Republic of the Philippines

Province of Leyte
MUNICIPALITY OF TANAUAN
BARANGAY LAPAY
oOo

OFFICE OF THE BARANGAY CHAIRMAN

BARANGAY CLEARANCE

TO WHOM THIS MAY CONCERN;

THIS IS TO CERTIFY that ________________________, Filipino, _______ years of age,

______________, and a resident of Brgy. Lapay, Tanauan, Leyte, who was known to me of good
moral character, and a law-abiding citizen, that of my own personal knowledge he has not
committed nor been involved in any kind of unlawful activities in this barangay.

This certification is issued upon request of interested party for whatever legal purposes
it may serve.

Done this _____ day of ____________ 2017.

HON EDUARDO I. MERCADO SR.

BARANGAY CHAIRMAN