Republic of the Philippines

Province of Davao De Oro

Municipality of Monkayo
Barangay Salvacion

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT ALMAGEN P. LUMBA, of legal age, is a bonafide

resident of Purok 6, Salvacion, Monkayo, Davao De Oro.

This is to certify that she/he belongs to an INDIGENT FAMILY in the barangay.

This certification is being issued to above-named client in connection of her/his desire

for Burial Assistance for her/his sister late ALGEN L. AGUSTIN, of legal age, who died on
September 21, 2021 at 8:00 pm.

Issued this 22nd day of September 2021 at the Office of the Punong Barangay,
Barangay Salvacion, Monkayo, Davao De Oro.

OTHELIO B. SUMATRA
Punong Barangay
“for and by the authority
Of Punong Barangay”

ALBERTO P. CALIJAN
Barangay Kagawad
(Officer of the Day)