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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _____________________, of legal age, married, Filipino citizen, and


resident of Arimbay, Legazpi City, do hereby appoint, name and constitute
________________, of legal age, single/married, Filipino citizen, and a resident of
_________________________, to be, my true and lawful attorney to act in my behalf to
do and present the copy of Original Receipt No. ___________ before the Office of the
Clerk of Court, RTC, Libmanan, Camarines Sur for the purpose of releasing the cash
bond that I posted for ___________________, the accused and provisionally dismissed
in Criminal Case No. _________________ for Qualified Theft before the Regional Trial
Court Branch 57, Libman, Camsur.

HEREBY GIVING AND GRANTING unto my said attorney full power and authority
whatsoever requisite or necessary or proper to be done in or about the premises, as fully
to all intents and purpose as I might or could lawfully do if personally present, and hereby
certifying and confirming all that my said attorney shall do or cause to be done under and
by virtue of these presents.

IN WITNESS WHEREOF, We have hereunto set our hands this 24th day of August
2017 at Daraga, Albay.

_________________________- _________________________
Principal Attorney-in-fact

SIGNED IN THE PRESENCE OF


_______________________

________________________
ACKNOWLEDGMENT
Republic of the Philippines)
Province of Camarines Sur) SC
Municipality of Libmanan)

BEFORE ME personally appeared _____________________ and


____________________ with their ______________________ and
_____________________ who are personally known to me and known to me to be the
same persons who executed the foregoing Special Power of Attorney, and being informed
of the contents of said document, acknowledged before me that they executed the same
of their own free will and deed for the use and purpose therein set forth.

WITNESS MY HAND AND SEAL, this 24th of August 2017 at Daraga, Albay,
Philippines.

Doc. No. _____


Pafe No. _____
Book No. _____
Series of 2017.

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