ACKNOWLEDGEMENT RECEIPT (Sample)

Republic of the Philippines

Province of Batangas

Municipality of Talisay

BARANGAY FILESISHARE

OFFICE OF THE BARANGAY CHAIRMAN

C E R T I F I C A T I O N

This is to certify that MR. & MRS. RAFAEL S. ESTEBAN is a bonafide resident of Barangay Filesishare, Talisay, Batangas.

That the aforementioned name at present earned Three Hundred Thousand Pesos (P300,000.00) per annum as Encoder.

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

Issued this 10^th day of July 2012 at Barangay Filesishare, Talisay, Batangas.

NOMER P. MERCADO

Barangay Secretary

Noted:

ROBERTO G. MACATANGAY

Barangay Captain