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KP Form No.

Republic of the Philippines


Province of Zambales
Municipality of Subic
BARANGAY ILWAS

OFFICE OF THE PUNONG BARANGAY

_____________________________
Date

APPOINTMENT

TO: ____________________

Pursuant to Chapter 7, Title One, Book III, Local Government Code of 1991
(Republic Act No. 7160), you are hereby appointed as MEMBER of the Lupon
Tagapamayapa of this Barangay Effective upon taking your oath of office and until a
new Lupon is constituted on the third year following your appointment.

ARIEL R. APOSTOL
Punong Barangay

ATTESTED BY:

MAUREEN V. ATRERO
Barangay Secretary

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