Republic of the

Philippines
Province of
Pampanga
Municipality of San
Simon
BARANGAY STA.
[Company Name] MONICA
[Street Address, City, ST ZIP Code] OFFICE OF
[Phone] THE PUNONG
[Email]
[Website] BARANGAY

BARANGAY CLEARANCE
(To Operate Sari-Sari Business)

EYRIE STORE
(Business Name or Trade Activity)

Purok 6, STA. MONICA,

SAN SIMON PAMPANGA
(Location)

HARVY ANTHONY M. PANGAN

(Operator/Manager)

Proposed to be established in this Barangay and is being applied for a Barangay

Clearance to be used in securing a corresponding Mayor’s Permit has been found to be:

✓ In conformity with the provision of Barangay rules and regulation being enforced in
this barangay;
✓ Not among those business or trade activities being banned to be established in this
barangay.
✓ Interposes no objection for the issuance of the corresponding Mayor’s Permit being
applied for.

Issued this 20TH day of February 2024 at Sta. Monca, San Simon Pampanga Philippines.

Certified by:

_______________________
ROBERT P. TAYAG
Punong Barangay
NOT VALID WITHOUT SEAL

NON-TRANSFERABLE
Valid Until
December 31,2024

Republic of the
Philippines
Province of
Pampanga
Municipality of San
Simon
BARANGAY STA.
[Company Name] MONICA
[Street Address, City, ST ZIP Code] OFFICE OF
[Phone] THE PUNONG
[Email]
[Website] BARANGAY

BARANGAY BUSINESS PERMIT

Nature of Business: ELLIA SARI-SARI STORE Valid ID: UMID ID

Owner: ROCHELLE ANN T. GALANG 0111-3024903-1
Permit Number: 16
Address: #354 Purok 4 Barangay Sta. Monica, San Simon, Pampanga
Business Location: #354 Purok 4 Barangay Sta. Monica, San Simon, Pampanga
Status: Single Proprietorship

This permit is being issued subject to existing rules and regulations provided however,
that the necessary fees are paid to the Treasurer of the barangay as assessed.

This is nontransferable and the applicant shall follow all rules and regulations as
provided
AMOUNT: by the Local Government Unit at Barangay Sta. Monica, San Simon Pampanga.
300.00
O.R. No.: 9726661
DATE: 2024-01-26
Given this
STATUS: RENEWAL 26th day of JANUARY 2024 at Sta. Monica, San. Simon, Pampanga,
Philippines.

Certified by:
AMOUNT: 300.00
O.R. No.: 9726676
_______________________
DATE: 2024-02-20
STATUS: RENEWAL
ROBERT P. TAYAG
FEES PAID Punong Barangay
PAALALA
Ang sertipikong ito ay maaaring IKANSELA sa sandalling mapatunayan NON-TRANSFERABLE
ang pinagkalooban ay lumabag sa mga umiiral na alituntunin, regulasyon Valid Until
at ordinansa ng barangay na ito.
December 31,2024

Serbisyong mula sa PUSO

Republic of the Philippines

Province of Pampanga
Municipality of San Simon
BARANGAY STA. MONICA
[Phone]
[Email] OFFICE OF THE PUNONG BARANGAY
[Website]

BARANGAY RESIDENCY

To whom it may concern:

THIS IS TO CERTIFY that ______________________________, ______

years old, Filipino, and a resident of ___________________ Barangay Sta.
Monica, San Simon Pampanga, is known to the undersigned as a person of good
moral character and a law-abiding citizen.

It is further certified that the subject has no derogatory record filed against
her in this office.

ISSUED AND SIGNED to that ____________________________, for

____________________________ this ______day of _____________ 2024 at Sta. Monica,
San. Simon, Pampanga, Philippines.

Certified by:
 _______________________
ROBERT P. TAYAG
NOT VALID WITHOUT SEAL Punong Barangay

Res. Cert. No. _______

Issued at STA. MONICA, SAN SIMON PAMPANGA
Issued on _______

Serbisyong mula sa PUSO