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REPUBLIC OF THE PHILIPPINES)

QUEZON CITY ) S.S.

AFFIDAVIT OF ACKNOWLEDMENT

I, REX RODERICK GARCIA y CAEDO, of legal age, married, Filipino


and a resident of #49 Mauban Street, Barangay Manresa, Quezon City, after
having been sworn to in accordance with law, do hereby depose and state;

1) THAT I am the biological father of Jarel Garcia y Buenaventura,


born on July 5, 2010 at East Avenue Medical Center in Quezon City;

2) THAT I hereby acknowledge Jarel B. Garcia as my illegitimate son with


Ma. Rose A. Buenaventura;

3) THAT I am executing this affidavit to attest to the truth of the


foregoing facts mentioned above and for whatever legal purpose it
may serve.

REX RODERICK C. GARCIA


Affiant
Res. Cert. No. 3675021
Issued on: July 9, 2010
Issued at: Quezon City

SUBSCRIBED AND SWORN TO before me this 21 st day of July 2010 at


Quezon City, affiant exhibiting to me his Resident Certificate Number written
below their name.

ATTY. CAROLINE C. PAYUMO


PUBLIC ATTORNEY II
Administering Officer
Pursuant to R.A. 9406

Doc. No.
Page No.
Book No.
Series of 2010

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