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Republic of the Philippines

Province of Catanduanes
Municipality of Panganiban
BARANGAY STA. ANA

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

To whom it may concern:

This is to certify that Simeon T. Cabangon 62 years old of Barangay


Sta. Ana, Panganiban, Catanduanes is indigent.
This further certifies that he is the husband of Rosalia E. Cabangon
needs financial Assistance for Medical treatment in Manila.
This certificate is being issued this 21 st day of June at Sta Ana,
Panganiban Catanduanes. As for whatever legal purpose this may serve her.

ANTONIO C. CABRERA
JR.
Punong Barangay

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