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Republic of the Philippines)

City of Santiago )Sc.


x- - - - - - - - - - - - - - - - - x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for the Province of Isabela and in the
City of Santiago, this ________________________, personally appeared:

NAME ID DATE & PLACE OF ISSUANCE

1. __________________ ____________ ________________________


2. __________________ ____________ ________________________
3. __________________ ____________ ________________________
4. __________________ ____________ ________________________

whose identities I have identified thru their identification cards, all of


which are competent evidence of their respective identities. Further, they
acknowledged to me that the instrument where this acknowledgment is
attached is their own free, voluntary act and deed.

WITNESS MY HAND AND SEAL this _____________________ at


Santiago City, Philippines.

Doc. No.______;
Page No. _____;
Book No. _____;
Series of 2017.

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