la = Page'T of2; 1 Copy: hae eee REPUBLIC OF THE PHILIP rao GERTIICATE oF Live ehio Pista oats aT co a = 2 Saorr 1989 A aes = ating aplaya Dave Uity ype oF BT nn © TEMUCTPLE aTATH ENED Was i Ss a Tet appltnstile 3a GERTIRGATE oF ATYemAWTAT BRT eee eter a Fee RR Or ee een SITVMUNICALIY _Squg.2 o2Er - fit teat sr a te Ke % # a oo. aplajoo = Fa tates oer Gains a tna Grossi Dayan Cty ees 38 Unatesene all = esa eo ~ 08062-EH-700RRL-00849-B1001 ‘BEST POSSIBLE WAGE eal 02H02-A89BW11-2 ‘CARMELITA N. ee Hg 940 0 ao National Statistics Office Feoo474052 fatePage 2 of 2. 1 Copy Grsrosyror sonoma. ‘oot rato he moar eae ey mrs A | eee Paltce ci SURSEMIBED AND SW tr ne fg peel: Feo : Aa Oy ——— er = era SS ‘AFFIDAVIT FOR DELAYED REGISTRATION OF isa 4 perce ce eee eee = iis Notira splays, Vaveo “ity ee {Sta 3. That te hs chtzan of wo Pat Lippiras. a ‘&. Tha tha ran tor tha diy ina wy ner beth we ete —__@vOroA RHE, = 8) Mat oes ot mie biri cater tacks oppo ap — POMBE ETON | Wea am nga ed cnt we pata wo Rabat lc Flaca ith gritty of ie Soy Givi Roginbey. “ethos | ea | Tabet 2 HOWTO ACCOMPLISH THIS FORM 4 Azamgl nh frm i tat epi aeration sb th pila ape i the eel lB, and ag {he theo yar ena ft 2. Toner py it te en pro : z 1. Fibep lino is Yom compe and wc 4 otc an ey tte meta isl ptr inher ony 0 pt. ‘The informa sab sad orn 140 hw pon colon "Bfon dg 3 sel i eee ont nae sr hat be ers mah rai a al crt and tet mf hi ml ns te pure eae Rt rt foto nit ret ge ie eed te 1 whe eT ‘PENALTY CLAUSE OF ACT NO. 3753 Sesion 16 ~ Fal Sarants Any parm wi Sa oink tama te farms rsd ond hal rst a ‘ec epic pute by inna fr a es 0m ae as, oy 8 tn a oon ‘nds nor mort fe urbe bts emia f eure ‘Sitio 17 Furst poe Ob Vitis Ary pan who ty pry he exci cmt oped ‘now fl aorta aen ey, ad ay puron cane find on a roan Ae, sal pad By « i eat ethan wn rr nar yo a poe Secon 18 = Nae of Dory wih Retire th rvs hi Act An zl i mei wh fe piety ptt i tate ‘cone ith te roi efWiAeso e mplswe larand albedo fr aan 9 ae i 4 eel ay Prt eg te pr ys omar a hot BON vd for» ct pate ey, Dentin ie nt hs ay fr ns a hv de aa har he gat nore etd ated d Soe CARMELITAN. ‘Administrator and Civil Registrar General National Statistics. Office