Republic of the Philippines

Province of Eastern Samar

Municipality of ARTECHE
BARANGAY TANGBO

OFFICE OF THE BARANGAY CHAIRMAN

THIS IS TO CERTIFY that_______________________________,

______ a legal age, a resident of Barangay Tangbo, Arteche,
HON. ANTONIO M. MEJICA Eastern Samar, owner of one head, _______ Carabao.
Barangay Chairman

KAGAWADS Given this _____ day of _______________________2019

HON. NELIA M. OSIAS at Brgy. Tangbo, Arteche, Eastern Samar Philippines.
HON. JOSE RICKY O. REBATO
HON. ROWENA D. MADEJA
HON. FRANCISCO L. MONTALLANA
DESCRIPTION:
HON. ANGELYN B. DELMONTE Sex: _________
HON. MARLON P. DERILO Age: _________
HON. JENITA M. DALIMPAPAS

HON. KENT BRAYAN M. LOSAURA Having________ cowlick ________ in right side ________ in left
S.K Chairperson
side
MRS. JENNY D. BANARIO
Brgy. Secretary

MR. RYAN PAUL B. LOPEGA

Brgy. Treasurer

RIGHT SIDE LEFT SIDE

Prepared by:

MRS. JENNY D. BANARIO

Barangay Secretary Approved by:

HON. ANTONIO M. MEJICA

Barangay Chairman