Republic of the Philippines

Province of Negros Oriental

CITY OF BAIS
Barangay CONSOLACION
-oOo-

Office of the Punong Barangay

Barangay Certification
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that MR. BONITO S. ORDUÑA, legal age, Male, Married, and a
resident of, Barangay Consolacion, Bais City Negros Oriental.

THIS FURTHER CERTIFIES, that he is known to me as a person of good moral character, law-
abiding citizen and has never been violated any law, ordinance or rule duly implemented by the
government authorities.

ISSUED on this 4th day of MARCH 2024, upon request of the interested party, for whatever
purpose it may serve.

JOSE RAMON G. BOUFFARD

Punong Barangay
______________________________
Specimen Signature of Applicant

Issued No. 051

OR # _______________
Issued on: February 28, 2024

JOSE RAMON G. BOUFFARD

PUNONG Barangay

Sangguniang Member
FAYE NINOTSCHKA T. DINGAL, CARACIOLO A. DAGO-OC, CRISTITO S. BENLOTA, BRUNO B.
BOUFFARD IV
NORMA O. SABANAL, REJANE V. CAMACHO, LEOPOLDO G. UTLANG JR.

JUCO NIŇO E. BASAY

SK CHAIRMAN
MA. LEIZEL U. BENLOTA MARIA MALOU T. CATA-AL
Barangay SECRETARY Barangay TREASURER
 Republic of the Philippines
Province of Negros Oriental
CITY OF BAIS
Barangay CONSOLACION
-oOo-

Office of the Punong Barangay

Barangay Indigency
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that MS. BRITNEY MAE U. BENLOTA , legal age, Female,
Single, bonified residents & registered voters of Barangay Consolacion, Bais City Negros Oriental.

THIS IS TO CERTIFY FURTHER, that the above-mentioned name and his/her family is a classified as
“INDIGENT” in this Barangay

THIS CERTIFICATION, is being issued upon request for FINANCIAL ASSISTANCE, for
whatever legal purposes it may serve him/her best.
ISSUED, this 4st day of MARCH 2024, at the Barangay Consolacion, Bais City Negros Oriental.

JOSE RAMON G. BOUFFARD

Punong Barangay
______________________________
Specimen Signature of Applicant

Issued No. 051

OR # _______________
Issued on: MARCH 4, 2024

JOSE RAMON G. BOUFFARD

PUNONG Barangay

Sangguniang Member
FAYE NINOTSCHKA T. DINGAL, CARACIOLO A. DAGO-OC, CRISTITO S. BENLOTA, BRUNO B.
BOUFFARD IV
NORMA O SABANAL, REJANE V. CAMACHO, LEOPOLDO G. UTLANG JR.

JUCO NIŇO E. BASAY

SK CHAIRMAN
MA. LEIZEL U. BENLOTA MARIA MALOU T. CATA-AL
Barangay SECRETARY Barangay TREASURER
 Republic of the Philippines
Province of Negros Oriental
CITY OF BAIS
Barangay CONSOLACION
-oOo-

Office of the Punong Barangay

Barangay Certification Electric Connection

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that MRS. MARILYN R. ALCAZAR , legal age, Female, Widow, is an
applicant for Electric Connection, residential building, and a lot owner located in Beautiful Homes
Subdivision of Barangay Consolacion, Bais City Negros Oriental

THIS FURTHER CERTIFIES, that per ocular inspection and verification by Committee on
Development Projects / Public Works and Utilities/ Infrastructure there is no legal impediment nor any
conflict of ownership or the right to use the area where such connection is sought for.

ISSUED, this 26th day of FEBRUARY 2024, at the Barangay Consolacion, Bais City Negros
Oriental. Philippines.

JOSE RAMON G. BOUFFARD

Punong Barangay
______________________________
Specimen Signature of Applicant

Issued No. 041

OR # _______________
Issued on: February 26, 2024

JOSE RAMON G. BOUFFARD

PUNONG Barangay

Sangguniang Member
FAYE NINOTSCHKA T. DINGAL, CARACIOLO A. DAGO-OC, CRISTITO S. BENLOTA, BRUNO B.
BOUFFARD IV
NORMA O SABANAL, REJANE V. CAMACHO, LEOPOLDO G. UTLANG JR.

JUCO NIŇO E. BASAY

SK CHAIRMAN
MA. LEIZEL U. BENLOTA MARIA MALOU T. CATA-AL
Barangay SECRETARY Barangay TREASURER
Republic of the Philippines
Province of Negros Oriental
 CITY OF BAIS
Barangay CONSOLACION
-oOo-

Office of the Punong Barangay

Certification of Cohabitation

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that MR. ELMAR JAY L. ABINA AND MARY GRACE M.
CANCIO, both legal age, is a LIVE – IN PARTNER / COUPLE for living as a spouse in good faith,
taking on all of the tasks and responsibilities that follow with being in the said relationship, cohabiting in
the same household, and both holding themselves out to the community as spouses in 1 year and 4 months
and a resident of Barangay Consolacion Bais City Negros Oriental.

THIS CERTIFICATION, is being issued upon the request of the above-named person for whatever
legal purposes it may serve.

GIVEN, this 1st day of MARCH 2024, at the Barangay Consolacion, Bais City Negros Oriental.
Philippines.

JOSE RAMON G. BOUFFARD

Punong Barangay
______________________________
Specimen Signature of Applicant

Issued No. 042

OR # _______________
Issued on: MARCH 01, 2024

JOSE RAMON G. BOUFFARD

PUNONG Barangay

Sangguniang Member
FAYE NINOTSCHKA T. DINGAL, CARACIOLO A. DAGO-OC, CRISTITO S. BENLOTA, BRUNO B.
BOUFFARD IV
NORMA O SABANAL, REJANE V. CAMACHO, LEOPOLDO G. UTLANG JR.

JUCO NIŇO E. BASAY

SK CHAIRMAN
MA. LEIZEL U. BENLOTA MARIA MALOU T. CATA-AL
Barangay SECRETARY Barangay TREASURER
.