Republic of the Philippines

DEPARTMTITT OF THE IITTTRIOR AIITD LOCAL GOIIERIITilEITT

Municipal Local Government Operatlons Ofllce
Palompon, leyte
Email: dilg palompon@yahoo.com.sg
CSC-ERPO BOE Form 1 (a) (Revised, February 201 7)

CERTIFICATION
on Services Rendered in the Barangay"
{Elective Official}

This is ta certify that ABIGAIL MARIE E. CUIZON has rendered services in

Barangay CENTRAL ll, PAL0MPON, LEYTE, with the foilowing details:

SK Chairman 10t25t201A 3 years 11t33t2010 11t30t2}13

Note: lf under rule on succession, specify the original and assumed position

EI YES

tr NO, Specify total number of days not served

Reason for non-completion:

U Assume under rule on

This Certification is issued in su

application of Ms. Cuizon for the
Republic Act No. 7160, in
June 1 4,2CI12 and CSC Resol

Palompon, Leyte,

I
PEfrIA
name

+To be printed in DILG official Dry Seal at the portion covering the signature over printed
name of the aulhorized DILC official.