Republic of the Philippines

Province of Camarines Sur

Municipality of Nabua
Barangay Duran

Date:___________________

BLVING LENDING CORPORATION

San Juan Nabua,
Camarines Sur

I hereby authorize ___________________________________, a Barangay _________________

of this barangay to loan/re-loan from your office the amount of
________________________________________________, payment is deductable from his/her
monthly honorarium.
Should the said person be terminated from his/her position, I will assume the full responsibility
to settle his/her account in your office.

FILOMINA B. HABER HON. ALEXANDER B. JACOB

Barangay Treasurer Punong Barangay