ABCDEFGHIJKLMNOPQRSTUVWXYZ
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SK of Barangay Purok V
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Municipality of San Joaquin
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Province of Iloilo
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SK CHAIRPERSON'S CERTIFICATION
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SKTCC No.:________
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Date: ______________
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To: The Bank Manager
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 Philippine Veterans Bank
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 Iloilo City
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Sir/Madam:
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 This is to certify that the following checks were duly issued by SK of Barangay Purok 5 (POB),
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 (Ito ay pagpapatunay na ang mga tseke na nakalista sa ibaba ay na-isyu ng SK ng Barangay Purok 5 (POB),
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complete with respective Disbuesement Vouchers and supporting documents.
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na kompleto ng kani-kanilang Disbursement Vouchers at kalakip na mga dokumento.)
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Account No.
Check No.DatePayeeAmountPurpose
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The undersigned attests to the truthfulness of the foregoing facts, under pain of
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 (Pinapatotohanan ng may lagda ang mga nakasaad sa itaas batid ang
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liability for falsification, pursuant to Article 171(4) of the Revised Penal Code of the Philippines
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pananagutan sa kasong "Falsification", sang-ayon sa Artikulo 171(4) ng Revised Penal Code ng Pilipinas)
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Very truly yours,
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JEY-AN S. VILLAROSA
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 SK Chairperson
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Delivered by:Received by:
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IMOGEN G. FARONILMO_________________________
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 SK TreasurerBank Representative
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Date: _________________Date: ______________________
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