Republic of the Philippines

Province of Masbate
Municipality of Dimasalang
Barangay: BURACAN

To Whom it may concern:

This is to certify that ______________________________________ of legal age,

Filipino and a resident of Barangay ________________________, Dimasalang, Masbate
is found to be indigent.

This certification further certifies that the above named person and his/her family has
________________ damaged house caused by tropical storm Jolina on September 7,
2021.

This certification is issued upon the request of the above named for whatever legal
purposes it may serve him/her best.

Given this 21st day of September, 2021.

ROGER A. BULAN
Punong Barangay