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indigency certificate

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Jairah Marie
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24 views

indigency certificate

Uploaded by

Jairah Marie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SANGGUNIANG Republic of the Philippines

Province of Leyte
BARANGAY
Municipality of Sta. Fe
Brgy. Katipunan
-o0o-
HON. ROMEO B. PALAMOS
PUNONG BARANGAY OFFICE OF THE barangay chairman

HON. JOHN PAUL P. SORIA


BRGY. KAGAWAD
CERTIFICATE OF INDIGENCY

HON. ALDRIN P. LACABA


BRGY. KAGAWAD TO WHOM IT MAY CONCERN:

HON. ROWENA P. BIDUA THIS TO CERTIFY that VIOLETA P.


BRGY. KAGAWAD
LACABA, of legal age, married, Filipino
citizen is a bonafide resident of Zone 3A,
HON. VON RICHARD D. Brgy. Katipunan, Sta. Leyte.
COSTIMIANO
BRGY. KAGAWAD It is further certified that the above-
named individual belongs to a low income
or an indigent family.
HON. RODOLFO O. CARBA
BRGY. KAGAWAD
This CERTIFICATION is being issued
upon the request of the above-named person
for MEDICAL ASSISTANCE and / or for
HON. MARIA NORMA R.
FRANCISCO whatever legal purposes it may serve.
BRGY. KAGAWAD
Issued on the 17th day of November
2023, at the office of Punong Barangay, Brgy.
HON. JENNIFER P. CHUCA Katipunan Sta. Fe, Leyte.
BRGY. KAGAWAD

HON. IVY JEAN PALAMOS


SK CHAIRPERSON Certified by:

SOLEDAD R. CARDINES HON. ROMEO B. PALAMOS


BRGY. TREASURER
Punong Barangay

LOIDA M. MABAIT
BRGY. SECRETARY

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