Republic of the Philippines

Province of Cagayan
Municipality of Sta. Praxedes
BARANGAY SALONGSONG

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that JUDALYN P. DOMINGO of legal age,

single/married is a bonafide resident of Barangay Salongsong, Sta. Praxedes, Cagayan and
that his/her family is one of the poor families of the barangay.

THIS IS TO CERTIFY FURTHER that JUDALYN P. DOMINGO is known to be

undersigned to be a person of good moral character and law abiding citizen in the locality.

THIS CERTIFICATION is issued to and upon the request of the above named
person for whatever legal purpose/s it may serve.

ISSUED this 17th day of May 2022 at Barangay Salongsong, Sta. Praxedes,
Cagayan, Region 02, Philippines.

MARLOU PAGATPATAN
Punong Barangay

Fee Paid Under :

O.R No. : 12255954
Date: 05-17-2022

Note: Not valid without official receipt.