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Republic of the Philippines

Province of Eastern Samar


City of Borongan
CITY HEALTH OFFICE

CERTIFICATION

This is to certify that HERMOSILLA, EDWIN, 37 years old, MALE, from CEBU CITY and currently
detailed in EASTERN SAMAR POLICE PROVINCIAL OFFICE(ESPPO), Brgy. ALANG-ALANG, Borongan City,
Eastern Samar has subjected himself/herself to the prescribed 14-day quarantine at ESNCHS quarantine
facility and 7 days home quarantine as prescribed by the Department of Health in its Department
Circular 2020-0080.

This is to certify that he/she has been monitored to have adhered to the standards of
quarantine as overseen by the local Barangay Health Emergency Response Team (BHERT) and the City
Health Office.

Given this 6TH day of JULY in the year 2020.

Monitored by: Certified by:

RENALYN C. CORSIGA,RN
DAISY G. SACMAR, MD
KATRINA M. CAPITO, RN City Health Officer

ROSE ANN ERLIE A. DAVILA,RN

VANESSA P. LABRO,RN

RENNELA L. OPERARIO,RN

Approved by:

HON. JOSE IVAN DAYAN C. AGDA


City Mayor

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