REPUBLIC OF THE PHILIPPINES

PROVINCE OF LA UNION
MUNICIPALITY OF SAN GABRIEL
BARANGAY LACONG

Office of the Punong Barangay

To whom it may concern;

This is to certify that JANE G.GALLARDE, 25 years old, is a resident of

this barangay for a period of 25 years. This further certifies that she/he is known
to me as a person of good moral character,law abiding citizen and has never
been listed her name on Drug List in our Municipality and has never been
violated any law, ordinance or rule duly implemented by the government
authorities.

This certification was issued upon the request of the subject person for
any legal intents and purposes.

Issued this June day of 28th,2021 at Brgy. Lacong San Gabriel La Union.

DOMINADOR A. LILAN
Punong Barangay

___________________
Signature/Thumbmark

OR Number:
CTC Number:___________
Issued on:_____________
Issued at: Brgy. Lacong, San Gabriel La Union
Amount: 50.00