C E R T I FI CAT I O N

This is to certify that Marriage License No. 4778267, issued on December 21, 2004, was included in the
records that were disposed of by the Municipal Civil Registrar Office of San Simon, Pampanga. The
office routinely discards records every 5 years as part of its maintenance procedures.
Please be informed that as of the disposal date, the aforementioned Marriage License, along with other
records, has been removed from the office's archives in accordance with the established record-keeping
policy.
For further inquiries or clarifications, you may visit or contact the Municipal Civil Registrar Office of San
Simon, Pampanga.
Issued on this day, November 29, 2023 at San Simon Pampanga.