BARANGAYCERTIFICATION

(For travel of things)

TO WHOM IT MAY CONCERN;

THIS IS TO CERTIFY that _____________________________________, of

legal age, Filipino_______________, is a bona fide resident of Purok-________,
Barangay San Fermin, Cauayan City, Isabela.

THIS IS TO CERTIFY FURTHER that the above-named person has

granted a permission to transport/travel/transfer their personal belongings
(attached herewith is the list of personal belongings subject for transport) from
Barangay San Fermin, Cauayan City, Isabela to ______________________________,
loaded in ___________________ vehicle with plate Number ___________________ by
the Driver, _____________________________ on _______ day of _____________, 2019.

THIS CERTIFICATON is being issued upon the of the above-named

person for any purpose it may legally serve.

VICTOR H. DY, JR.

Punong Barangay

For:

_________________________
Officer of the Day
Sangguniang Barangay

Dry Seal

OR No.:
Amount: 150.00

Note: Any Alteration or Erasure will invalidate this Certification.

Not valid without Official Receipt.