Republic of the Philippines

Province of Capiz
Municipality of Pontevedra
Barangay Hipona

CERTIFICATION

To whom it may concern:

This is to certifythat HEDDA DALE CATHERINE A. DADIVAS, of legal

age a bonafide resident of Barangay Hipona, Pontevedra, Capiz belong
to the PWD family in our barangay. I authorize my sister-in-law, Cherry Ann
D. Dadivas to claim my Christmas gift from your good municipality. Hoping
for your kind consideration.

Given this

day of December, 2016 at Pontevedra, Capiz.

Respectfully yours,

HEDDA DALE CATHERINE A.

DADIVAS