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Republic of the Philippines

Province of Antique
Municipality of Laua-an
Barangay Bagongbayan

OFFICE OF THE PUNONG BARANGAY

Certification


TO WHOM IT MAY CONCERN:

This is to certify that ___________________________________ , of legal
age and a bonafide resident of Barangay Bagongbayan, Laua-an, Antique, and she
or he is a member of Senior Citizen Organization with Senior’s ID No. _________
issued on ________________.
This is to certify further that ________________________ she or he cannot
afford the transaction due to her physical condition.
This certification is being issued upon request of the herein party for
whatever legal purpose it may serve.
Given this _______ day of _____________ at Barangay Bagonbayan, Laua-
an, Antique.



FELIZARDO B. SONGCAYAWON
Brgy. Captain