Republic of the Philippines

Province of Pangasinan
Municipality of Manaoag

Barangay Pugaro
Office of the Punong Barangay

BARANGAY BUSINESS CLEARANCE

PERMIT NO: ________- _______

Pursuant to the provision of the Barangay Tax Revenue of Barangay Pugaro, Manaoag,
Pangasinan the Business Establishment whose name, address, and owner’s name ‘appears below Pis
now duly registered in this Barangay as provided for under Sec. 1520 of the Republic Act. No. 7160,
otherwise known as Local Government Code of 1991, to wit;

Type of Business :

Name of Business :

Owner’s Name :

Address of Business :
Zone _ Pugaro Manaoag Pangasinan

Issued this ________ day of _________________________ in Barangay Pugaro, Manaoag, Pangasinan.

___________________________________
Signature Over Printed Name
Hon. Bonifacio N.
Bigay
CTC No.: _______________________ (NOTE: This clearance must be displayed in a conspicuous place within the
establishment and always ask for the original clearance)

Issued On: ______________________

Valid up to December 31, 202___
Issued At: ________________ Not Valid Without Dry Seal