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Barangay QUIRAPI

Municipality of CASTILLA
Province of SORSOGON

SANGGUNIANG KABATAAN CHAIPERSON"S CERTIFICATION

SKCC NO.
Date:
To:The Bank Manager
Land Bank-Sorsogon Branch

Sorsogon, City

Sir/Madam .
This is to certify that check were duly issued by SK Barangay Quirapi
(ito ay pagpapatunay na ang cheke na nakalista sa ibaba ay na-isyu ng SK Barangay Quirapi)
Complete with respective Disbursement Voucher and supporting documents:
(na kumpleto ng kanyang-kanyang Disbursement Voucher at kalakip ng mga dokumento.)

Account No. Check No. Date Payee Amount Purpose

This certification is issued, pursuant, to COA Circular 2019-001______, date 01-30-2019


(Itong patunay ay ginawa alinsunod sa COA Circular 2019-001______, date 01-30-2019
as conditaion for the encashments of said check.
bilang kondisyon para sa pagpapalit ng mga nasabing cheke.
The undersigned attest to the truthfulness of the foregoing facts,under pain of
(pinapatotohanan ng mga lagda ng mga naksaad sa itaas,batid ang
liability for satisfaction pursuant to Article 17 (4) of the Revised Penal Code.
pananagutan sa kasong ''Falsification: sang ayon sa Article 17 (4) of the Revised Penal Code.

Very Truly Yours,


Received:
ALAIZA ANN M. BENASA ARABHELA GRACE G. CELEDIO
SK Treasurer SK Chairperson

Bank Representative

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