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Republic of the Philippines

Province of Bohol
Municipality of Garcia – Hernandez
Barangay West-Canayaon
OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

TO WHOM IT MAY CONCERN:


` THIS IS TO CERTIFY that MONICA J. DAJALOS, widow, of legal age is a bonafide
resident of Barangay West- Canayaon, Garcia-Hernandez, Bohol.
This certifies further that MONICA J. DAJALOS is under the care and stayed in the
house of Mrs. Nora Gomez for how many years.
THIS CERTIFICATION is issued upon request of the above mentioned person for
whatever legal purpose it may serve.
Issued this 17th day of December 2018 at Barangay Office West- Canayaon, Garcia-
Hernandez, Bohol, Philippines.

Attested by:

JOERITZ L. BAYBAY
Punong Barangay

Paid under O.R No: 5229922


Amount Paid: ₱ 50.00

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