OFFICE OF THE PUROK PRESIDENT

Purok 3B
Ampayon, Butuan City

_________________________________________________________________________________

CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify that Mr./Mrs/Ms.___________________________________________

with Residence Certificate Number__________________ issued on __________________ at
___________________________ is a bonifide resident of Purok 3B Ampayon, Butuan City.

This certification is being issued upon request of Mr./ Mrs./ Ms.

_______________________________ for whatever purpose it may serve him/her best.

DOMINADOR B. CALIBUSO
Purok 3B President