On this ______ day of __________2019 Province of Tarlac/ City of Tarlac signed our original signatures

below:

1. BALUYUT, ALEXANDER M __________________________

2. BALUYUT, ROMULO __________________________
3. CASTANEDA, ARSENIO _________________________
4. CLAUDIO, TERESITA P _______________________________
5. CUTCHON, ROLANDO N___________________________
6. DATU, FLORENTINO F_________________________
7. DE GUZMAN, ERNESTO________________________
8. FLORES, SUNDAY ___________________________
9. LUMANLAN, BELARMINO L ____________________________
10. MANLAPIG, EDUARDO L________________________
11. MANLAPIG, FRANCISCO V
12. MANIO, RAMON _____________________________
13. SAN JOSE, BIENVENIDO___________________________

Represented by: Attested by:

___________________ _______________________________
Barangay Coordinator Barangay Secretary
Martial Law- Victim 1972
Pres. F. E. Marcos _______________________________
Barangay Captain
Barangay Manlapig Capas Tarlac