Republic of the Philippines

Province of Negros Oriental

Bais City

CERTIFICATION

TO WHOM IT MAY CONCERN:

I certify that EUGENE GRACE M. BADILLES has given birth to

a baby girl last January 15, 2007.

That I failed to register the said occurrence to the office of the

Local Civil Registrar for the reason that maybe It was overlooked by me
that time. I admittedly asked for an apology with regards to this mishandled
matter.

This certification is issued upon the request of the above

name-mentioned for the purpose of Late Registration of her daughter
MICAH BEATRICE MIRAS BADILLES.

Thank you for your consideration with regards to this matter.

TERESITA TORRES SAYCON

Midwife
License # ________