Republic of the Philippines

LOCAL CIVIL REGISTRY OFFICE

Irosin, Sorsogon

1ST ENDORSEMENT
April 13, 2018
(date)

Respectfully endorsed to the Honorable Civil Registrar General – Philippine

Statistics Office, Quezon City, the attached R.A. 9048 documents for the Petition
For Correction of Clerical Error in the Certificate of Live Birth of CLEMENCIA
B. BALQUIN filed in this office on OCTOBER 3, 2016 by CLEMENCIA B.
BALQUIN under Petition No. CCE-0095-2016 for securing an
annotated/authenticated copy of the COLB on Security Paper:

1. Certified True Photocopy of the Affirmed Petition/CCE

2. Certified True Photocopy of the COLB with and without annotation;
3. Certificate of Finality and Record Sheet.

Very truly yours,

JESSICA F. GABITO
Municipal Civil Registrar