Madelyn Certificate

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SJDM100756187646100756

Republic of the Philippines


City of San Jose Del Monte Bulacan

CERTIFICATION

C O V I D - 19 V A C C I N A T I O N

This is to certify MADELYN MONTA MALINAO, 41 years of age, residing at BLOCK 2


LOT 17 LOTE B SAPANG PALAY PROPER SAN JOSE DEL MONTE BULACAN was
successfully vaccinated by the City Health Department.

First Dose Second Dose


Date Administered 13 July 2021 7 September 2021
COVID 19 Vaccine Manufacturer AstraZeneca AstraZeneca
Lot No. K003B 210182

This certificate is issued this 20th of February, year 2022 for whatever purpose this may
served best.

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