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REPUBLIC OF THE PHILIPPINES)

CITY OF CEBU ) S.S.

JOHN DOE
AFFIANT

JURAT

SUBCRIBED AND SWORN TO before me this 29th day of JANUARY,


2020 in CEBU CITY, Philippines, affiant exhibiting to me her valid proof of
identification.

DOC NO.
PAGE NO.
BOOK NO.
SERIES OF 2020

REPUBLIC OF THE PHILIPPINES)


CITY OF CEBU ) S.S.

JOHN DOE
AFFIANT

JURAT
SUBCRIBED AND SWORN TO before me this 29th day of JANUARY,
2020 in CEBU CITY, Philippines, affiant exhibiting to me her valid proof of
identification.

DOC NO.
PAGE NO.
BOOK NO.
SERIES OF 2020

REPUBLIC OF THE PHILIPPINES)


CITY OF CEBU ) S.S.

JOHN DOE
AFFIANT
JURAT

SUBCRIBED AND SWORN TO before me this 29th day of JANUARY,


2020 in CEBU CITY, Philippines, affiant exhibiting to me her valid proof of
identification.

DOC NO.
PAGE NO.
BOOK NO.
SERIES OF 202

REPUBLIC OF THE PHILIPPINES)


CITY OF CEBU ) S.S.

JOHN DOE
AFFIANT

JURAT

SUBCRIBED AND SWORN TO before me this 29th day of JANUARY,


2020 in CEBU CITY, Philippines, affiant exhibiting to me her valid proof of
identification.

DOC NO.
PAGE NO.
BOOK NO.
SERIES OF 2020

REPUBLIC OF THE PHILIPPINES)


CITY OF CEBU ) S.S.

JOHN DOE
AFFIANT

JURAT

SUBCRIBED AND SWORN TO before me this 29th day of JANUARY,


2020 in CEBU CITY, Philippines, affiant exhibiting to me her valid proof of
identification.
DOC NO.
PAGE NO.
BOOK NO.
SERIES OF 20

REPUBLIC OF THE PHILIPPINES)


CITY OF CEBU ) S.S.

JOHN DOE
AFFIANT

JURAT

SUBCRIBED AND SWORN TO before me this 29th day of JANUARY,


2020 in CEBU CITY, Philippines, affiant exhibiting to me her valid proof of
identification.

DOC NO.
PAGE NO.
BOOK NO.
SERIES OF 2020

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