Office of The Municipal Civil Registrar

LCR FORM 1-A
(Birth Available)
Republic of the Philippines

Province of Ilocos Norte
MUNICIPALITY OF VINTAR
OFFICE OF THE MUNICIPAL CIVIL REGISTRAR
February 27, 2023
TO WHOM IT MAY CONCERN:

We certify that among others, the following facts of BIRTH appear in our
Register of Births on page 88 book Number Series 1975.
Registry Number : 294

Date of Registration : July 16, 1975
Name of Child : NELSON JOSE ANDRADA
Sex : Male
Date of Birth : June 17, 1975
Place of Birth : #32 Cabangaran, Vintar, Ilocos Norte

Name of Mother : Justina Jose
Citizenship of Mother : Filipino
Name of Father : Rogelio Andrada
Citizenship of Father : Filipino

Date of Marriage of Parents : September 3, 1965
Place of Marriage of Parents : Vintar, Ilocos Norte
This certification is issued to : NELSON JOSE ANDRADA
upon his/her request.
ESTELITA RV BATANGAN-PARTIBLE
Municipal Civil Registrar
FOR THE MUNICIPAL CIVIL REGISTRAR
ELSIE C. IBANA
Registration Officer II
Verified by:
CATHERINE LABRADOR-QUELNAT
Administrative Aide III
Amount Paid : PHP 100. 00

O.R. Number : 3982548
Date Paid : February 27, 2023
NOTE: A mark, erasure or alteration of any entry invalidates this certification.

LCR FORM 1-A
(Birth Available)

February 28, 2023


Date of Registration : September 16, 1953
Name of Child : JULIE DALERE
Sex : Female
Date of Birth : September 14, 1953
Place of Birth : #10 Visaya, Vintar, Ilocos Norte

Name of Mother : Josefa Agustin
Name of Father : Antonio Dalere

Date of Marriage of Parents : no column on register
Place of Marriage of Parents : no column on register
This certification is issued to : LESLIE Q. DALERE
Verified by:
CHARMAINE G. AGBAYANI
Registration Officer I
Amount Paid : Php 100. 00

O.R. Number : 3986074

LCR FORM 2-A
(Death Available)

February 21, 2023

We certify that among others, the following facts of DEATH appear in our
Register of Deaths on page 68 Series of 1994.
Registry Number : 94-149
Date of Registration : November 18, 1994
Name of the Deceased : ROMARICO DALERE DIZA
Sex : Male
Age : 82 years old
Civil Status : Married
Citizenship : Filipino
Date of Death : November 13, 1994
Place of Death : #9 Lubnac, Vintar, Ilocos Norte
Cause of Death : Cardio Resp. Arrest
This certification is issued to : TERESA D. ANDRADA

Verified by:
Amount Paid : Php 100.00

O.R. Number : 3985367

LCR FORM 2-A
(Death Available)

February 21, 2023

We certify that among others, the following facts of DEATH appear in our
Register of Deaths on page 68 Series of 1994.
Registry Number : 94-149
Date of Registration : November 18, 1994
Name of the Deceased : ROMARICO DALERE DIZA
Sex : Male
Age : 82 years old
Civil Status : Married
Citizenship : Filipino
Date of Death : November 13, 1994
Place of Death : #9 Lubnac, Vintar, Ilocos Norte
Cause of Death : Cardio Resp. Arrest
This certification is issued to : TERESA D. ANDRADA

FOR THE MUNICIPAL CIVIL REGISTRAR
ELSIE C. IBANA
Verified by:
Amount Paid : Php 100.00

O.R. Number : 3985367

LCR FORM 1-A
(Birth Available)

December 12, 2022

Register of Births on page book Number 86 Series 1957.
HUSBAND WIFE
Name : 81 ANNE LYN V. CALARAMO

Age : February 25, 1957 33 years old
Nationality : ROGELIO AGBAYANI Filipino
Civil Status : Male Male
Mother : January 1, 2024
Father : #10 Ester, Vintar, Ilocos Norte
This certification
ROGELIO is AGBAYANI
issued to :
Verified by:
E G.
AGBAYANI
Registration
Officer I
Amount Paid PHP 100. 00

O.R. Number 0273620
Date Paid ###

LCR FORM 1-A
(Birth Available)

February 21, 2023


Date of Registration : July 21, 1953
Name of Child : DIVINA GAMIAO
Sex : Female
Date of Birth : July 6, 1953
Place of Birth : Bo # 4 Vintar, Ilocos Norte

Name of Mother : Marcelo Gapuzan
Name of Father : Alfredo Gamiao

Date of Marriage of Parents : not indicated on register
Place of Marriage of Parents : not indicated on register
This certification is issued to :
Verified by:
Amount Paid : PHP 100. 00

O.R. Number : 3984641

LCR FORM 1-A
(Birth Available)

February 28, 2023


Date of Registration : September 16, 1953
Name of Child : JULIE DALERE
Sex : Female
Date of Birth : September 14, 1953
Place of Birth : #10 Visaya, Vintar, Ilocos Norte

Name of Mother : Josefa Agustin
Name of Father : Antonio Dalere

Date of Marriage of Parents : no column on register
Place of Marriage of Parents : no column on register
This certification is issued to : PSA-OCRG
Verified by:
Amount Paid :
O.R. Number : PSA-OCRG
Date Paid :

3985367
Male
Female
Filipino
American
Single
Married
Widow
Widower
Annulled
Divorced
Widowed
ELSIE C. IBANA
SANDREX A. AGBAYANI
Administrative Aide III
CATHERINE LABRADOR-
QUELNAT Administrative
Aide III
ESTELITA RV BATANGAN-
PARTIBLE Municipal Civil
Registrar

Office of The Municipal Civil Registrar

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LCR FORM 1-A

Republic of the Philippines