Republic of the Philippines

Office of the Punong Barangay

Libertad, Butuan City
Tel. No. 816-1339

CERTIFICATION
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT _____________________________________,

_____ years old, Filipino, single/married/with live-in partner, is bonafide resident
of _______________________________________ Brgy. Libertad, Butuan City.

THIS IS TO CERTIFY FURTHER THAT that the above named person is

indigent and presently residing at the same address stated-above.

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

Done this _______ day of ___________________ 2022 at Barangay

Libertad, Butuan City, Philippines.

MENCHIE DIAZ-ROSARIO
Punong Barangay