Barangay Clearance

1. Republic of the Philippines
Province of Nueva Ecija
BARANGAY SAN RAFAEL
OFFICE OF THE BARANGAY CHAIRMAN
CERTIFICATE OF INDIGENCY
TOWHOM IT MAY CONCERN:
This is to certify that Mr. Patrick Kiener Gamboa, single, 16 years old, Filipino Citizen,
and belongs to the indigent family in this barangay. Moreover, this single Mother has minimal
means of livelihood to augment their needs supporting his children education.
This certification is issued upon the request of the subject person for whatever legal
purposes it may serve him this 21st day of April, 2015, this Barangay.
Certified Correct by:
HON. PERFECTO A. GALMAN
Barangay Chairman