Mun Form No.
1A
Republic of the Philippines
PROVINCE OF SURIGAO DEL NORTE
MUNICIPALITY OF GENERAL LUNA
Office of the Municipal Civil Registrar
TO WHOM IT MAY CONCERN:
We certify that among others the following facts of Death appear in our register of Death
on Page 09 of Book No. 33.
LCR Registry Number : 2011-101__________________ _______
Date of Registration : February 8, 2011 _____ ____ ______
Name of Deceased : SANCHA G. ESPEJON ______ ______
Sex : FEMALE___________________________
Age : 68 YEARS OLD______________________
Civil status : WIDOW___________________________
Nationality : Filipino____________________________
Date of Death : February 7, 2011 _______________
Place of Death : GENERAL LUNA, SURIGAO DEL NORTE___
Cause of Death : CARCINOMA OF THE LUNG____________
This certification is issued to SAlVIO N. ESPEJON, upon her/his request.
ANNIE A. MANTILLA
Municipal Civil Registrar
Verified:
NERIE B. LIM
Clerk
Paid Under or No. 4470561
Dated: APRIL 14, 2019
At General Luna, Surigao del Norte
NOTE: This Certification is not valid if it has mark of erasure or alteration of any entry.
Mun Form No. 1A
Republic of the Philippines
PROVINCE OF SURIGAO DEL NORTE
MUNICIPALITY OF GENERAL LUNA
Office of the Municipal Civil Registrar
TO WHOM IT MAY CONCERN:
We certify that among others the following facts of Death appear in our register of Death
on Page 46 of Book No. 32.
LCR Registry Number : 1994-18___________________________
Date of Registration : JANUARY 17, 1994___________________
Name of Deceased : EMELIO F. RAZON ___________________
Sex : Male__________________ ___________
Age : 52 years old_________________________
Civil status : Married____________________________
Nationality : Filipino_____________________________
Date of Death : JANUARY 16, 1994____________________
Place of Death : Consuelo, General Luna, SDN___________
Cause of Death : Car Accident_________________________
This certification is issued to JUANITA R. SULPAS, upon her/his request.
ANNIE A. MANTILLA
Municipal Civil Registrar
Verified:
NERIE B. LIM
Clerk
Paid Under or No. 4172144
Dated: September 20, 2018
At General Luna, Surigao del Norte
NOTE: This Certification is not valid if it has mark of erasure or alteration of any entry.
Mun Form No. 1A
Republic of the Philippines
PROVINCE OF SURIGAO DEL NORTE
MUNICIPALITY OF GENERAL LUNA
Office of the Municipal Civil Registrar
TO WHOM IT MAY CONCERN:
We certify that among others the following facts of Death appear in our register of Death
on Page 26 of Book No. 46.
LCR Registry Number : 1984-45___________________________
Date of Registration : JULY 5, 1984________________________
Name of Deceased : ATILANO R. MINGLANA_______________
Sex : Male______________________________
Age : 59 years old________________________
Civil status : Married____________________________
Nationality : Filipino____________________________
Date of Death : JULY 4, 1984________________________
Place of Death : General Luna, Surigao del Norte________
Cause of Death : Tuberculosis________________________
This certification is issued to VICENTE R. MINGLANA upon her/his request.
ANNIE A. MANTILLA
Municipal Civil Registrar
Verified:
NERIE B. LIM
Clerk
Paid Under or No. 4462136
Dated: Sept. 3, 2018
At General Luna, Surigao del Norte
NOTE: This Certification is not valid if it has mark of erasure or alteration of any entry.
Mun Form No. 1A
Republic of the Philippines
PROVINCE OF SURIGAO DEL NORTE
MUNICIPALITY OF GENERAL LUNA
Office of the Municipal Civil Registrar
TO WHOM IT MAY CONCERN:
We certify that among others the following facts of Death appear in our register of Death
on Page 102 of Book No. 05.
LCR Registry Number : 2005-128 _________________________
Date of Registration : AUGUST 18, 2005____________________
Name of Deceased : LEON ESPEJON _____________
Sex : Male_______________________________
Age : 61 years old_________________________
Civil status : Married____________________________
Nationality : Filipino_____________________________
Date of Death : AUGUST 17, 2005_________________ ___
Place of Death : General Luna, Surigao del Norte______ __
Cause of Death : Cardiac Arrest_________ _____________
This certification is issued to Salvio N. Espejon upon her/his request.
ANNIE A. MANTILLA
Municipal Civil Registrar
Verified:
NERIE B. LIM
Clerk
Paid Under or No. 4462159
Dated: Sept. 3, 2018
At General Luna, Surigao del Norte
NOTE: This Certification is not valid if it has mark of erasure or alteration of any entry.
Mun Form No. 1A
Republic of the Philippines
PROVINCE OF SURIGAO DEL NORTE
MUNICIPALITY OF GENERAL LUNA
Office of the Municipal Civil Registrar
TO WHOM IT MAY CONCERN:
We certify that among others the following facts of Death appear in our register of Death
on Page 23 of Book No. 07.
LCR Registry Number : 2015-364___________________________
Date of Registration : April 13, 2015_______________________
Name of Deceased : CLARITA MANTILLA ALIPAYO___________
Sex : Female_____________________________
Age : 70 years old_________________________
Civil status : Married____________________________
Nationality : Filipino_____________________________
Date of Death : April 11, 2015_______________________
Place of Death : General Luna, Surigao del Norte________
Cause of Death : Tuberculosis________________________
This certification is issued to LUZ PLAZA upon her/his request.
ANNIE A. MANTILLA
Municipal Civil Registrar
Verified:
NERIE B. LIM
Clerk
Paid Under or No. 4462161
Dated: Sept. 3, 2018
At General Luna, Surigao del Norte
NOTE: This Certification is not valid if it has mark of erasure or alteration of any entry.
