Republic of the Philippines

Province of Cagayan
MUNICIPALITY OF STA. TERESITA
BARANGAY SIMPATUYO

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION
Barangay Officials THIS IS TO CERTIFY EMMA
ANDRES AMOG of legal age, is a resident
of Simpatuyo, Sta. Teresita, Cagayan.
Hon. Severino T. Tacas Jr.
Punong barangay
THIS FURTHER CERTIFY that
she lost her Policy on Saranay ti Kailian.
Hon. Joy B. Rosal
Brgy. Kagawad
THIS CERTIFICATION is issued
Hon. Leyvanon B. Labsang upon request, to use the same for whatever
Brgy. Kagawad legal purposes it may serve.

Hon. Analyn Y. Padre Given this 24th day of March, 2022

Brgy. Kagawad at Barangay Hall Simpatuyo, Sta. Teresita,
Cagayan.
Hon. Diosdado I. Yapit
Brgy. Kagawad

Hon. Susan P. Yago

Brgy. Kagawad
SEVERINO T. TACAS JR.
Punong Barangay
Hon. Linda P. Labsang
Brgy. Kagawad

Hon. Edgar C. Soliven

Brgy. Kagawad