CERTIFICATION OF CLEARANCE OF LABOR AND

MATERIALS

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT I Vincent M. Javier, of legal age, Married, Filipino and residing
at Baybayog, Alcala, Cagayan proprietor/manager of VIN JEFF CONSTRUCTION have fully paid
the materials, salaries wages and all the financial obligation in connection to the following
projects: CONCRETING OF SIMBALUCA – MAGGURIT ROAD

THAT I am executing this affidavit as part of the requirement for the final billing of the
said project.

In faith whereof, I hereby affix my signature this ________ day of ______________ 2023
at the Municipality of Santa Teresita, Cagayan.

VINCENT M. JAVIER
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of _______ 2023

at________________________________________________, Philippines. Affiant/s is/are
personally known to me and was/were identified by me through competent evidence of
identity as defined in the 2004 Rules on Notarial Practice (A.M. No. 02-8-13-SC). Affiant/s
exhibited to me his/her driver’s license, with his/her photograph and signature appearing, with
no. P9806166a.
Witness my hand and seal this _____________ day of ___________________

Doc. No. ___________

Page No. ___________
Book No. ___________
Series of ___________