Date:_____________________

TO WHOM IT MAY CONCERN,

I AUTHORIZE EDRALIN RUIZ BOLIGAO MY DAUGHTER TO BUY MY

MEDICINES.( )

___________________________

EDELA DAJUELA RUIZ

_____________________________________________________________________________

Date:_____________________

TO WHOM IT MAY CONCERN,

I AUTHORIZE EDRALIN RUIZ BOLIGAO MY DAUGHTER TO BUY MY

MEDICINES.( )

___________________________

EDELA DAJUELA RUIZ

_____________________________________________________________________________

Date:_____________________

TO WHOM IT MAY CONCERN,

I AUTHORIZE EDRALIN RUIZ BOLIGAO MY DAUGHTER TO BUY MY

MEDICINES.( )

___________________________

EDELA DAJUELA RUIZ