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Republic of the Philippines

Province of Negros Oriental


City of Dumaguete
BARANGAY BANTAYAN
Cimafranca Subdivision, Bantayan, Dumaguete City
Telephone No. 422-0972
OFFICE OF THE PUNONG BARANGAY

BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN:


This is to certify that DIANA T. GENERAL, 30 years of age, single is a resident of
Lapu-lapu St., Bantayan, Dumaguete City. That according to our records, she has no pending
criminal/or administrative case file against her.
This certification is issued upon the request of Diana T. General in connection with her
for whatever legal purposes this may serve her best.
Given this 30th day of July 2014 at Bantayan, Dumaguete City, Philippines.

EFREN D. TEVES
Punong Barangay

Community Tax Certificate No. 23680976


Issued on 05/08/14 at Dumaguete City
OR # 0760838

Barangay Clearance No. 913-14

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