Republic of the Philippines

Province of _________
MUNICIPALITY OF __________

BARANGAY _________

CERTIFICATION

To Whom It May Concern:

This is to certify that __________________of Barangay _________, _________,
________ is the owner of a ___________ with an age of _______ years as of __________ with
further description as follows:

That the owner secured CERTIFICATE OF OWNERSHIP OF LARGE CATTLE on

______________. However, the owner now request for the correction of the physical description as
stated on the image above to description as follows:
Age: ________ as of ____________.
Sex: ________
Type of Large Cattle: ___________

Given this _______ ___, ______ at ________________.

____________________
Punong Barangay

NOTED:

WILLIAM N. PACUNANA
Municipal Treasurer