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BOOK NO.

_______
PAGE NO. _______

NOTARIAL REGISTER of ATTY. ________________________________ of _____________________________, PHILIPPINES for the year ______ under appont!ent !ade on
"anuary ______ and e#prn$ on %e&e!'er (), ______.
%O*.
NO.
NAT+RE O, INSTR+-ENT NA-ES O, . E#e&utn$ /
PERSONS . S0earn$ /
.A&1no02ed$n$ /
3tne44e4 to
the S$nature %ATE I%ENTI,I*ATION
%O*+-ENT
RE-ARKS


._______________/ . E#e&uted /
I here'y &ertfy that durn$ the pa4t 0ee1 ._______________/ n4tru!ent4 0ere . S0orn to / Before !e.
._______________/ . A&1no02ed$e /
____________________
Notary Pu'2&

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