Republic of the Philippines

Cordillera Administrative Region

Province of Abra
Municipality of San Isidro
Barangay Dalimag

CERTIFICATION
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT: _________________________________, of

legal age, Filipino citizen and a bonafide resident of Barangay
Dalimag, San Isidro, Abra, Philippines.
That I am aware of the death of _________________ who died at
_________________ last ______________________.
That ____________________________ is legal claimant of the
deceased , for funeral benefits with the Social Security System (SSS)
Bangued, Abra, Branch.
This certification is issued to the interested party for all legal
intents and purposes. Given this ______ day of
_________________,________ at Barangay Dalimag, San Isidro, Abra.

ELIZALDE M. PACSA
Barangay Captain/ ABC
President