Republic of the Philippines

PROVINCE OF LEYTE
Municipality of Inopacan Republic of the Philippines
BARANGAY TAO-TAON PROVINCE OF LEYTE
Municipality of Inopacan
BARANGAY TAO-TAON
OFFICE OF THE PUNONG BARANGAY

HEALTH CERTIFICATE OFFICE OF THE PUNONG BARANGAY

HEALTH CERTIFICATION
TO WHOM IT MAY CONCERN :

TO WHOM IT MAY CONCERN :

THIS IS TO CERTIFY that ______________________________________,
_________________ and a resident of INOPACAN, LEYTE is not listed on
Person’s under Monitoring (PUM) and Person’s Under Investigation (PUI) in
INOPACAN, LEYTE. THIS IS TO CERTIFY that
______________________________________, ___________________ and a
PURPOSE: ________________________________________________________ resident of INOPACAN, LEYTE is not listed on Person’s under Monitoring
(PUM) and Person’s Under Investigation (PUI) in INOPACAN, LEYTE.
Done this day of , 2021 at Barangay Tao-taon,
Inopacan, Leyte, PHILIPPINES. PURPOSE:
______________________________________________________________

Done this day of , 2021 at Barangay Tao-taon,

Inopacan, Leyte, PHILIPPINES.
HON. MARGARITA Q. LEMITA
PUNONG BARANGAY

HON. MARGARITA Q. LEMITA

PUNONG BARANGAY
Issued at: Barangay Tao-taon
Issued on:
Issued at: Barangay Tao-
NOT VALID taon
WITHOUT SEAL Issued on:
NOT VALID
WITHOUT SEAL .
 NOT VALID
WITHOUT SEAL

Republic of the Philippines

PROVINCE OF LEYTE
Municipality of Inopacan Republic of the Philippines
BARANGAY TAO-TAON PROVINCE OF LEYTE
Municipality of Inopacan
OFFICE OF THE PUNONG BARANGAY
BARANGAY TAO-TAON

CERTIFICATION
OFFICE OF THE PUNONG BARANGAY

TO WHOM IT MAY CONCERN : CERTIFICATION

This is to CERTIFY that MR/MRS/MISS_________________________
of legal age, married and a bona fide resident of Purok , Brgy. Tao-
taon, Inopacan, Leyte. TO WHOM IT MAY CONCERN :

This CERTIFICATION is being issued upon request of the above This is to CERTIFY that MR/MRS/MISS
interested party; for the purpose of TRAVEL in __________________________ of legal age, married/single/widow and a bona
To ___________________________________. fide resident of Purok ____, Tao-taon Inopacan, Leyte.

This CERTIFICATION is being issued upon request of the above

This CERTIFICATION is being issued due to our present situation interested party; for the purpose of TRAVEL in
(COVID 19) COMMUNITY QUARANTINE. to (PLACE
( PURPOSE) )
Done this day of , 2020 at Barangay Tao-
This CERTIFICATION is being issued due to our present situation
taon, Inopacan, Leyte, PHILIPPINES.
(COVID 19) COMMUNITY QUARANTINE.

Done this day of , 2020 at Barangay Tao-taon,

Inopacan, Leyte, PHILIPPINES.
HON. MARGARITA Q. LEMITA
` PUNONG BARANGAY

HON. MARGARITA Q. LEMITA

Issued at: Barangay Tao- PUNONG BARANGAY
taon
Issued on:
 Issued at: Barangay Tao-
taon
Issued on:
NOT VALID
WITHOUT SEAL .