Republic of the Philippines

PROVINCE OF SAMAR
MUNICIPALITY OF PAGSANGHAN
BARANGAY SAN LUIS

OFFICE OF THE PUNONG BARANGAY

BARANGAY CERTIFICATION
BARANGAY OFFICIALS
(One and the Same Person)

HON. EMILIANO G. VENANCIO TO WHOM IT MAY CONCERN:

*Punong Barangay*

THIS IS TO CERTIFY that, as per records of this office, the

HON. JANICE S. UY names ____________________________________________and
*Sangguniang Barangay*
______________________________________________ pertain to
HON. ERIC M. UY
*Sangguniang Barangay* ONE AND THE SAME PERSON, with
Mr./Mrs________________________________________ using the
HON. MYLENE M. AÑES
*Sangguniang Barangay*
name involving transactions with this barangay office and other
HON. ROBERT Y. CASTILLO government offices.
*Sangguniang Barangay*

HON. RAUL T. LAPICEROS

*Sangguniang Barangay* THIS CERTIFICATION is being issued upon the request of the
abovenamed person for whatever legal purpose it may serve him/her
HON. ANGELA V. PENSABER
*Sangguniang Barangay* best.

HON. DANILO E. BORDALLO

*Sangguniang Barangay*
ISSUED this _____ day of__________________, 2023, at
Barangay San Luis, Pagsanghan Samar.

HON. EMILIANO G. VENANCIO

Amount Paid: . Punong Barangay
O.R. No.: .
Date Paid: _____________
Note: This certification is validated with an official seal and does not have alteration. In case of
alteration, it is countersigned by the issuing officer.
 Official Seal .

Republic of the Philippines

PROVINCE OF SAMAR
MUNICIPALITY OF PAGSANGHAN
BARANGAY SAN LUIS

OFFICE OF THE PUNONG BARANGAY

BARANGAY ANTI-DRUG ABUSE COUNCIL CERTIFICATION

( B. A. D. A. C. )
BARANGAY OFFICIALS
TO WHOM IT MAY CONCERN:
HON. EMILIANO G. VENANCIO
*Punong Barangay* THIS IS TO CERTIFY that ____________________________
of legal age, single/married is a bonafide resident of Barangay San Luis,
HON. JANICE S. UY
*Sangguniang Barangay* Pagsanghan Samar and never been involved in any illegal drug related
activities.
HON. ERIC M. UY
*Sangguniang Barangay*

HON. MYLENE M. AÑES THIS CERTIFICATION is being issued upon the request of the
*Sangguniang Barangay*
interested party for whatever legal purpose it may serve.
HON. ROBERT Y. CASTILLO
*Sangguniang Barangay*
GIVEN this ____ day of _______________, 2023, at Barangay
HON. RAUL T. LAPICEROS
*Sangguniang Barangay* San Luis, Pagsanghan Samar.

HON. ANGELA V. PENSABER

*Sangguniang Barangay*

HON. DANILO E. BORDALLO

*Sangguniang Barangay*
 HON. EMILIANO G. VENANCIO
BADAC Chairman - Punong Barangay

Amount Paid: .
O.R. No.: . Note: This certification is validated with an official seal and does not have alteration. In
Date Paid: _____________ case of alteration, it is countersigned by the issuing officer.

Official Seal .

Republic of the Philippines

PROVINCE OF SAMAR
MUNICIPALITY OF PAGSANGHAN
BARANGAY SAN LUIS

OFFICE OF THE PUNONG BARANGAY

BARANGAY OFFICIALS BARANGAY BUSINESS PERMIT

Nature of Business: SARI-SARI STORE

HON. EMILIANO G. VENANCIO
*Punong Barangay* Proprietor: ________________________________
Permit Number: ________________________________
Address: Brgy. San Luis, Pagsanghan Samar
HON. JANICE S. UY Business Location: Brgy. San Luis, Pagsanghan Samar
*Sangguniang Barangay* Status: Operating
Valid until: ________________________________
HON. ERIC M. UY Amount Paid: ________________________________
*Sangguniang Barangay*
This Permit is being issued subject to existing rules and regulations, provided
HON. MYLENE M. AÑES however, that the necessary fees are paid to the Treasurer of the Barangay as
*Sangguniang Barangay*
assessed.
HON. ROBERT Y. CASTILLO
*Sangguniang Barangay*
This is non-transferable and shall be deemed null and void upon failure by the
HON. RAUL T. LAPICEROS owner to follow the said rules and regulations set forth by the Local Government
*Sangguniang Barangay*
Unit of Pagsanghan, Samar.
HON. ANGELA V. PENSABER
*Sangguniang Barangay*
GIVEN this ____ day of __________________, 2023 at Brgy. San Luis,
HON. DANILO E. BORDALLO Pagsanghan Samar.
*Sangguniang Barangay*
 ANABEL L. GOFREDO
Owner

Issued on: ____________

Issued at: Brgy. San Luis,
HON. EMILIANO G. VENANCIO
Pagsanghan Samar
Punong Barangay
O.R. No.: .

