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Republic of the Philippines

Province of Tarlac
Municipality of Concepcion
BARANGAY STA. RITA
_____________________________________________________________________________

OFFICE OF THE CERTIFICATE OF INDIGENCY


PUNONG BARANGAY
Hon. Lydia Q. TO WHOM IT MAY CONCERN:
Sampang
Punong Barangay This is to certify that the person whose names and other
information appear below has passed the record verification being
Hon. Yolanda L. one of the indigent families with low- income in our community, to
Anusencion with;
Barangay Kagawad

Hon. Oscar S. Caguiat NAME: ARLENE MARIE A. CARREOM


Barangay Kagawad BARANGAY: STA. RITA, CONCEPCION TARLAC

Hon. Jerwin Q. Miranda PURPOSE: FOR FINANCIAL


Barangay Kagawad

Hon. Alvin T. Mallari This certification issued unto herein grantee this ____ day of
Barangay Kagawad March year 2022 at Barangay STA. RITA, Concepcion Tarlac

Hon. David P. Bulanadi,


Jr.
Barangay Kagawad

Hon. Arlene S. Amatorio


Barangay Kagawad
HON. LYDIA Q. SAMPANG
Hon. Renato D. Sampang Punong Barangay
Barangay Kagawad

Hon. Jhon Paul T. ________________________


Carreon Signature of Holder
SK Chairman

James P. Dela Cruz

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