Republic of the Philippines

Province of Bohol
Municipality of Calape
Barangay Looc

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF RESIDENCY
Reference No: 2024-01-12-015

TO WHOM THIS MAY CONCERN:

This is to certify that MR. ELPEDIO DUMARAN MOZO, married, Filipino of legal
age and a bona-fide resident of Barangay Looc, Calape, Bohol.

This is to further certifies that I personally known the above-mentioned name who was
residing in this barangay since birth up to this date.

This certification is issued upon the request of Mr. Elpedio D. Mozo for verification of
his residency and whatever legal purpose this may serve and this certification is valid for six (6)
months from the date issued.

Given this 12th day of January, 2024 at Looc Multi-Purpose Building, Looc,
Calape, Bohol.

JUANITO TOLEDO ODAL

Punong Barangay

Not valid without

Looc dry seal
Paid under OR# _5833542_
Issued at Looc, Calape, Bohol
Issued on __01-12-2024
Documentary Stamp Tax Paid