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Republic of the Philippines) Pasig City ) s.s.

AFFIDAVIT OF RECEIPT AND RELEASE I________________________, Filipino, of legal age, married and residing at _______________________________________________ after having been sworn in accordance with law, state that : I am the mother-in-law of Jayson D. Miranda. I acknowledge that I received all salaries and benefits due me throughout and in the course of his employment with ChildFund Phil. Inc. I likewise quit any claim and hereby release ChildFund. Phil Inc, its officers and employees, from any claim or demand arising out of my employment with ChildFund Phil. Inc. I executed this document free from any intimidation, force, coercion or undue pressure, to attest to the truth of the foregoing statements. In witness of the truth hereof, I signed this Affidavit of Receipt and Release on _______________________ in __________________________________________ ______________________. _____________________________ Affiant Subscribed and sworn to before me on ______________________ in ________________. Affiant exhibited to me his Community Certificate ____________ issued on Doc. No. ___; Page No.___; Book No___; Series of____. Notary Public

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