Republic of the Philippines

Province of Tarlac
Municipality of Camiling
BARANGAY BILAD

SANGGUNIANG KABATAAN CERTIFICATION (SKC)

To: THE BANK MANAGER PBC No.

Land Bank of the Philippines Date:
Camiling, Tarlac

Dear Sir/Madam,
This is to certify that the following checks were duly issued by Barangay Bilad Camiling, Tarlac,
complete with respective Disbursement Vouchers and supporting documents.

Account Check Date Payee Amoun Purpose

No. No. t

This Certification is issued, pursuant to COA Circular 2019-001, dated_January 30, 2019, as condition
for the encashment of said checks.
The undersigned attests to the truthfulness of the foregoing facts, under pain of liability of falsification,
pursuant to Article 171(4) of the Revised Penal Code.

Very Truly Yours,

HON. KIM RUSSELL D. DELA CRUZ

SK CHAIRPERSON

Delivered By: Received By:

MARK CYRILL P. VICENTE

Sangguniang Kabataan Treasurer Bank Representative