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REPUBLIC OF THE PHILIPPINES

PROVICE OF NEGROS ORIENTAL


MUNICIPALITY OF JIMALALUD
BARANGAY CANGHARAY

OFFICE OF THE BARANGAY CHAIRMAN

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that Mr./Miss/Mrs. Everlyn F. Garganera of legal age, single/married/widow/widower and a
resident of Barangay Cangharay, Jimalalud Negros Oriental is the owner of the __________ .

DESCRIPTION:

COLOR: ____________

AGE: ____________

SEX: _____________

This certification is the request of the above named / person for what-ever purpose it may serve him/her best.

Issued on this _______ day of _____________ at Barangay Cangharay, Jimalalud Negros Oriental, Philippines.

ALEJANDRO C. GARGOLES

Barangay Chairman

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