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Republic of the Philippines OFFICE OF THE PUNONG BARANGAY BARANGAY DUMOLOG City of Roxas Province of Capiz, ‘MARIO E. ARTILLERO Date:__sume 16, 2021 Punong Barangay ‘Qver-all Choirman | ‘STEPHEN A. MEDINA BARANGAY CLEARANCE Barangay Kagawad BEG, consid TO WHOM IT MAY CONCERN: JOEY B. ALADO Chairman — Appropriations PACIFICO E. ARTILLERO Jr. Barangay Kagawad Choiman -infrastucture 1 person whose nar bonafide resident of @ Barangay Certification rrr Mee icici Ancwres__ ‘Age: 5° Citizenship: ipino Civil Status: === ted (GUAMIE A. AGANA Address: Baran Roxas City, Capiz Chainman-Health Sanitation | Date of Bith: 2252 15, 00°” Place of Birth: _ | Sex_§©"© “TINNo: Occupation: RAMIL L. ARTILLERO Remarks: pes NO DEROGATORY |ON THE FILE THIS CLEARANCE IS HEREBY OR THE PURPOSE: Ways & Means ARVIN D. AGUILAR ‘THUMBMARKS E.ARTWLERO ndMtafangay CHARITO D. AGANA RHEA A. DORDAS Republic of the Philippines OFFICE OF THE PUNONG BARANGAY BARANGAY DUMOLOG Gity of Roxas Province of Capiz oa cee STEPHEN A. MEDINA Barangay Kogcwacs JOEY B. ALADO. Barangoy Kagawad ‘Chaiman ~ Appropriations | PACIFICO E. ARTILLERO Jt. Barangay Kagawad (Chaiman = Infrastucture | (MERIBE A. ARTILLERO Sarangay Kagawad (Chaitman ~ Agriculture CHARITO D. AGANA tary | BARANGAY CLEARANCE TO WHOM IT MAY CONCERN: THIS 1S TO CERMFY that the person whose nai Signature or thumb mark herein is a bonatide resi barangay, subject has applied for a Barangay and the result/s is/are stated below: a Place of sith Occupation: ARTILLERO ngay Republic of the Philippines OFFICE OF THE PUNONG BARANGAY BARANGAY DUMOLOG City of Roxas Province of Capiz MARIO, ARTILLERO ete sole: eae Punong Barangay Overal Charon STEPHEN A, MEDINA BARANGAY CLEARANCE Barangay Kagowo! JOEY B. ALADO | en, TO WHOM IT MAY CONCERN: Chatman ~ Approproions PACIFICO E. ARTILLERO Jt. THIS IS TO CERTIFY that the person whose name, Barangay Kagawad signaiure or thumb mark herein is a bonatide resident of this (Chairman ~Infrostucture barangay, subject has applied for a Barangay Certification MERIBE A. ARTILLERO and the result/s is/are stated below: | Barangay Kagawad | | Chairman Apt Name: _s2nv 3. rtstes tases | | Age: “5 Citizenship: Fipino Givi sot z cuane a sen ‘Adress; Boranagy Dumooa, ina een asantation | Date of Bit -Do0= eee pecan iy a S Sex: _'2 TIN No.: _ RAMIL L. ARTILLERO eo rangoy Ka Gon eee NO DEROGATORY RECORD ON THE FILE. THIS CLEARANCE IS HEREBY ISSUED FOR THE PURPOSE: JERRY A. BELUSO Barangay Kagawad CChaiman— Peace & Order —Ways & Means ARVIN D. AGUILAR Sk Chairperson CChaitenan ~ Sports & Development THUMBMARKS $ MARIO E. ARTLLERO Punonk8dfangay CHARITO D. AGANA Barangay Secretary ‘Signature of Ape RHEA A. DORDAS Barongay Treasure ammurity Tce Wo Republic of the Philippines OFFICE OF THE PUNONG BARANGAY BARANGAY DUMOLOG ity of Roxas Province of Capiz, el ‘MARIO E. ARTILLERO Date:_ ge 16, 2024 Punong Barangay ‘Overall Chairman STEPHEN A. MEDINA BARANGAY CLEARANCE Barangay Kagawod JOEY B. ALADO ere Record TO WHOM IT MAY CONCERN: CChaiman - Appropriations PACIFICO E. ARTILLERO Jr. THIS IS TO CeRnFY that the person whose ni Borangay Kagawad signature or thumb mark herein is a bonafide resider CChotmon - infrastucture: for a Barangay Cert [MERIBE A. ARTILLERO Borangay Kagawad Chairman = Agicuture CGUAMIE A. AGANA Choirmon Heath eSanttion | | ram amrusxo | xongayrogawe Gaon cation Place of Birth Occupation: CHARIIO D. AGANA ary RHEA A. DORDAS ci Republic of the Philippines OFFICE OF THE PUNONG BARANGAY BARANGAY DUMOLOG. City of Roxas Province of Capiz maroc amusto —_—| Punong Barangay | ‘Qver-il Chairman STEPHEN A. MEDINA BARANGAY CLEARANCE Barongay Kagawod, JOEY B. ALADO Barangay Kagawod (Chairman — Appropriations PACIFICO E. ARTILLERO J. Barangay Kagawad (Choimman - Agriculture RAMILL. ARTILLERO Borangay Kagowad CChaiman— Education JERRY A. BELUSO Barangay Kagawad Chatman ~ Peace & Order —Ways & Means ARVIN D. AGUILAR TO WHOM IT MAY CONCERN: THIS i$ TO Cerny that the person wh signature or thumb mark he Place of itt: Occupation: _ NO DEROGATORY THIS CLEARANCE IS HEREB| THUMBMARKS

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