Republic of the Philippines

Province of Cebu
MUNICIPALITY OF BANTAYAN
BARANGAY SUBA
Office of the Barangay Chairman

BHERT CERTIFICATION
To : LGU LSI One-Stop-Shop Personnel
To : All Concerned
Date : October 19,
BORDER 2020
CHECKPOINT PERSONNEL

Date : This June is to 18,

certify
2020that according to available records, MARILOU V. PASILAN, is a
bonafide resident of SITIO SAN ANTONIO DE PADUA, BRGY. SUBA, BANTAYAN as
certifiedThis
by the bearer
is to upon
certify thatavailing
accordingan to
LGU Travelrecords,
available Authority.
ALMERA DELA PEŇA, is a bona
fide resident of BRGY. PATAO, BANTAYAN as certified by the bearer upon registration as a
This is toIndividual.
Locally Stranded certify further that the above - named person was not recognized as Person
Under Monitoring nor Person Under Investigation.
Thus, in consonance with the Inter-Agency Task Force on Emerging Infectious Disease
(IATF-EID)This certification
issuances, is being issued upon
the abovementioned name themay
request of MARILOU
be accepted in the V. PASILAN for
Municipality of
whatever provided
Bantayan legal purpose
that it may serve
he/she shall: best.

1. Abide withthis
Issued the19quarantine
th procedures
day of October 2020 prescribed byofthe
at the Office theDepartment of Health
Punong Barangay and
at Suba
Local Government of Bantayan
Barangay Hall, Suba, Bantayan, Cebu. on the fight against COVID-19;
2. Present a Medical Clearance from the Municipal Health Officer of Lapu Lapu City
stating that he/she is not a suspected, probable, or confirmed COVID-19 case and have

By the Authority of:

CLIFFORD A. MAY
Barangay Chairman

Noted by:

LYCEL B. MARABI
MIDWIFE
 Republic of the Philippines
Province of Cebu
MUNICIPALITY OF BANTAYAN
BARANGAY SUBA
Office of the Barangay Chairman

BHERT CERTIFICATION