Republic of the Philippines

Region VIII
STA. MARGARITA, WESTERN SAMAR
Brgy. Cautod, Sta. Margarita W. Samar

CERTIFICATION
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY that ____________________________________________,
Is a registered voter and a resident of Brgy. Cautod, Sta. Margarita W. Samar, is a bonafide
Supporter/Family Leader/Watcher of the LIBERAL PARTY.
This certification is issued upon request of the interested party for whatever purposes it
may serve.
Issued this ________ day of ________________, 2016.

_______________________________________
Chairman, LIBERAL PARTY