Republic of the Philippines

City of Manila
Barangay 849, Zone 93, District VI
OFFICE OF THE BARANGAY CHAIRMAN
1439 ILANG – ILANG ST. PANDACAN, MANILA
BARANGAY RECORD CLEARANCE AND
CERTIFICATE
BRCC NO.: 4207 DATE ISSUED: June 11, 2023 VALIDITY: 3
Months

TO WHOM IT MAY CONCERN,

This is to certify that the person whose name and signature appear herein has requested a
Barangay Clearance and Certification from this office and the result/s is/are listed below;

NAME: Medina, Eduardo Eugenio Leonor AGE: 31 Years Old

ADDRESS: 1423 Ilang - Ilang St. Pandacan, Manila STATUS: Single

It is further certified that the above-named person is known for his/her good moral character
without any derogatory record in this barangay.

This certification is being issued upon The request of the bearer for:

AS PER REQUIREMENTS AND/OR TO SUPPORT HIS/HER: (Wedding Purposes)

_________________________
APPLICANT’S SIGNATURE Certified By:

Prepared By: RICARDO D. CABIAL

Punong Barangay
RACHEL ANN C. TACTAQUIN
Barangay Secretary

Ricardo D. Cabial

Chairman

KAGAWAD

Ramon C. Abujen Joselito A. Cabial Virgilio G. Mina Leonida G. Alvaran

Romeo A. Ramirez Luz G. Velasco Aries C. Ramirez SK. Celine L. Trinidad

Sec. Rachel Ann C. Tactaquin Treas. Juvelyn S. Publeo