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Municipal Form No. 97

(Revised January 2007)

Republic of the Philippines

OFFICE OF THE CIVIL REGISTRAR
CERTIFICATE OF MARRIAGE

Province Cebu Registry No 80-2010

City/Municipality Cebu City
1 Name of HUSBAND WIFE
Contracting (First) Honey Boy (First) Jeanette
Parties (Middle) Liri (Middle) Alab
(Last) Bayag (Last) Cruz
2a Date of (Day) (Month) (Year) (Age) (Day) (Month) (Year) (Age)
Marriage
2b Age 3 January 2015 20 3 January 2015 19
3 Place of (City/Municipality) (Province) (Country) (City/Municipality) (Province) (Country)
Birth Cebu Cebu Philippines Cebu Cebu Philippines
4a Sex Sex Citizenship Sex Citizenship
4b Citizenship MALE FILIPINO FEMALE FILIPINO
5 Residence (House No, Street, City/Municipality, Province, Country) (House No, Street, City/Municipality, Province, Country)
Subd. Perla, Apt. 1, Brgy. Kalunasa, Cebu City Subd. Perla, Apt. 1, Brgy. Kalunasa, Cebu City
6 Religion/ Roman Catholic Roman Catholic
Religious Sect
7 Civil Status Single Single
8 Name of Harold Bayag Juan Cruz
Father
9 Citizenship Filipino Filipino
10 Name of Bonggina Liri Bayag Nita Alab
Mother
11 Citizenship Filipino Filipino
12 Name of
person who
gave consent Rev. Fr. Arch Sios Rev. Fr. Arch Sios
or advice
13 Relation Bishop of Sto. Rosario Church Bishop of Sto. Rosario Church
14 Residence Sto. Rosario Parish Sto. Rosario Parish
P. Del Rosario St., Cebu City, Cebu P. Del Rosario St., Cebu City, Cebu
15 Place of Sto. Rosario Parish
Marriage P. Del Rosario St., Cebu City, Cebu
16 Date of 17 Time of
Marriage Jan. 3, 2015 Marriage 10:00am
18 CERTIFICATION OF THE CONTRACTING
PARTIES:
THIS IS TO CERTIFY THAT Honey Boy L. Bayag and I, Jeanette A. Cruz , both of legal
I,
age, of our own free will and accord, and in the presence of the person solemnizing this marriage and of the witnesses named below, take each other
as husband and wife and certifying further that we have entered into a marriage settlement, of which a copy is hereto attached.

IN WITNESS WHEREOF, we have signed/marked with our fingerprint this certificate in quadruplicate this 3 rd day of January 2015.

HONEY BOY L. BAYAG JEANETTE A. CRUZ

(Signature of Husband) (Signature of Wife)
19 CERTIFICATION OF THE SOLEMNIZING THAT BEFORE ME, on the date and place above-written, personally appeared the above-
OFFICER: mentioned parties, with their mutual consent, lawfully joined together in marriage which was
THIS IS TO CERTIFY: solemnized by me in the presence of the witnesses named below, all of legal age.
✓ a. Marriage License No. 4546487 issued on January 3, 2015 at Sto Rosario, Cebu City, Cebu in favor of said parties was exhibited to me.
b. no marriage license was necessary, the marriage being solemnized under Art ______ of Executive Order No. 209.
c. the marriage was solemnized in accordance with the provisions of Presidential Decree No. 1083.

REV. FR. ARCH SIOS Parish Priest Roman Catholic

(Signature over Printed Name of Solemnizing Officer) (Position/Designation) (Religion/Religious Sect, Registry No., and expiration
date)
20 WITNESSES (Print Name and Sign):
CHIRSANTA ZARINO MIGUELITO UYSIO

PEDRO SANCHEZ
21 RECEIVED BY: 22 RECEIVED BY THE CIVIL REGISTRAR
Signature: Signature:
Name in Print: JOHN MAGESTRADO Name in Print: MARCELINA JACOB
Title or Position: xxx Title or Position: registrar
Date: June 16, 2010 Date: June 20, 2010
AFFIDAVIT OF SOLEMNIZING OFFICER
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I, ADOLFO MANLANGIT, of legal age, Solemnizing Officer of the Sto. Rosario Parish P. Del Rosario St., Cebu City, adter having sworn to in
accordance with law, do hereby depose and say:

1. That I have solemnized the marriage between HONEY BOY L. BAYAG and JEANETTE CRUZ-BAYAG.
2. a. That I have ascertained the qualifications of the contracting parties and have found no legal impediment for them to marry as required by
Article 34 of the Family Code;
3. That I am executing this affidavit to attest to the truthfulness of the foregoing statements for all legal intents and purposes.

IN TRUTH WHEREOF, I have affixed my signature below this 3rd day of January 2015 at Sto. Rosario Parish P. Del Rosario St., Cebu City.

REV. FR. ARCH SIOS

Signature Over Printed Name of the Solemnizing Officer

SUBSCRIBED AND SWORN to before me this 3rd th day of January 3 at Sto Rosario, Cebu City, Philippines, affiant who exhibit to me his
Driver’s License issued on November 16, 2013, expiring on November 16, 2015, at Cebu City, Cebu.

Cebu City Mayor

Signature of Administering Officer Position/Title/Designation

GODOFREDO ORTIZ No. 1 Dr Jose P. Rizal St, Cebu City

Name in Print Address