CERTIFICATE OF INDIGENCY

This is to certify that __________________________________, resident

of _____________________ San Roque,San Manuel, Pangasinan is an indigent
Family of this Barangay.
Issued upon the request of ___________________________ for whatever
Purpose it may deemed served this ______ day of _____________________ 2017.
Barangay Hall, San Roque, San Manuel, Pangasinan.

HON. PRIMO A. LOPEZ

Punong Barangay
CERTIFICATE OF INDIGENCY

This is to certify that ________________________, resident of

_____________________San Roque,San Manuel, Pangasinan is an Indigent family this
Barangay.

Issued upon the request of _____________________________________

For whatever purpose it may deemed served this _____ day of _______________2017.
Barangay Hall, San Roque, San Manuel, Pangasinan.

HON. PRIMO A. LOPEZ

Punong Barangay