REPUBLIC OF THE PHILIPPINES

PROVINCE OF LEYTE
CITY OF BAYBAY

BARANGAY MASLUG

OFFICE OF THE PUNONG BARANGAY

BARANGAY BUSINESS CLEARANCE

(LOCATION OF BUSINESS)

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that the following has business operation in our Barangay to with:

BUSINESS NAME:

LOCATION OF BUSINESS:
(Street, Sitio)
OWNER/ MANAGER:

HOME ADRESS/ MAIN OFFICE:

LINE OF BUSINESS: 1.
(Mga Negosyo nga Gihimo)
2.
Please enumerate: (example: Sari-
sari Store, Videoke, Eatery, Copra 3.
Buyer, Coco shell buyer, Repair
shop, etc.) 4.

5.

This certifies further that the establishment is cleared of any liability or obligation whatsoever in this
Barangay.

Issued this _____ day of ________________ at Barangay Maslug, Baybay City, Leyte.

RACILE THADDAEUS T. OMPOY

PUNONG BARANGAY

Paid under O.R.: _________________

Date: _________________
Amount: _________________