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Republic of the Philippines CITY OF SANTIAGO Dance LOCAL TASK FORCE AGAINST COVID-19 Ine A TRAVEL PASS 2020-11-16-419 THIS IS TO CERTIFY that based on records, MAEKA LORAINE GALVEZ is a bona fide resident of Santiago City. Pursuant to existing laws, ordinances, rules and regulations, the above- named person is allowed to TRAVEL subject to the following: 1. With valid BHERT Health Declaration and Medical Certification; 2. Travel Details: a} Departure: DECEMBER 03, 2020 'b} Expected arrival in Santiago City: DECEMBER 04, 2020 c) Destination: BAGUIO CITY BENGUET d) Mode of Transportation: PRIVATE CAR, VDH 258 3. Purpose of travel: SCHOOL AND LODGING RELATED CONCERNS 4, Remarks: FACILITY QUARANTINE This TRAVEL PASS is valid for single use only and shall be used to accomplish/pertorm the holder's purpose. The unauthorized use of this TRAVEL PASS shall make the holder liable under existing laws and regulations. Any alteration on this document shall make this TRAVEL PASS INVALID. ISSUED NOVEMBER 16, 2020 at City of Santiago. ENGR. PAULINS M. TAN NOT VALID City Administrator WITHOUT SEAL Printed Signature ‘ant pe bearer cl this documant i requied fo closely coordinate wth the BNERT for Mersaring CITY GOVERNMENT OF SANTIAGO Tel No. (078) 305-1108 City Hall, San Andres, Santiago City Telefax No. (078) 305-2770

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