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HILIPPINES IC OF THE PI E AVITE To Whom ft May Concern 2¢/__ years old, an employee/resident This is to certify tha . Ba rol Main, City of Dasmarifias, Cavite. re of 252 Ste, “ He/She is not included in the suspect/probablelcenfirmed COVID-19 cases Further He/She didn't mai Wy of the following Sign & Symptoms of COVID-19 at the time of certification such as Colds, Sorethroat, Diahrea and losing appetite. This certification_js issued upon the request of the above person for the purpose of 2 py SIE father tmp fs Places, . Issued this 2 day of Jay 2021 at Barangay Burol Main, City of Dasmarifas, Cavite. : (ed in our barangay. Issned by Atested by Q_ ie ie :

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