Republic of the Philippines

Province of Palawan
City of Puerto Princesa
Barangay Tiniguiban
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November 26, 2020

CERTIFICATION
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that one IRENE DAGARAGA BASAYA , 25 years old,

female, single, call center agent and a resident of TIANCHON’s Boarding House,
Pablico road, Bgy. Tiniguiban, Puerto Princesa City as per records of this barangay
WAS NOT FOUND in the list of Covid Positive persons of this baranggay.

In witnessed whereof, I have hereunto affixed my signature this 26th day of

November 2020, at Barangay Tiniguiban, Puerto Princesa City, Palawan, Philippines.

Hon. JOCELYN CAPANAS CERNA

Barangay Chairman

Witnesses:

1. Barangay Kagawad Rachelle Ngani

2. Barangay Kagawad Joel T. Reyes
3. Brgy. Tanod Karl O. Marco

SUBSCRIBED AND SWORN TO before me this 26th day of November 2020 at

Puerto Princesa City, Palawan, Philippines.

ATTY. PETER S. TAN

City Prosecutor
Administering Officer

CERTIFICATION

I HEREBY CERTIFY THAT I have personally examined the affiant under oath
and that I am fully satisfied and he voluntarily executed and understood his statement.

ATTY. PETER S. TAN

City Prosecutor
Administering Officer