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REPUBLIC OF THE PHILIPPINES

CITY OF ROXAS
PROVINCE OF CAPIZ
Barangay Punta Tabuc

OFFICE OF THE PUNONG BARANGAY


BARANGAY CLEARANCE TO OPERATE BUSINESS
BARANGAY OFFICIALS: TO WHOM IT MAY CONCERN:
HON. NESTOR A. BUENVIAJE This Business Permit is hereby granted to
Punong Barangay JOCELYN T.
____________________________________ to engaged/operate business
BUENVIAJE
of __________________________________
BOARDING HOUSE at Barangay Punta Tabuc,
KAGAWADS: Roxas City, pursuant to the provision of Barangay Revenue Ordinance No.
Hon. Reynaldo B. Barrios 2019-02 series of 2019, of this Barangay, as approved by the City Council
Hon. Edilberto B. Arroyo of Roxas City under Resolution No. 19-2021.
Hon. Dionesio M. Rose, Jr.
Hon. Gerardo D. Roxas, Jr. It is understood the issuance of this Barangay Clearance shall not exempt
Hon. Ma. Rossana F. Alcazaren the licensee from the fulfillment of the other requirement in connection
Hon. Romeo D. De Felipe with the operation of the business or in the conduct of an activity
Hon. Darwin D. Bunda prescribed under the existing Revenue Ordinance of the City.
Hon. Rejeh Mar Apolinario - SK
JOCELYN T.
Name of Applicant:____________________________________________
BRGY. SECRETARY Address of Applicant: BUENVIAJE
__________________________________________
SAN LORENZO VILLAGE,
Kristelle Anne Mae G. Begalan PUNTA TABUC, ROXAS
Nationality: ______________________Civil Status: _________________
MARRIED
FILIPINO
CITY
Nature of Business:____________________________________________
BOARDING HOUSE
BRGY. TREASURER Type of Organization:__________________________________________
SOLE
Herminia A. Olmedo Permit Expiry Date:____________________________________________
PROPRIETORSHIP
BRGY. RECORD KEEPER Issued this ___________ day5th of ________________________,
JANUARY 2023 at
Alejandre M. Refugio, Jr. Barangay Tabuc, Roxas City.

Prepared by: JOCELYN T.


____________________________
BUENVIAJE
(Name of Applicant)

KRISTELLE ANNE MAE G. BEGALAN


Barangay Secretary

C.T.C No.: _____________ HON. NESTOR A. BUENVIAJE


Date Issued:____________ Punong Barangay
Place Issued: _______________ (Not valid without seal)
Paid under O.R. No.: ___________
Amount: P__________350.00
__________________________________________________________________
_________________
“Tampad Nga Serbisyo Ang Igahatag Sa Inyo”

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