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Republic of the Philippines

Province of Isabela
Municipality of Burgos
Barangay Bacnor East

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENT

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY DOMINADOR A. MATEO JR. of legal


age single/married/widow is a bonafide resident of Bacnor East, Burgos,
Isabela who is known to me personally belongs to the bracket of
INDIGENT FAMILY in this Barangay.

THIS CERTIFICATION is being issued upon the request of the


above-mentioned name for whatever legal intent and purpose it may
lawfully serve.

ISSUED this 18th day of August 2018 at Bacnor East, Burgos,


Isabela.

HON. REX C. DALLEGO


Punong Barangay

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