Republic of the Philippines

City Government of Tacloban

Tacloban City, Philippines

City Health Office

HEALTH CERTIFICATION

2021-51307
CONTROL NO: ___________________

TO WHOM IT MAY CONCERN

JOAHNNA CARLA LUZURIAGA SAAD

This is to certify that ______________________________________________ of legal age with permanent

103 LOPEZ JAENA STREET BARANGAY 2

residence at ___________________________________________________________________________.

JOAHNNA CARLA LUZURIAGA SAAD

It is further certified that __________________________________________ is NOT in the roster of probable

suspect nor confirmed of COVID-19 case from the City Health Office and is asymptomatic.

This certificate is being issued upon the request of the above-mentioned name for the purpose of
EXIT: MEETING AND CONTRACT SIGNING to MANILA (excluding legal matters).
__________________________________________________________________________________________________

9 February
Given this_______ day of ____________________, 2021

Please observe the following health standards:

_/ wearing of mask at all times when outside your home per City Ordinance 2020- 14 -07;

_/ practice physical /social distancing at least 1.0 meter apart;

_/ no smoking in public places and public conveyances per City Ordinance 2009 - 100 - 160;

_/ and other health protocols prescribed by the Department of Health and Tacloban City Health Office.

WARNING:
FAILURE TO COMPLY WITH THIS DIRECTIVE SHALL CAUSE THE INSTITUTION OF LEGAL ACTION
AGAINST YOU AND REVOCATION OF THIS HEALTH CERTIFICATE.

GLORIA ENRIQUEZ - FABRIGAS, MD, MPH, MHA

ACTING CITY HEALTH OFFICER

14-Feb-2021
EFFECTIVE UNTIL: ________________________