The document is a certification from the Punong Barangay of Barangay Bonglo in Licuan-Baay, Abra province. It certifies that a list of checks issued by the barangay, with details of payee, amount, date, and account number, is accurate. The certification is signed by the Punong Barangay and notarized.

1. Annex “A-1”
Barangay of BONGLO
City/Municipality of LICUAN-BAAY
Province of Abra
PUNONG BARANGAY’S CERTIFICATION (PBC)
(FOR BARANGAY CHECK DISBURSEMENTS)
PBC No. ____________
Date: ______________
To: The Bank/Manager
Land Bank of the Philippines
Bangued, Abra
Sir/Madam:
This is certify that the hereunder listed checks, with details of payee, amount and date of check were issued by
Barangay Bonglo, Licuan-Baay, Abra.
Account No. Check No. Date Payee Amount
Very truly yours,
Edgar D. Simangen
Punong Barangay
SUBSCRIBED AND SWORN to before me, this ____ day of ______, 2014, by ________________________ who exhibited
to me this Community Tax Certificate No. ___________________ issued at Licuan-Baay, Abra on
_____________________.
Notary Public
Delivered by: Received by:
Jojo F. Millare _____________________________
Barangay Treasurer Bank Representative
Copy Furnished:
Engr. Nerio Quinto
Mun. Accountant __________________________
COA