PURPLE HAVEN FUNERAL HOMES

L2 BLK 6, La Villa Guadalupe Phase 1, Brgy. Alijis, Bacolod City, Negros Occidental, 6100
Tel. No. (034) 4618-052 Mobile No. 0946-0523-228/0997-2807-037
purplesupremacy888@gmail.com

CERTIFICATION

This is to certify the official receipt number 1398 was issued by Purple Haven Funeral
Homes to Ms. Jelyn Demaraye for the memorial service rendered to Mrs. Marina Demaraye on
December 27, 2023 with the amount of Sixty Thousand Pesos (P 60,000.00).

This certificate was issued upon the request of Ms. Jelyn Demaraye for SSS supporting
document.

Issued this 20th day of March 2024 at Bacolod City.

CRISTY R. GRANDE
Proprietress