Republic of the Philippines

Region X
PROVINCE OF LANAO DEL NORTE
Municipality of Sultan Naga Dimaporo
Barangay Pikalawag
-oOo-

Office of the Punong Barangay

_________________________________________________________________________

AUTHORIZATON

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that BENAMEN D. DAMATO, 37 , of legal age, ( ) single, / ( ) married, / ()

widow, a bona fide resident of Purok 5 Barangay Pikalawag Sultan Naga Dimaporo, Lanao Del Norte to

process an electrical connection at Lanao del Norte Electrec Cooperative LANECO Office, Sultan Naga

Dimaporo, Lanao Del Norte, Philippines,

Issued this 5th day of JANUARY 2024 at Barangay Pikalawag Sultan Naga Dimaporo, Lanao del Norte

Philippines,

__________________________ _____________________
Applicant Tenant Land Owner

__________________________ __________________________
Witness Witness (Barangya Kagawad)

__________________________
Witness (Barangya Kagawad)

Barangay Seal HON. MARDY P. MUNDI

Punong Barangay
Barangay Seal

HON. MARDY P. MUNDI

Barangay Chairman