BARANGAY OFFICIALS: Republic of the Philippines

Province of Pangasinan
ALLAN C. AQUINO Municipality of Bani
PUNONG BARANGAY
Barangay San Miguel
SANGUNIANG BARANGAY
MEMBERS:
OFFICE OF THE PUNONG BARANGAY
JACKIELOU A. AVILES
Barangay Kagawad
(Committee In-Charge in Waste CERTIFICATE OF RESIDENCY
Management)

TO WHOM IT MAY CONCERN:

NIMFA A. MAYOR
Barangay Kagawad
(Committee In-Charge in Health)
(Committee In-Charge Women and THIS IS TO CERTIFY that ANTONIO C. GUTIEREZ, a Filipino
Family)
31 years old, born on September 27, 1990 is known to me
NARCISO C. RAGSAC personally that she is an actual resident of Barangay San Miguel, Bani,
BARANGAY KAGAWAD Pangasinan.
(Committee In-Charge in Education)
(Committee In-Charge Ways and Means)
This certification is being issued upon the request of
ALBERT O. PERALTA the said person for Legal purpose.
BARANGAY KAGAWAD
(Committee In-Charge in Peace and
Order) Given this 25th DAY OF FEBRUARY, 2022 at Barangay San
Miguel, Bani, Pangasinan.
WILLY D. CARINO
BARANGAY KAGAWAD
(Committee In-Charge in Appropriation)

DANILO T. MINOR
BARANGAY KAGAWAD
Certified by:
(Committee In-charge in Infrastructure )

ALLAN C. AQUINO
RONALD S. CORILLA Punong Barangay
BARANGAY KAGAWAD
(Committee In-Charge in Agriculture)

DONNA ALLANE T. SISON

SK CHAIRMAN ANTONIO C. GUTIEREZ
(Committee In-Charge in Sports)
Signature Over Printed Name
RODOLFO A. QUIBUAN
BARANGAY TREASURER
Right
NENITA T. SISON Thumb Mark
BARANGAY SECRETARY

Reference No. 022 Series of 2022