Republic of the Philippines

Province of Ilocos Norte

Municipality of Pinili
Barangay Lumbaan-Bicbica

OFFICE OF THE PUNONG BARANGAY

BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN:

“INABEL, IBANG LEVEL”

BARANGAY This is to certify that , year

OFFICIALS: of age, Filipino citizen and resident of Barangay Lumbaan-Bicbica, Pinili, Ilocos Nort

is personally known to me of good moral character and law-abiding citizen.

HON. FE MADARANG TIRO
This also certifies that subject person is not known to be connected with an
Punong Barangay
subversive organization.

This Barangay Clearance is issued upon the request of the subject person fo
SANGGUNIANG BARANGAY
MEMBERS whatever legal intent and purposes it may serve him/her best.

Issued this ____ day of , 2024 at Barangay Lumbaan

Bicbica, Pinili, Ilocos Norte.

HON. MARIFE M. PIDOT

HON. IRENE L. ABUCAY

HON. CONRADO B. MADARANG

ATTESTED BY:
HON. NOEL C. BALDOMIR

HON. MERVIN S. FALIBLE HON. FE M. TIRO

HON. RODOLFO R. BALDOMIR
Punong Barangay

HON. PERLITO C.. PALACAY

______________________
Claimant’s Signature
MARIVIC B. MADARANG
(BARANGAY SECRETARY)

CHARLENE BALDUGO
(BARANGAY TREASURER)

Community Tax Certificate No . : _________________

Official Reciept No. : __________________
Issued at:_Pinili,Ilocos Norte__
Issued on: _________________
Amount Paid: Php _50.00_