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Death Certificate

This certificate from the Punong Barangay of Barangay Panciao in Manjuyod, Negros Oriental, Philippines certifies the death of a late resident. It states that the late individual, who was [AGE] years old and [GENDER], died on [DATE] at around [TIME] in [PLACE]. The certificate was issued at the request of the son of the late person for legal purposes.

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254 views1 page

Death Certificate

This certificate from the Punong Barangay of Barangay Panciao in Manjuyod, Negros Oriental, Philippines certifies the death of a late resident. It states that the late individual, who was [AGE] years old and [GENDER], died on [DATE] at around [TIME] in [PLACE]. The certificate was issued at the request of the son of the late person for legal purposes.

Uploaded by

M J
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

Republic of the Philippines

Province of Negros Oriental


MUNICIPALITY OF MANJUYOD
BARANGAY PANCIAO
Office of the Punong Barangay

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that the late , years old,


female/male, is a resident of Sitio Magkaukal, Barangay Panciao, Manjuyod,
Negros Oriental, who is known to me personally, and that he died on
at around in .

This certification is hereby issued upon the request of , son of


the abovenamed late person, in whatever legal purpose this may serve him best.

IN WITNESS WHEREOF, I have hereunto set my signature and the seal of this
office this 24th day of November, at Barangay Panciao, Manjuyod, Negros
Oriental, Philippines.

HON. ROMULO A. CABUSOG


Punong Barangay

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