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Republic of the Philippines
Republic of the Philippines
Province of Quezon
Municipality of General Luna
Barangay 6 Poblacion
OFFICE OF THE BARANGAY CHAIRMAN
Permit Number _________
Date Issued_____________
BARANGAY CLEARANCE(BUSINESS NAME OF APPLICANT)
Business situated at _______________________________________________________
Registered Proprietor/Owner/Manager/ of which Mr/Mrs/Miss_____________________
With legal office/residence at _______________________________________________
To operate/construct/install_________________________________________________
Subject to existing laws/ordinances/rules and regulations.
VILMA F. FORMARAN RENE RESTIE R.MECIJA Barangay Treasurer Barangay Chairman
O.R. No.____________
Date Paid____________
Amount Paid:_________