Republic of the Philippines

Province of Davao de Oro

Municipality of Monkayo
Barangay Salvacion

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN;

THIS IS TO CERTIFY THAT REY L. JAKOSALEM, of legal age, is a bona fide resident
of Purok 1A, Salvacion, Monkayo, Davao de Oro.

FURTHER CERTIFY that he/she belongs to an indigent family in the barangay.

This certification is being issued upon the request of Charlene Mae L. Jakosalem, sister
of the above-named mention in connection for MEDICAL/FINANCIAL ASSISTANCE
and/or whatever legal purpose(s) it may serve best.

Issued this 12th day of August 2021 at Barangay Salvacion, Monkayo, Davao de Oro,
Philippines.

OTHELIO B. SUMATRA
Punong Barangay
‘for and by the authority of the
Punong Barangay’’

GLORIA E. TOBIAS
Barangay Kagawad