You are on page 1of 1

Annex “E”

(SAMPLE)
Republic of the Philippines
PHILIPPINE NATIONAL POLICE
POLICE REGIONAL OFFICE 7
NEGROS ORIENTAL POLICE PROVINCIAL OFFICE
SAN JOSE POLICE STATION
Poblacion, San Jose, Negros Oriental

CERTIFICATE OF DRUG-CLEARED BARANGAY

I hereby certify that barangay clearing operation was


conducted in Barangay Siapo, this Municipality for the period February
15 – March 20, 2007 and said barangay is declared “DRUG-CLEARED”
effective March 21, 2007.

PINSP JUAN DELA CRUZ


Chief of Police

I have this day confirmed the “DRUG-CLEARED” status of


Barangay Siapo, this Municipality.

Dated this 23rd day of March 2007

HON. PEDRO S. SANCHEZ


Chairman, MADAC

You might also like