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Republic of the Philippines

MUNICIPALITY OF BAUTISTA
Province of Pangasinan

BARANGAY SINABAAN
Office of the Punong Barangay

CERTIFICATE OF ACCEPTANCE

This is to CERTIFY the acceptance of the following persons to enter Barangay Sinabaan, Bautista,
Pangasinan:
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

Origin : _________________________________
Destination : _________________________________

This CERTIFICATION is issued upon the request of the above-named person/s for travel purposes only.

Issued this ____ day of ____________________, ________ at Barangay Sinabaan, Bautista, Pangasinan.

Approved:

Hon. ELVIRA F. MARTINEZ


Punong Barangay

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