Barangay SAN MARCOS

City / Municipality of AGOO

Province of LA UNION

PUNONG BARANGAY'S CERTIFICATION (PBC)

PBC No. : __________________

Date : _____________________
To: The Bank Manager
Landbank of the Philipines
Agoo, La union

Sir / Madam:

This is to certify that the following checks were duly issued by Barangay SAN MARCOS

complete with respective Disbursement Vouchers and supporting documents.

Account No. Check No. Date Payee Amount Purpose

1392-1000-55 836856 3/30/202 EVELYN B. ORIBELLO 90,925.00 HONORARIUM
1
836857 3/30/202 LIGA NG MA BARANGAY 10,000.00 ANNUAL MEMBERSHIP
1
836858 3/30/202 EVELYN B. ORIBELLO 3,280.00 LABOR ON REPAIR
1

This Certification is issued, pursuing to COA Circular 2019-001, dated January 30, 2019,

as a condition for the encashment of said checks.

The undersigned attests to the truthfulness of the foregoing facts, under pain of

liability for falsification, pursuant to Article 171(4) of the Revised Penal Code.

Very truly yours,

__________________________
ROLANDO M. AGSAOAY
Punong Barangay
Delivered by: Received by:

__________________________ __________________________
EVELYN B. ORIBELLO
Barangay Treasurer Bank Representative
Date: __________________ Date: __________________