Republic of the Philippines

City of Cebu
BARANGAY _______________
OFFICE OF THE BARANGAY CAPTAIN

CERTIFICATION

TO WHOM IT MAY CONCERN;

This is to certify that_________________________, is a bonafide

resident of Sitio _____________________, Barangay
__________________, Cebu City. He/she has delivered GOODS from
_______________________ to __________________________________,
with vehicle registered Plate # ____________________.

This certification is issued for Delivery Permit .

Issued this ______ day of ________________________ at Barangay

____________________, Cebu City.

________________________
Barangay Captain

NOT VALID W/O

BARGY. OFFICIAL SEAL