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Republic of the Philippines

Province of Pangasinan
Municipality of Bautista
BARANGAY ARTACHO
OFFICE OF THE PUNONG BARANGAY
BARANGAY CLEARANCE
1X1 PICTURE
HON. NOVEL M. NIŇO
Punong Barangay
To all whom it may concern;
This is to certify that…
Sangguniang Barangay Member MAURICIO DELOS REYES TUMBAGA N/A
First Name Middle Name Family Name Suffix
HON. DANILO N. LIBAG MARRIED 47 MALE
Civil Status Age Sex
HON. ROGER C. BRACEROS whose picture attached above and specimen below is a
resident of this BARANGAY, ARTACHO, BAUTISTA,
HON. EVANGELINE A. TADEO PANGASINAN.

HON. BENIGNO, JR. P. ARANDA It is further certified that according to the best of my
knowledge he is personally known to me a law abiding citizen
HON. ROGER M. CABONCE and has a good moral character. Records of this barangay
has shown that he has not committed nor been involved in
HON. FERDINAND N. MAYO any kind of unlawful activities in this Barangay.
This certification is issued MAURICIO DELOS REYES
HON. ARMANDO L. TEJARO upon the request of TUMBAGA
TH
Issued this.. 4 day of MARCH 2020
HON. ANGELA MAE B. LUMBANIA at…. BARANGAY ARTACHO, BAUTISTA,
SK Chairman PANGASINAN
for… Any legal purposes
MR. JOMAR P. SAMOY Certified:
Barangay Secretary
HON. NOVEL M. NIŇO
MR. MANUEL M. TADEO Punong Barangay
Barangay Treasurer In the absence of Punong Barangay

NOT Signature over printed name of Duty Officer

VALID Specimen:
W/O OFFICIAL DRY SEAL, LOGO &
SIGNATURE OF PUNONG BARANGAY
AND BEARER TOGETHER WITH
BEARER’S PHOTO ATTACHED.

Signature Thumb Mark

artacho1964.barangaygov@gmail.com / (075) 649 4619/https://www.facebook.com/artacho.bautista

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