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Republic of the Philippines

Province of Bulacan
Municipality of San Ildefonso
BARANGAY BULUSUKAN

OFFICE OF THE BARANGAY CHAIRMAN

BULUSUKAN
BARANGAY OFFICIALS
CERTIFICATE OF INDIGENCY
ALVIN N. INDUCIL
Brgy. Captain
This Certificate of Indigency is hereby issued to:

RUSTAN M. PASTRANA NAME:


Brgy. Councilor
Birthday:
Civil Status
RONALDO S. GUANSING
Brgy. Councilor Home Address:

JOSE S. VALMOCINA
Brgy. Councilor Date of Issue:
Place of Issue:
MIGUEL J. HIZON
Brgy. Councilor
Purpose:
ROSE MARCOSO
Brgy. Councilor This is to certify that the above person is a bonafide resident of Barangay
Bulusukan San Ildefonso, Bulacan is known to me personally to be a person of good
moral character and law-abiding citizen of the Barangay.
CORAZON C. DE OCAMPO
Brgy. Councilor
I further certify that according to the records on the file in this office the
above names/family belongs to the indigent sector of the Barangay. That said
RUFINO M. HIZON person’s income does not exceed the amount quota per annum.
Brgy. Councilor
Given this at the Office of the Punong Barangay,
FRANK BENZ H. HIZON Barangay Bulusukan San Ildefonso, Bulacan, Philippines.
SK Chairman
ALVIN N. INDUCIL
Adelina Y. Hizon Barangay Captain
Secretary
(Not valid without Barangay Dry Seal)

Lielani C. De Guzman
Treasurer

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