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Republic of the Philippines

Province of Leyte
Municipality of Sta. Fe
BARANGAY BACULANAD
Republic of the Philippines
Province of Leyte
Municipality of Sta. Fe
BARANGAY BACULANAD

OFFICIAL
CORRESPONDENTS
BARANGAY CERTIFICATION

OFFICE OF THE BARANGAY KNOW ALL MEN BY THIS PRESENTS:


CHAIRMAN
This is to certify that:
Name : _________________________
HON. YOLANDA V. PETILLA Age : _________________________
Punong Barangay Birthdate : _________________________
Place of Birth : _________________________
Name of Mother : __________________________
MYRNA P. LADRERA Name of Father : __________________________
Barangay Treasurer
and a bonafied resident of
_________________________________________.
SHERLY B. CALCETA
Barangay Secretary This certification is issued upon the request of the
__________________________ interested party for the purpose of application for
certificate of livebirth at Municipal Civil Registrar.
BARANGAY KAGAWAD
DONE and ISSUED this ___ day of _____,
______ at ________________________________.
Hon. RODRIGO T. NATULLA JR.
Chairman, Committee on Peace and
Order

Hon. FIDELBERT P. BLANCO


Chairman, Committee on Agriculture ____________________________
Punong Barangay

Hon. ROLANDO C. MONTAÑO


Chairman, Committee on Infrastructure

Hon. FIDEL D. SERDEÑA


Chairman, Committee on Finance

Hon. ELSA P. PETILLA ____________________


Chairman, Committee on Social Signature over Printed Name
Services

Hon. GINA P. CINCO


Chairman, Committee on Health
OR #: __________
Issued at :_________
Hon. MONILET S. ENCISO Issued on : ________
Chairman, Committee on Education Left Right
THUMBMARK

Hon. RALF P. LADRERA


Chairman, Committee on Youth and
Sports Development
Republic of the Philippines
Province of Leyte
Municipality of Sta. Fe
BARANGAY BACULANAD

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