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BARANGAY COUNCIL OF STO.

ROSARIO
Republic of the Philippines
Pandan, Antique 5712
MULTI-PURPOSE HALL

OFFICE OF THE PUNONG BARANGAY

STO. ROSARIO BARANGAY


COUNCIL BARANGAY CLEARANCE
JEYNEIL C. NAQUERA TO WHOM IT MAY CONCERN:
Punong Barangay
This is to certify that the person whose name, signature and thumb
COMMITTEES: marks appear below is requesting a clearance from this Barangay and
the results is/are stated under:
RUTH S. MANES
Chairman, Committee on NAME: MYLA I. MAGLANTAY SEX: FEMALE
Appropriation/Ways & Means
BIRTHDAY: MAY 11, 1985 AGE: 33 years old
JUREX C. EBON CIVIL STATUS: MARRIED CITIZENSHIP: FILIPINO
Chairman, Committee on Rules and Good
Governance/Cooperative & Economics ADDRESS: BARANGAY STO. ROSARIO, PANDAN, ANTIQUE.
MYLA I. MAGLANTAY This certifies further that the above-mentioned name is of good moral
Chairman, Committee on Health and character, law abiding citizen and has no derogatory record in our
Sanitation/Environmental
Protection/Agriculture Barangay files to date.
This clearance is being issued upon the request of above-
ARCHIE M. CANGAYDA
Chairman, Committee on mentioned name for DIRECT SELLING REQUIREMENTS
Education/Tourism and whatever legal purposes it may serve.

JONNA C. DELOS SANTOS Given this 22nd day of JULY , 2018.


Chairman, Committee on Women,
Children & Family Affairs

ANSELMO C. GELLADO
Chairman, Committee on ______________________
Infrastructure/Public Works Signature of Applicant
EDUARDO V. DELOS SANTOS
Chairman, Committee on Peace &
Order/Human Rights Left Right APPROVED:
THUMBMARKS
JANMARK S. EBON
Chairman, Committee on Youth & Sport
Development Program/Communication
Fees Paid: P 50.00 HON. JEYNEIL C. NAQUERA
O.R. No.: Punong Barangay
MADELYN B. PATEÑO Issued On: 07/22 /2018
Barangay Treasurer
Issued At: Pandan, Antique
AUBREY S. BERNABE CTC No.:
Barangay Secretary Issued On:
Issued At: Pandan, Antique
Note: Valid only until December 31, 2018.
A mark, erasure or alteration of any entry invalidates this clearance.

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