full Name: ADORACION E. AUDIJE


Kagawad
Address: J.P. RIZAL ST ,BARANGAY KABULUSAN,PAKIL
Date of Birth: JUNE 17,1941
HON. RENATO A. VALLEJO Gender: FEMALE
Kagawad
Civil Status: MARRIED
Purpose: FOR LOAN PURPOSE.
HON. DONATO A. ISORENA
Kagawad

ADORACION E. AUDIJE
Signature Over Printed Name
HON. ADELAN S. CADSAWAN Certified correct:
Kagawad ANABEL E. ISORENA
Barangay Secretary

Attested By:
HON. RODEL E. SILAYAN HON. ROMEO M. DE RAMOS
Kagawad
Barangay Chairman

HON. CLARK KENT R. SESE


SK CHAIRMAN
Right Thumb
ANNABEL E. ISORENA
Secretary

FLORENDA C. REYES
Treasurer

Note: Not valid without Official Receipt and Seal

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