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