Republic of the Philippines

Province of Samar
Barangay Municipality of Calbiga
BARANGAY TIMBANGAN
Officials
HON. JAIME S. ABANTAO
Punong Barangay OFFICE OF THE PUNONG BARANGAY
HON. GINA R. JABONETE
Barangay Kagawad
(Comm. on Peace & Order) CERTIFICATION
HON. PIO P. MENDAÑO
Barangay Kagawad
TO WHOM IT MAY CONCERN:
(Comm. on Legal Matters)

HON. NENITA S. PAKIT THIS IS TO CERTIFY that _____________________________,

Barangay Kagawad
(Comm. on Finance & Budget
a Filipino, Age: _______, Sex: _____________, Status:
Appropriation) ____________, is a bonafide resident and a registered voter
HON. LILIO M. SOLAYAO of this barangay who is personally known to be a low-
Barangay Kagawad abiding citizen with good reputation.
(Comm. on Infrastructure & Public
Works)
This certification is being issued upon the request of
HON. LESLIE N. SOLAYAO the interested party for whatever legal purpose it may
Barangay Kagawad
serve best.
(Comm. on Health & Sanitation)

HON. SUSANA Y. JABONETE GIVEN this _______ day of ________________, 202__ at

Barangay Kagawad the Office of the Punong Barangay, Barangay Timbangan,
(Comm. on Women & Family)
Calbiga, Samar, 6715, Region VIII, Philippines.
HON. JUANITA S. MABUTOL
Barangay Kagawad
(Comm. on Agriculture, Natural
Resources & Environment)

HON. JOHN CARL P. NIDEA

SK Chairperson HON. JAIME S. ABANTAO
(Comm. on Youth & Sports Punong Barangay
Development)

NERISSA G. MENDAÑO
Barangay Secretary
__________________________________
MARY JOY P. PAGTABUNAN Applicant’s Signature/
Barangay Treasurer Thumb Print

-oOo-
Paid Under OR No.: ____________
Amount Paid : _______________
Date : _______________