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SPECIAL POWER OF ATTORNEY

(To Claim SSS Death Benefits)

KNOW ALL MEN BY THESE PRESENTS:

We, Gloria C. Copiado, Virgelio S. Cabarrubias, Remedios C. de los Santos,


Dioscoro S. Cabarrubias, Elesio S. Cabarrubias and Erico S. Cabarrubias, of legal
ages, married, Filipino, with residence and postal address at Back Rubber World,
Bgy. Basak, San Nicolas, Cebu City, do hereby name, constitute and appoint,
Gemma C. Singson, of legal age, Filipino, with residence and postal address at the
above-given address, to be our true and lawful attorney-in-fact and in our name do
the following, to wit:

“To claim the SSS Death Benefit of our late father


Gilberto S. Cabarrubias who died on April 13, 2012”
HEREBY GIVING AND GRANTING unto our attorney-in-fact full authority to sign
for and in our behalf whatever documents necessary ratifying and confirming the same.
IN WITNESS WHEREOF, we have hereunto set my hand, this 24 th day May
2012, in the City of Cebu, Philippines.

__________________ __________________
Gloria C. Copiado Virgelio S. Cabarrubias
Principal Principal
CTC No._____________ CTC No. _____________
Issued at ____________ Issued at _____________
Issued on____________ Issued on_____________

__________________
Gemma C. Singson
(Atty.-in-Fact)

Signed in the presence of:

1. _____________________ 2. _____________________

ACKNOWLEDGMENT
Republic of the Philippines)
City of Cebu ) S.S.
BEFORE ME personally appeared the above-named vendor I know to be the same person who
executed the foregoing instrument and who acknowledged to me that the same is his free act and deed.
WITNESS MY HAND AND SEAL, this date and place as written above.

ATTY. JOSELITO TROY G. SUELLO


(Notary Public)
Doc. No. ; Until: December 31, 2012
Page No. ; PTR No. 0853431 / 1-03-11 C.C.
Book No. ; IBP No. 821239 / 12-14-10 C.C.
Series of 2012 . TIN No. 156-357-164
Roll No. 41608

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