Republic of the Philippines

Province of Surigao del Norte

Municipality of Del Carmen
Barangay Caub

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION OF INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that ANTONIO C. MORENO, Filipino, and a bona fide resident of
barangay Caub, Del Carmen, Surigao del Norte is known to be a good person with good moral
character and a law abiding citizen. In connection with this, the name mentioned above is
known and acknowledged to be a member of indigent for he belongs in the low income family.

This certification is issued upon the request of the interested party for the purpose of
his death.

Issued this 16th day of September, 2020 at barangay Caub, Del carmen, Surigao del
Norte.

RAQUEL M. BARQUILLA
Punong Barangay