C E R T I F I C A T I O N

To whom it may concern:

This is to certify that NAME, a bonafide resident of ADDRESS and the

legitimate owner of one unit chainsaw bearing an Engine/Serial
Nos.:130XXXXXXX ; Brand: STIHL; Model: 070.

Furthermore, it is affirmed by her that the said chainsaw will be used

for legal/legitimate purposes only as stated in accordance to the law
under R.A. No. 9175 known as “Chain Saw Act of 2002”.

This certification is issued upon the request of NAME for whatever legal
purpose it may serve him best.

Issued this 18ST day of September, 2019 at ___________________.

XXXXXXXXX
Agricultural Technologist
MENRO-Designate

O.R. No. 0327757

Fees Paid: Php 50.00
Date Issued: 08-18-2019
Place of Issue: