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  • SUBSCRIBED AND SWORN To Before Me, This - , by The Following

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    Hara Silvosa
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    SUBSCRIBED AND SWORN To Before Me, This - , by The Following

    Uploaded by

    Hara Silvosa

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    SUBSCRIBED AND SWORN to before me, this _____________, by the following

    whom I have identified through competent evidence of identity and who exhibited
    to me their respective proof of identification follows:

    Name I.D. number

    1. AGATONICA S. POLANGCO Senior Citizen I.D. 0540


    2. MADRONIO C. SEVILLA Senior Citizen I.D 1323
    3. EREBERTA S. ANITO Senior Citizen I.D 1478
    4. VEVINCIO C. SEVILLA, JR. Voter’s I.D. 6710-0049A-E1559VC510000
    5. IMELDA S. FLORES PhilHealth I.D. 02-251272946-4
    6. FERDINAND SEVILLA Voter’s I.D. 6707-0017A-F0170FCS10000
    7. SUSAN RAVELO Voter’s I.D. 6710-0050A-J2967512S20000
    8. MARILYN SEVILLA 4Ps I.D. DSWD 166710018 0219-00169

    NOTARY PUBLIC

    Doc. No. ______;


    Page No. ______;
    Book No.______;
    Series of 20____.

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