Republic of the Philippines

Province of Pangasinan
Municipality of ____________________
BARANGAY __________________

CERTIFICATION

To whom it may concern:

THIS IS TO CERTIFY THAT __________________ of legal age, resident of

____________________, _____________________, Pangasinan, bought a ___________ ( )
______________ Tree to ___________________ located at ____________________________.

This certification is being issued upon request whatever legal intent or purposes it may
serve.

Issued on the __________ day of ___________________at ________________,

_____________________, Pangasinan.

________________
Punong Barangay