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Republic of the Philppines

Province of Nueva Ecija


Municipality of Santa Rosa
BARANGAY VALENZUELA

BARANGAY CLEARANCE
Sangguniang Barangay
Date: April 2, 2019

HON. NICANOR M. SANTOS


Punong Barangay To whom it may concern,

This is to certify that Louie D. Santillana of legal age,


KAGAWAD Filipino and bonafide resident of BARANGAY VALENZUELA,
Hon. Conrado Anagao SANTA ROSA, NUEVA ECIJA.

Hon. Jose Talplacido This certification is issued upon the request of the latter above
mentioned name for securing Clearance of residency, having no
Hon.Liberty Nicolas
derogatory record within this office, and for the requirement of work
Hon.Edilberto Perez purpose only.
Hon. Susan Bongalos Issued this 2nd day of April 2019 at the Office of the Punong
Hon. Bonifacio Gregorio Barangay of Valenzuela, Santa Rosa, Nueva Ecija.

Hon. Freddie Banicod


Signature of Applicant

Mrs. Flordelina Dela Cruz Approved By:


Barangay Treasurer
MR.RENATO CRUZ HON.NICANOR M. SANTOS
Barangay Secretary Punong Barangay

“Serbisyong totoo,hatid naming sa inyo 24/7”

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