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Republic of the Philippines

Province of Agusan del Norte


CITY OF CABADBARAN

OFFICE OF THE PUNONG BARANGAY

HON. SOCORRO R. DE LEON


Punong Barangay

CERTIFICATION
BARANGAY KAGAWAD:

HON. JEMOTEO E. DULTRA


HON. LORENZO C. PULLUAN
HON. ROMEO P. MELLORIA JR.
HON. JAY T. DULTRA
HON. CIRILO J. CAGADAS
TO WHOM IT MAY CONCERN:
HON. REX D. LAMOSTE
HON. PORFERIO S. CABUNGCAL JR. THIS IS TO CERTIFY that DIXIE K. CALDOZA, 73 years old,
widow, Filipino, is a bonafide resident of Purok 2, Barangay 4, City of
HON. ANNA FE D. BAGUIO Cabadbaran, Province of Agusan del Norte.
SK Chairperson

FURTHER CERTIFIES that DIXIE K. CALDOZA and DEXIE KWAN


MS. CRISTINA S. MELLORIA CALDOZA is the same person.
Barangay Secretary

MS. DIOLY R. BATITANG


Barangay Treasurer This certification is being issued upon the request of the
MS. JACKIE LOU C. BASADRE
above-named person for Social Amelioration requirement.
Barangay Record Keeper

Given this 29th day of July, 2020 at the office of the


undersigned, Barangay 4- Perpetual Succor, City of Cabadbaran,
Province of Agusan del Norte.

SOCORRO R. DE LEON
Punong Barangay

Not valid without seal


Series of 2020
Telephone No. (085) 818-6433 * email – LGU.B4.CBRCITY@gmail.com
Purok 3, Brgy. 4, City of Cabadbaran

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