REPUBLIC OF THE PHILIPPINES

City of Makati
Barangay Pio del Pilar

Barangay Captain
Hazel Ann Lacia B.C No.

Barangay Council BARANGAY CLEARANCE

Members:

Kgd, Jaime T. Duallo This is to certify that

Kgd, Joel B. Amamento of legal age, married/single/widow/separated, filipino with residence and

Kgd, Hazel Ann S. Lacia postal address at

Kgd, Rolando G. Orca this Municipality, whose specimen signature appears, below has neither

Kgd, Rogelio A. Takeda pending case nor derogatory record file in this office.

Kgd, Aiza Deferia

Kgd, Cesar S. Parrucho I further certify that Mr/Mrs./Miss

is known to me to be a person with a good moral character reputation.

Barangay Secretary
Rosanna Y. Rosal
Issued this day of , at Brgy. Pio del Pilar Makati City,

Barangay Treasurer Philippines, upon the request of the interested party of whatever purpose it may
Maychelle J. Villanueva

Address: Recommending Approval:

1st Circle, Washington St.
Pio del Pilar, Makati CIty
Hazel Ann Lacia
Contact No.: City Accountant
839-5333/756-5421 Barangay Captain
756-0330

E-mail Address:

brgy.piodellpilar@gmail.com