Barangay Laguinbanwa

Municipality of Mandaon
Province of Masbate

SKCC No.: 2023- Laguinbanwa- 009

Date: June 20, 2023

To: Masbate Branch, Masbate City

Development Bank of the Philippines
Masbate Branch, Masbate City

Sir/ Madam:

This is to certify that the following checks were duly issued by SK of Barangay Laguinbanwa, Mandaon, Masbate,
(Ito ay nagpapatunay na ang mga cheke na nakalista ay na-isyu ng SK Baranggay Laguinbanwa, Mandaon, Masbate,)
complete with respective Disbursement Vouchers and supporting documents.
(na kompleto ng kanya- kanyang Disbursement Vouchers at kalakip na mga dokumento.)

Account No. Check No. Date Payee Amount Purpose

0-01412-625-6 0073379818 06/20/2023 Ivy Lenel L. Burgos 21,000.00 CA

TOTAL 21,000.00

The undersigned attests to the truthfulness of the forgoing facts, under pain of liability for Falsification,
(Pinapapatotohanan ng mga lagda ang mga nakasaad sa itaas batid ang pananagutan sa kasong “Falsification”,)
pursuant to Article 171 (4) of the Revised Penal Code.
(sang- ayon sa Artikulo 171 (4) ng Revised Penal Code.)

Very truly yours,

JUNE MICHAEL P. BELANO

SK CHAIRPERSON

Delivered By:

Date:

Received By:

Bank Representative

Date: