Republic of the Philippines PROVINCE OF ANTIQUE ANGEL SALAZAR MEMORIAL GENERAL HOSPITAL San Jose de Buenavista “Philhealth Accredited Health Care Provider” CERTIFICATION September 18, 2019 To Whom It May Concern; This is to inform that the following Contract of Service Employees under Emergency Department has rendered six (6) months of service and they shall be entitled/included for Medicare sharing for the month of June-July 2019, to wit: 1. Sam Aldwin V. Resurreccion 2. Arla Donissa C. Alvior 3. Adore Niῆo Jules C. Alvior 4. Reymar Pinuela 5. Joey Regil Tajo 6. Sherwin Siao 7. Leo Andrew Mierla 8. Pitch Jiaryl S. Ostaga 9. Neil Nallos 10. Mark Mission 11. Aira Mae Billones 12. Phoebe Sentones 13. Ivony Corazon Israel 14. Florante A. Cabios 15. Jesmar Marin Jr. 16. Karen Joy Querubin 17. Aika Rose Gallego 18. Joemar Condes Jr. 19. Chastine Dale Ruiz 20. Roque Jofel Cuevas 21. Patriz Ann Pallon This certification is issue to support the claims for MEDICARE SHARE. Certified Correct: Sheilla J. Ballarta Section Head