Brgy. Fee: P25.

00
Republic of the Philippines OR. No.: 2114425
Date: February 9, 2023
Province of Antique
Municipality of Laua-an
BARANGAY GUINBANGA-AN Signature of Affiant:
CTC No.
Issued at Laua-an, Antique
on

OFFICE OF THE PUNONG BARANGAY

DEATH CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that FELIX O. ZAMORAGA, male died last February 8,
2023,
Name of the deceased Gender Date of Death
born on September 1, 1968, 54 years old, died at Guinbanga-an,
Laua-an, Antique,
Date of Birth Age Place of
death
married, Iglesia ni Cristo resident of Guinbanga-an, Laua-an,
Antique, Filipino,
Civil status Religion Residence Address
Citizenship
Entrepreneur of parents _ANTONIO B. ZAMORAGA_ and _SOLEDAD
OBRIQUE_
Occupation First, Middle, Last) (First,
Middle, Last)

due to
_____________________________________________________.

This certification is issued to RHEA ROSE ZAMORAGA upon his request for
whatever legal purpose it may serve.

Given this 9th day of February 2023 at Guinbanga-an, Laua-an, Antique, Philippines.
 Brgy. Fee:
OR. No.:
JUANITO S. MARFIL Date:
Barangay Captain

Signature of Affiant:
CTC No.
Issued at Laua-an, Antique
MERLY JOY BANTOLO on
Barangay Secretary