Republic of the Philippines

Province of Zamboanga del Sur

MUNICIPALITY OF TABINA
Municipality Health Office

SANITARY PERMIT TO OPERATE

Permit No. Date Issued
Official Receipt Amount Paid

Payment is hereby issued to:

Business Name
Nature of Business
Business Address
Owner/Operator
Valid Until (MM/DD/YYYY)

This permit is not transferable and will be revoked for violation of Sanitary
Rules, Laws or Regulation of P.D. 522 and P.D. 856 and Pertinent Local
Ordinances
Additional Provisions:

ENGR. JOHNNY POQUITA JESSA MAE F. PANGANDIAN, RPH, MD

Sanitary Inspector- Designate Municipal Health Officer- OIC

OR #:
Amount Paid:
Date Paid:
NOT VALID WITHOUT DRY SEAL