Republic of the Philippines

PROVINCE OF LEYTE
Municipality of Mahaplag
Barangay Mabuhay

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION OF INTERNMENT

TO WHOM IT MAY CONCERN:

This is to certify that on the 14TH of October,2023, the remains of:

Name of Deceased: JOSEFINA MACALE BAJORA

Date of Birth: SEPTEMBER 21,1946
Date of Death: OCTOBER 07,2023
Place of Death: OSPA-FARMERS MEDICAL CENTER
Cause of Death: Cerebrovascular Accident || Bilateral Parieto
were interred in the Mahaplag Public Cemetery located at Barangay Upper, Mahaplag
Leyte .The burial was performed in accordance with the religious or cultural customs and
traditions of the deceased or as specified by the family.
This Certificate of Interment is issued based on the burial permit duly authorized by the
relevant authorities in compliance with the applicable laws and regulations governing
burial procedures.
I attests to the accuracy and authenticity of the information provided herein.
This certification is issued upon the interested party for whatever legal purpose this may
serve him/her best.
Issued on this 17th of October, 2023 at Office of the Punong Barangay, Mabuhay Mahaplag
Leyte

Attested by:
Hon. Joel A.
Alvarado
PUNONG
BARANGAY

VALID W/O OFFICIAL SEAL