Annex “A”

Republic of the Philippines

Province of Zamboanga del Sur
Municipality of Molave
Barangay Alicia

SANGGUNIANG KABATAAN CHAIRPERSON CERTIFICATION (SKCC)

SKCC No. : 2021-005

Date: August 25, 2021

To: The Bank Manager

Lanbank of the Philippines
Molave, Zamboanga del Sur

Sir/Madam:

This is to certify that the following checks were duly issued by Barangay Alicia Molave SK,
(Ito ay pagpapatunay na ang mga cheke na nakalista sa ibaba ay na-isyu ng Barangay Alicia Molave SK,

complete with respectiveDisbursement Vouchers and supporting documents.

nakompleto ng kanya-kanyang Disbursement Vouchers at kalakip na mga dokumento.)

Account No. Check No. Date Payee Amount Purpose

002842- 1091422 08/25/2021 Emcor 21,890.89 Payment for Mobile

1104-78 Inc. Phones

This Certification is issued, pursuant to COA Circular 2019-001 dated Jan. 30, 2019,
(Itong Patunay ay ginawa alin sunod sa COA Circular 2019-001 na may petsang Enero 30, 2019,

as a condition for the encashment of saidchecks.

Bilang kondisyon para sapag papapalit ng mga nasabing cheke.)

The undersignedattests to the truthfulness of the foregoing facts,under pain of

(Pinapatototohanan ng may lagda ang mga nakasaad sa itaas, batid ang…

liability for falsification,pursuant to Article 171(4) of the Revised Penal Code.

Pananagutan sa kasong “Falsification,” sang-ayon sa Article 171(4) ng Revised Penal Code.)

Very truly yours,

_________________________________
Punong Barangay
 Annex “A”
Republic of the Philippines
Province of Zamboanga del Sur
Municipality of Molave
Barangay Alicia
Delivered by: Received by:

Barangay Treasurer Bank Representative

Date: __________________ Date: __________________