Barangay of MAGSAYSAY

City/Municipality of LABRADOR

SK CHAIRMAN CERTIFICATION (SKCC)

SKCC No.006

Date : March 5 , 2020

To: The Bank Manager

LAND BANK-LINGAYEN BRANCH

LINGAYEN, PANGASINAN

Sir/Madam:

This is to certify that the following checks were duty issued by Barangay MAGSAYSAY ,

( Ito ay pagpapatunay na ang mga cheke na nakalista sa ibaba ay na- isyu ng Barangay
Magsaysay,

complete with respective Disbursement Vouchers and supporting documents.

Nakompleto ng kanya-kanyang Disbursement Vouchers at kalakip na mga dokumento.)

Account No. Check Date Payee Amount Purpose

No.
002422-1602-62 817606 03/05/2020 JULIUS A. PANTALEON 15,000 Cash adv of labor cleaning

Nothing Follows

This Certification is issued, pursuant to COA Circular 2019-001, dated February 7, 2019

( Itong patunay ay ginawa alinsunod sa COA Circlar 2019-001, na may petsang February 7, 2019

As a condition for the encashment of said checks.

bilang kondisyon para sa pagpapapalit ng mga nasabing cheke.)
The undersigned attest to the truthfulness of the foregoing facts, under pain of
( Pinapatototohanan ng may lagda ang mga nakasaad sa itaas batid ang ---

Liability for falsification, Pursuant to Article 171(4) of the Revised Penal Code.
Pananagutan sa kasong “ Falsification.” sang-ayon sa Article 171(4) ng Revised Penal Code.)

Very truly yours,

JULIUS A. PANTALEON

SK CHAIRMAN

Delivered by: Received by:

MICHAEL JAY B. USON ___________________

SK Treasurer Bank Representative

Date: Date: ______________