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Republic of the Philippines

OFFICE OF THE PUNONG BARANGAY


BARANGAY TONGONAN
Ormoc City

CERTIFICATION

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that the below-listed names had rendered nine (9) days of work under the food for work
program of the Ormoc LGU, thus are qualified to receive the rice assistance.

Done this ___________ day of ___________________, 20___ at Ormoc City, Leyte, Philippines.

______________________________
PUNONG BARANGAY

MARIBEL V. GUCELA, RSW


OIC-CSWD OFFICER
DISTRIBUTED AND WITNESSED BY:

MARILOR P. GUTIEREZ
ADMIN ASSISSTANT III

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