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