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ffi**ffi#X
ffic{#k T* WH*T,I IT MAY C*f\di]TR,N;

T|{IS 15 T* CIRTIFY th*t Mr.lMrs./FIs. &]$HQ&v""{9$$-s,*-043$f]$ * -

trlnr*ng*lv ihairrnan:
28 . yesrs eld, * Filipinn Citizen, is a bonnfide resident*f Baransay Yam*[*t"lg
{}{zu*. {;i,{}ftlA {" S{}$.#e{firu Bey*mthamgu Pmn6asima*" Fr*m l'{e/$ire is known m rne an* has n(
derog*tory/*riminai reecrds fil*d in this b*rangay"
li*l ;it'ig*i' d*uxliltrs;

&T*T ER. H !.{ F* RMATION ;

F& \rI L L& &* {) l} {i. l\{,.q{',&*tAf.S
0*te *f Slrtl"*: J"$f,Uinr 15r 1993
,tAXt &.1{} xt" },A}'Nt}
Fiace of Bi*h: :}AY}O CISY
K&BfiLf'{i B.l}A{&\*}

t.0HI'It{i {AI{A,\ l(}

This cetificati*n i* being issued upsn tfr* r*quest *f tire p*rs*nl:
.rF,55 { &. .}. {Al"qiiY,tI}
rnentioneei ah*ve, that I am certifying of all the racts stated above ancl rrot for ani
AffiT#Itt) fl. niA{lrt},
*:*t*ria[ *!" f]*rs**ai interest v+hnts*ever"
rqlse $/\cer"

:t\i WIT{IXISS WHfRE*f, I have l:er*xnt* s*t rrty hxn* and affiixed tltt
licit uiir;,tt' \r'i. t r l,l1'\':
offlcial seai of this office" issuefr this
-93-- day oi $EPtl$l'[B]IA fts2i
IIA&.X I 1,,\ il. h{ I Hlqll..trh1 at Sngy" Tanoleng Eayamnbamg, Fangaslnan"

Signed:
S'f ,ql{l tT'& C. f,;lY,\ {}

H*H. ffirS e. $*tr-sF4sr'*

#tft d fl:air*":mrt

hE*Y V&LXS wEthmant PffiY Sffiea

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ffi**ffieg
ffiffi*f,ffif$ T* WH*iI,I IT M&Y CCftICIft.fT:

Trt$ LS T* CERTITY that {vlr./r'4rs./Ms. . -dEgSIf ,*"1!'* 9*{$H

Ilnr*ng;li ihnirruau:
39 year$ *ld, a Filipin* Citizen, i* a borrafrcle resident of Barangay Yanoiomq

{},ru. {;a.$ffilA t.5t}{ {}&/[*N ffieyarmhax*gu Paatgasina*. Frnr* l-t*/$i:e is kncwn tu ;rie and hcs *t
rierogat*ry/crlminai r*esrds fil*d in ihis bar*ngay"
li'tran g'rV i-*tt tt{i tc}'s:

*T*TER. trNFSR.F{Afi#N:
f ftUi X,f-itl{{} tXi. h{ &{itltA ES
l-t:fa
uu {L. nF
u, trirth'
url Lt !.
trAY 04, 1991
1t{'{,'ffi t &'{ i} }*. }.&YH {}

R0l)0! I r) lt. IIAIALl

Fface CIf Birth: }AYA-Q*CI?Y *. ", .. **,-. -**
l.SR&.S!i{} { rll&{Fi?*
This certifieati*n is being issued up*n th* request *f tlre person/:
.ll.$\II !" Iq]'ABYAB
n:entione* above, tti*t tr am cer"tlfuing *f all the facts staterJ above and not f*r mn1
,qffiTL'R(l ["' {},q{',4 [.
r"nate!"i#i s'" p*rso*al interest whatscev*r"
.XISE $&{.rq[.

:l{ WITIUISS Wi-iEREOF, I have he;"e*nt* s*t n:y l^rand

c,
er:d atfix*d tite
11*r*n*at' lmlrlam:
*fficial seai *f this *ffice, Issued ihis ge_-_ dny of $INPT B}lBER 3r!2:
rryl&{ { 1.4 rl-. ,,{ t trtlt}il}rt at Brgy, Tanotrong Bayambamg, Pangasinan.

Ilitt',ritg,t:"i't r,-it{tt'* i'r

i\1,&1U ['[.rt {. {;tYN {}

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