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Barangay Clearance Blank

This barangay clearance certifies that an individual named MR./MRS. ______________________, who is _____ years old and married/single, has no outstanding obligations or derogatory records with the barangay. It further states that the individual has paid any liabilities incurred as a resident. The barangay captain of Adlawan, Valencia, Bohol issued this clearance upon the individual's request for an unspecified purpose.

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377 views1 page

Barangay Clearance Blank

This barangay clearance certifies that an individual named MR./MRS. ______________________, who is _____ years old and married/single, has no outstanding obligations or derogatory records with the barangay. It further states that the individual has paid any liabilities incurred as a resident. The barangay captain of Adlawan, Valencia, Bohol issued this clearance upon the individual's request for an unspecified purpose.

Uploaded by

Jeni Lagahit
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 Bohol
Municipality of Valencia
Barangay Adlawan

OFFICE OF THE BARANGAY CAPTAIN

BARANGAY CLEARANCE

To Whom It May Concern:

This is to certify that MR./MRS. ____________________________________, _____ years of age,


married/single, is cleared from all the obligations of this barangay, he/she has no
derogatory records and that he/she has paid whatever liabilities he/she incurred as a
resident of this barangay.

This clearance is issued upon request of the above named person for
_______________________________________.

Issued this _______ day of ______________________ 2015 at the office of the Barangay
Captain at Adlawan, Valencia, Bohol.

HON. MAXILINDO T. MAGAN


Barangay Captain

Paid Under O.R. # ___________________


Issued at Adlawan, Valencia, Bohol
Amount Paid P 50.00

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