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Barangay Bal-ason

Gingoog City
Province of Misamis Oriental
SANGGUNIANG KABATAAN CERTIFICATION (SKC)

SKC No.: 0002


Date: _____________

To: The Bank Manager

LANDBANK
Gingoog City

Sir:

This is to certify that the following check was duly issued by Brgy.Bal-ason, Gingoog SK,
complete with respective Disbursement Vouchers and supporting documents.

Account No. Check No. Date Payee Amount Purpose

This certification is issued pursuant to COA circular 2021-2022, dated July 25, 2023 as a
condition for the encashment of said check.

The undersigned attests to the truthfulness of the foreign facts, under pain of liability for
falsification, pursuant to Article 171 (4) of the Revised Penal Code.

Very truly yours,

Admir M. Bohost
SK Chairman

Delivered by: Received by:

Jho Ann H. Selocia _____________________


SK Treasurer Bank Representative
Date: July 25, 2023 Date: ____________

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