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Republic of the Philippines

Province of Davao del Norte


Municipality of Talaingod

MUNICIPAL HEALTH OFFICE

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to Certify that FO1 Jomel M Cortes, 34 years old of Purok 3 Sto. Niño,Talaingod, Davao del Norte,
received the following vaccines:

VACCINE DATE Vaccinator


Pneumococoal Vaccination (PPSV-23) January 3, 2022
FLU vaccination December 27, 2021

This certification is being issued upon the request of the interested party for whatever legal purpose it
may serve.

Issued this 11th day of July 2022 at Main Health Center, Talaingod Davao del Norte, Philippines

Thank you,

ZAIDA H. ADLAON, MD.


Attending Physician
License No. 052809
Republic of the Philippines
Province of Davao del Norte
Municipality of Talaingod

MUNICIPAL HEALTH OFFICE

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to Certify that FO1 John Michael A Tuba, 31 years old of Purok 10-C, Maniki, Kapalong, Davao del
Norte, received the following vaccines:

VACCINE DATE Vaccinator


Pneumococoal Vaccination (PPSV-23) January 3, 2022
FLU vaccination December 27, 2021

This certification is being issued upon the request of the interested party for whatever legal purpose it
may serve.

Issued this 11th day of July 2022 at Main Health Center, Talaingod Davao del Norte, Philippines

Thank you,

ZAIDA H. ADLAON, MD.


Attending Physician
License No. 052809

Republic of the Philippines


Province of Davao del Norte
Municipality of Talaingod

MUNICIPAL HEALTH OFFICE

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to Certify that FO1 Jomel M Cortes, 34 years old of Purok 3 Sto. Niño,Talaingod, Davao del Norte.

Also further certify that the above-mentioned persons has no history of travel to any with reported
confirmed case and no legal transmission or in contact patient who is suspect for COVID-19; so, to
consider as not PUM and not suffering from any related ill symptoms during interview.

This certification is issued upon the request of the interested party for his Fire Basic Training Course
(FBRC).

Done this _____ day of _________ at RHU -JBL, Sto. Niño, Talaingod Davao del Norte

Certified by:

ZAIDA H. ADLAON, MD.


Attending Physician
License No. 052809
Republic of the Philippines
Province of Davao del Norte
Municipality of Talaingod

MUNICIPAL HEALTH OFFICE

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to Certify that FO1 John Michael A Tuba, 31 years old of Purok 10-C, Maniki, Kapalong, Davao del
Norte.

Also further certify that the above-mentioned persons has no history of travel to any with reported
confirmed case and no legal transmission or in contact patient who is suspect for COVID-19; so, to
consider as not PUM and not suffering from any related ill symptoms during interview.

This certification is issued upon the request of the interested party for his Fire Basic Training Course
(FBRC).

Done this ______day of _________at RHU -JBL, Sto. Niño, Talaingod Davao del Norte

Certified by:

ZAIDA H. ADLAON, MD.


Attending Physician
License No. 052809

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