Republic of the Philippines
Province of Albay
Municipality of Libon
OFFICE OF THE MUNICIPAL CIVIL REGISTRAR
Cell Phone No. 0947-192-1798
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1st ENDORSEMENT
July 18, 2025
Respectfully forwarded to Ms. Cecil G. Brondial, Chief Statistical Specialist,
PSA, Albay Provincial Office, Legaspi City, the hereto attached duly approved
petition under R.A. 9048/R.A. 10172 together with the Certificate of Finality,
annotated and un-annotated Birth/Marriage Certificate, to wit:
Petition No. Name of Owner
1. CCE-0097-2024 Mark James B. Suarez
Please acknowledge receipt thereof.
NOLAN G. SERRANO
Acting Municipal Civil Registrar
/nne
RA Form No. 11.1 (LCRO)
Republic of the Philippines
Province of Albay
Municipality of Libon
OFFICE OF THE MUNICIPAL CIVIL REGISTRAR
Petition No. : CCE-0097-2024
Date of Filing : October 8, 2024
Name of Petitioner : Ruby Balazuela-Suarez
Type of Document : Certificate of Birth
Owner of Document : Mark James Balazuela Suarez
Nature/Type of Petition : Petition for Correction of Clerical Error
CERTIFICATE OF FINALITY
To Whom It May Concern:
This is to certify that the decision of this office dated October 21, 2024 in the
above-mentioned Petition for Correction of Clerical Error in the Birth Certificate of
Mark James Balazuela Suarez under Civil Registry No. 2010-1055 as recorded in
the attached record sheet has become final and executory.
Issued at the Local Civil Registry Office of Libon, Albay this 18 th day of July
2025.
NOLAN G. SERRANO
Acting Municipal Civil Registrar
Copy Furnished: Civil Registrar General
/nne
“Pursuant to the decision rendered by MCR Nelia N. Elaurza dated October 21, 2024 and affirmed by CRG under OCRG No. 24-2686109,
the child’s middle name is hereby corrected from “BALENZUELA” to “BALAZUELA’ and the mother’s last name is hereby corrected from
“BALENZUELA” to “BALAZUELA”.
NOLAN G. SERRANO
Acting Municipal Civil Registrar
RA Form No. 11
(Devised 15 Aug 2001)
RECORD BOOK
Petition No. : CCE-0097-2024 Date of Receipt: October 8, 2024
Posting Period : 10/09/2024 to 10/18/2024 Publication Period:
Type of Petition : Petition for Correction of Clerical Error
Petitioner’s Name : Ruby Balazuela-Suarez
Document owner’s Name: Mark James Balazuela Suarez
Type of document: Certificate of Birth Civil Reg. No.: 2010-1055
Clerical Errors to be corrected/First name to be changed:
Item
Description From To
No.
1. Child’s Middle Name Balenzuela Balazuela
2. Mother’s Last Name Balenzuela Balazuela
By C/MCR, CG or D/\cr\:
X-Granted Denied : Date rendered: October 21, 2024
By CRG
X-Affirmed Impugned: Date rendered: November 21, 2024
CRG on Appeal (if any)
Affirmed Reversed Date rendered: Not applicable
By CRG on Reconsideration (if any)
Granted Reversed Date rendered: Not applicable
Certificate of Finality issued on: July 18, 2025____________________________
Remarks:_______________________________________________________________
NOLAN G. SERRANO
Acting Municipal Civil Registrar