Republic of the Philippines

Province of Laguna
Municipality of Cavinti
BARANGAY POBLACION
Office of THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN :

This is to CERTIFY that Ms. CHRISTMAS P. JUANILLO, 55 years old, a bonafide

resident of 3-A. Mabini Street Barangay Poblacion Cavinti, Laguna is belong to indigent
Family, unmarried, orphan, and unemployed.

This certification is issued this day of 27th of September 2019 upon request
of the said person above at Barangay Poblacion for legal/medical purposes.

HON. ROMEL J. VILLANUEVA

Punong Barangay