Republic of the Philippines

Province of Laguna
Municipality of Pangil
BARANGAY GOVERNMENT OF SULIB
Nat’l Road, Sulib, Pangil, Laguna
Tel. No. (049) 557-2545
Email Address: barangaysulibpangillaguna@yahoo.com
SANGGUNIANG
BARANGAY OFFICE OF THE PUNONG BARANGAY

HON. GERALD A. ARITAO BARANGAY CLEARANCE

Punong Barangay
TO WHOM THIS MAY CONCERN:

This is to certify that , years of

Barangay Kagawad
HON. RODRIGO D. TROPICALES
HON. JEMUEL JOE B. DURANTE
HON. ROBERTO V. DIAZ
HON. HENRY P. CABATIC
HON. VALERIO D. SANDIGAN
HON. ALEGRIA S. TENA
HON. ERLITO M. COLLANTES, JR
age, _, a native of is presently residing
and a registered voter of _ , Barangay Sulib, Pangil, Laguna.
He/She has been known by the undersigned to be a person of good moral
character, a law abiding and peace-loving citizen of the community. He/She has
never been involved in any critical criminal cases nor a member of any group or
movement which aims to subvert this duly constituted government of the
Republic of the Philippines. Certifying also that he/she did not violate
Barangay/Municipal Ordinances.

Garbage Collection Fee -Remarks __________________________________

JUDELIE D. DALIT Solid Waste Management -Remarks __________________________________
Barangay Secretary Mun. Ordinance No. 8 Yr 1996 -Remarks __________________________________
Brgy. Business Clearance Fee -Remarks __________________________________
Katarungan Pambarangay -Remarks __________________________________
PAZ L. DE RAMOS
Barangay Treasurer This certification is being issued upon the request of the above-named
person in connection with his/her application _.

JHON EDWARD B. UMALI GIVEN AND SIGNED this _ _ day of ____, 2018 in
Barangay Record keeper Barangay Sulib, Pangil, Laguna.

THUMBMARK
Left Right GERALD A. ARITAO
Punong Barangay

not valid without _________________________

dry seal
Signature of Applicant

CTC No: ___ _

Issued at: ___ _
Issued on: __ ____

GAA/jdd