Republic of the Philippines

Province of Masbate
Municipality of Milagros
BARANGAY NARANGASAN

CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify that, per records of this office, Ms/Mrs/Mr. _________________________________,

________ years of age, and a resident of _____________________ is in the list of Locally Stranded Individuals
of this Barangay and has been stranded in this Barangay from _________ to _________ due to the imposition
of the Enhanced Community Quarantine in Luzon.

This is to certify further that the above mentioned individual:

Has completed the 14-days quarantine based on the quarantine standards set by the Department
of Health (DOH)

Is neither a contact ,suspect or probable or confirmed COVID-19 case

Issued this ______ day of May 2020 for the purpose of the issuance of Medical Clearance Certificate
by the Municipality Health officer concerned by the Municipality of Milagros, Masbate as one of the
requirements for the issuance of Travel Authority.

HON. JOSE JOHNSON A. VICTORIA

Punong Barangay