Republic of the Philippines

Province of Tarlac
Municipality of La Paz
Barangay Comillas

OFFICE OF THE PUNONG BARANGAY

Barangay Clearance No. ______

Date:
________________

To Whom It May Concern:

This is to certify that M .______________________________, ___ years

old, single/married/widower is a bonafide resident of Barangay Comillas, La
Paz, Tarlac whose signature, fingerprint appear below is known to me with
good moral character and a law abiding citizen of this community.
That according to record kept available in this office subject
person has not been charged or convicted of any crime, violation in the
constitution, any law or ordinance.
This certification is issued upon request of subject individual for
whatever legal purpose it may serve.

___________________ Community Tax Cert. No. ___________

Applicant’s Signature Issued on: ________________
Issued at: _________________

Applicant’s Right Thumb mark

ERNESTO M. MANUEL
NOT VALID WITH OUT OFFICIAL SEAL Punong Barangay