Barangay Permit

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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:_________