(This License, while in force, shall be posted in a conspicuous place in the premises)

Republic of the Philippines

PROVINCE OF SAMAR
MUNICIPALITY OF PAGSANGHAN
BARANGAY SAN LUIS

OFFICE OF THE PUNONG BARANGAY

BARANGAY CLEARANCE
BARANGAY OFFICIALS

TO WHOM IT MAY CONCERN:

HON. EMILIANO G. VENANCIO
*Punong Barangay*

THIS IS TO CERTIFY that __________________________,

HON. JANICE S. UY
*Sangguniang Barangay* ____ years old, Single/Married and a resident of Barangay San Luis,

HON. ERIC M. UY
Pagsanghan Samar is known to be of good moral character and law-
*Sangguniang Barangay*
abiding citizen in the community.
HON. MYLENE M. AÑES
*Sangguniang Barangay*
To certify further, that he/she has no derogatory and/or criminal
HON. ROBERT Y. CASTILLO
*Sangguniang Barangay* records filed in this barangay.

HON. RAUL T. LAPICEROS

*Sangguniang Barangay*
ISSUED this _____ day of _________________, 2023, at
HON. ANGELA V. PENSABER Barangay San Luis, Pagsanghan Samar upon request of the interested
*Sangguniang Barangay*
party for whatever legal purpose it may serve.
HON. DANILO E. BORDALLO
*Sangguniang Barangay*
 HON. EMILIANO G. VENANCIO
Punong Barangay
O.R. No.: .
Date Issued: ____________
Doc. Stamp: Paid
Note: This certification is validated with an official seal and does not have alteration. In
case of alteration, it is countersigned by the issuing officer.

Official Seal .
Republic of the Philippines
PROVINCE OF SAMAR
MUNICIPALITY OF PAGSANGHAN
BARANGAY SAN LUIS

OFFICE OF THE PUNONG BARANGAY

BARANGAY OFFICIALS BARANGAY CERTIFICATION

HON. EMILIANO G. VENANCIO

*Punong Barangay* This is to certify that Mr./Mrs. __________________________
, ____ years old, whose postal address at Barangay San Luis,
HON. JANICE S. UY Pagsanghan Samar is a bonafide member and resident of this Barangay.
*Sangguniang Barangay*

HON. ERIC M. UY
*Sangguniang Barangay* Further certifies that he/she has no derogatory record and has
good moral character as per our Barangay record is concerned.
HON. MYLENE M. AÑES
*Sangguniang Barangay*

HON. ROBERT Y. CASTILLO This certification is being issued upon request of the interested
*Sangguniang Barangay*
party for whatever legal purpose it may serve.
HON. RAUL T. LAPICEROS
*Sangguniang Barangay*

Given this ____ day of _________________, 2023, at Barangay

HON. ANGELA V. PENSABER
*Sangguniang Barangay* San Luis, Pagsanghan Samar.

HON. DANILO E. BORDALLO

*Sangguniang Barangay*
 ATTESTED:

MARK ANGELO E GOFREDO

Barangay Secretary

O.R. No.: . NOTED:

Date Issued: ____________
Doc. Stamp: Paid

HON. EMILIANO G. VENANCIO

Punong Barangay

Official Seal .

Republic of the Philippines

PROVINCE OF SAMAR
MUNICIPALITY OF PAGSANGHAN
BARANGAY SAN LUIS

OFFICE OF THE PUNONG BARANGAY

BARANGAY OFFICIALS

HON. EMILIANO G. VENANCIO

CERTIFICATE OF INDIGENCY
*Punong Barangay*

HON. JANICE S. UY
*Sangguniang Barangay* TO WHOM IT MAY CONCERN:

HON. ERIC M. UY
*Sangguniang Barangay*

THIS IS TO CERTIFY that Mr./Mrs.

HON. MYLENE M. AÑES
*Sangguniang Barangay* _______________________________ Single/Married, of legal age,

HON. ROBERT Y. CASTILLO Filipino, is a resident of Brgy. San Luis, Municipality of Pagsanghan,
*Sangguniang Barangay*
is one of the indigents in our barangay.
HON. RAUL T. LAPICEROS
*Sangguniang Barangay*

HON. ANGELA V. PENSABER

*Sangguniang Barangay* This certification is being issued upon request of the above
names person for whatever purpose it may serve him/her.
 HON. DANILO E. BORDALLO
*Sangguniang Barangay*

ISSUED this _____ day of _________________, 2023, at the

office of the Punong Barangay of Brgy. San Luis, Pagsanghan, Samar.

Issued on: ____________

Issued at: Brgy. San Luis,
Pagsanghan
Samar
O.R. No.: .
HON. EMILIANO G. VENANCIO
Punong Barangay