C R S Form No.

4 ( CENOMAR )

Republic of the Philippines

PHILIPPINE STATISTICS

AUTHORITY
Manila

OFFICE OF THE CIVIL REGISTRAR GENERAL

August 1, 2023

TO WHOM IT MAY CONCERN:

We certify that GLORIA MENIOTO SALMORIN who is alleged

to have been born on MARCH 25, 1978 in Kimarayag, Pigkawayan North Cotabato to
ERNISTO APONGAN SALMORIN and TERESITA GALLANO MENIOTO does not appear in our
National Indices of Marriages.

This certification is based on the records of 1945-2023 marriage enrolled in the

database as of July 30, 2023.

Issued upon the request of GLORIA MENIOTO SALMORIN for Marriage .

CLAIRE DENNIS S. MAPA, Ph. D.

National Statistics and Civil Registrar General
Philippines Statistic Authority

Documentary
Stamp Tax Paid

Note: This certification is not valid if it contains erasures or alterations.

 ------------------------------------------------------------------------------------
Republic of the Philippines
PHILIPPINE STATISTICS AUTHORITY
OFFICIAL RECEIPT
OR No. 2OOO9O-12O_23-AAF-OOO56
MENIOTO,
GLORIA S.
AMOUNT
-------------------------------------------
Tran No. O7665-12O-OOO67-OO2
GLORIA S MENIOTO O3/25/1978
CENOMAR
Unit Cost: 21O.OO Qty. 1 21O.OO
TOTAL 21O.OO
AMOUNT TENDERED 21O.OO
CHANGE O.OO
CASH
INCLUDES DOCUMENTARY STAMP TAX OF
PHP3O.OO OD/COPY
-------------------------------------------
Collecting Officer: CLAIRE DENNIS S. MAPA
Terminal Cod: 31
Daye-Time O8/O1/2O23 O8:21:43AM
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