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Lost Vac Card

This certification is for Pablo M. Igne, a resident of Barangay Bangsar, Banna, Ilocos Norte. It certifies that he received the first dose of the AstraZeneca COVID-19 vaccine on November 3, 2021 but lost his vaccination card. It also states that he is not a Person Under Monitoring or Investigation. The certification was issued to allow him to receive his second dose of vaccine. A second certification is for Jaysielyn M. Gappi, a 25-year-old resident of the same barangay. It certifies that she wants to transfer her residency to Batac City and was issued for whatever purpose it may serve.

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Feliza Abellera Franco Tumaneng
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235 views2 pages

Lost Vac Card

This certification is for Pablo M. Igne, a resident of Barangay Bangsar, Banna, Ilocos Norte. It certifies that he received the first dose of the AstraZeneca COVID-19 vaccine on November 3, 2021 but lost his vaccination card. It also states that he is not a Person Under Monitoring or Investigation. The certification was issued to allow him to receive his second dose of vaccine. A second certification is for Jaysielyn M. Gappi, a 25-year-old resident of the same barangay. It certifies that she wants to transfer her residency to Batac City and was issued for whatever purpose it may serve.

Uploaded by

Feliza Abellera Franco Tumaneng
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Province of Ilocos Norte


Municipality of Banna
BARANGAY#6 BANGSAR

CERTIFICATION

TO WHOM IT MAY CONCERN,

This is to certify that I know personally Pablo M. Igne, legal age and bonafide resident
of Barangay Bangsar, Banna, Ilocos Norte.

Further certifies that according to the statistical record of the Barangay, he/she got the
1 vaccination of Covid-19 in November 03, 2021 (ASTRAZENICA). But he lost his vaccination
st

card.

Further Certifies that he/she is NOT a Person Under Monitoring (PUM) nor Person
Under Investigation (PUI) in our barangay.

This certification is issued upon request of the above mentioned name for 2nd dose
vaccination.

Done this 09TH day of February 2022 at the Barangay Hall of Barangay Bangsar, Banna,
Ilocos Norte.

JAIME G. ERICE
Punong Barangay

Control No. 000107


Republic of the Philippines
Province of Ilocos Norte
Municipality of Banna
BARANGAY#6 BANGSAR

CERTIFICATION

TO WHOM IT MAY CONCERN,

This is to certify that I know personally Jaysielyn M. Gappi, 25 years of age, resident of
Barangay Bangsar, Banna, Ilocos Norte.

Further Certifies that he/she wants to transfer she’s residency in Batac City

This certification is issued upon request of the above mentioned name for whatever
purpose it may serve.

Done this 18th day of May 2022 at the Barangay Hall of Barangay Bangsar, Banna,
Ilocos Norte.

JAIME G. ERICE
Punong Barangay

Control No. 000340

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