Barangay Clearance Form

REPUBLIC OF THE PHILIPPINES
Office of the Punong Barangay
_____________, Mandaue City BARANGAY CLEARANCE
(Required under Sec. 152, Par. (c))

This is to certify that __________________________, doing business under the style and name _________________________________, (if any) is legitimately engaged in the business of ____________________________ (refer to footnote), with address at ________________________________________ Mandaue City. The applicant has been doing business within the barangay since __________ and known to the community as peaceloving and law-abiding citizen, (Write "Not Applicable” at the blank space in case of first application. His/her business establishment does not encroach on any public road or street. Issued pursuant to Sec. 152, par. (c) of RA 7160 otherwise known as Local Government Code of 1991. Barangay ___________________Mandaue City_______________200__.

_________________________ Punong Barangay

Cert. Fee: P10.00
O.R. No. ________________
Issued on ________________ For: Manufacturers, assemblers, repackers, processors, brewers, distillers, compounders of liquors, distilled spirits and wines, manufacturers of any article of commerce of whatever kind or nature, (Sec. 143, par. (a) Local Government Code.) For: Wholesalers and distributors, or dealers in any article of commerce of whatever kind or nature (Sec. 143, par. (b) Local Government Code.) For: Exporters, or manufacturers, millers, producers, wholesalers, distributors, retailers or essential commodities (rice and corn, cassava flour, dairy meat, sugar, salt, other agricultural products, marine fresh water products, cooking oil, cooking gas, laundry soap, detergents, medicines, fertilizer, pesticides, herbicide, farm implements, poultry and animal feeds, school supplies, cement) (Sec. 143, par. (c) (8) , Local Government Code.) For: Retailers of non-essential commodities (Sec. 143, par (d) Local Government Code.) For: Contractors and other services (Sec. 143, par. (a) Local Government Code.)