Republika ng Pilipinas

Lalawigan ng Bulacan
Bayan ng San Ildefonso
TANGGAPAN NG PUNONG BARANGAY
Sangguniang Barangay ng Bulusukan

BULUSUKAN
BARANGAY OFFICIALS
CERTIFICATE OF INDIGENCY
AILYN S. CALDERON This Certificate of Indigency is hereby issued to:
Brgy. Captain
Name:
GERRY T. IGNACIO Birthday:
Brgy. Councilor
Civil Status:

JOSE S. VALMOCINA JR. Home Address: BULUSUKAN, SAN ILDEFONSO, BULACAN

Brgy. Councilor
Date of Issue:
Place of issue: MULTIPURPOSE HALL, BULUSUKAN, SAN
MIGUEL J. HIZON
Brgy. Councilor ILDEFONSO, BULACAN
Purpose: FOR MEDICAL ASSISTANCE
REYNOLD R. CORREA
Brgy. Councilor
This is to certify that the above person is a bonafide resident of Barangay
LEO V. JOSON Bulusukan San Ildefonso, Bulacan is known to me personally to be a person of
Brgy. Councilor good moral character and law-abiding citizen of the Barangay.

ROSE N. MARCOSO I further certify that according to the records on the file in this office the
Brgy. Councilor above names/family belongs to the indigent sector of the Barangay. That said
person’s income does not exceed the amount quota per annum.
JECIMAE E. CORREA
Brgy. Councilor
Given this at the Office of the Punong
Barangay, Barangay Bulusukan San Ildefonso, Bulacan, Philippines.
KYLE ANDREI S. CALDERON
SK Chairman

_____________
RYAN C. CALDERON Signature
Secretary

AILYN S. CALDERON
LIELANI C. DE GUZMAN Barangay Captain
Treasurer (Not valid without Barangay Dry Seal)