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Republic of the Philippines

Province of ________________
City ______________________
BARANGAY __________
OFFICE OF THE PUNONG BARANGAY

ARNOLD G. VECINO
Punong Barangay

BENIGNO Y. ABRENICA
Committee on Budget

GINA E. DOCTOR
Committee on Rules & Privileges
TO WHOM IT MAY CONCERN:
EDUARDO H. REYES JR.
Committee on Women & Family

DOMINGO P. ORILLO JR. This is to certify that as per available records


filed in this office the name __________________is a
Committee on Environment
bonafide registered resident at ___________________
___________________________________________________.,
RODOLFO B. LIM She is also appear on this office to secure this
Committee on Peace and Order CERTIFICATION regarding her SOLO PARENT I.D,and also
she is still single no husband and she is solely
RODOLFO P. JUANICH raising her child.
Committee on Human Rights

CYRUS S. MIRANDA This CERTIFICATION is issued upon the request of


the interested party as a supporting documents for
SK Chairman
this application for SOLO PARENT I.D

Given this 09 day of October 2019.

_____________________
Punong Barangay
*not valid without dry seal*

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