Barangay San Gabriel: Republika NG Pilipinas Lalawigan NG Bulakan Bayan NG Sta. Maria

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Republika ng Pilipinas

Lalawigan ng Bulakan
Bayan ng Sta. Maria

BARANGAY SAN GABRIEL

OFFICE OF THE BARANGAY CAPTAIN


DATE:_________________,20_____
BARANGAY CERTIFICATION
TO WHOM THIS MAY CONCERN:
This is to certify that Mr./Miss_____________________________________
,
___________yrs. old is a resident of this Barangay and his/her
parents/guardians are Mr.____________________________________________________
and Mrs.__ also a resident of this Barangay with present address at__________
_____________________________________San Gabriel, Sta. Maria, Bulacan.
Further certifying that he/she is known in the community to be a
person of good moral character, peaceful and law-abiding citizen and has no
pending case filed against his/her person in this office.
This certification is issued upon the request of the same person to
be used for all legal intents and purposes.

RODOLFO D. CASAS
Brgy. Captain
_______________________________
Signature
Parents/Guardians Community Tax
CTC No. __________________________
Issued at_________________________
Issued on_________________________

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