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ACKNOWLEDGEMENT FORM A_1

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


PROVINCE OF LA UNION ) S.S.
MUNICIPALITY OF AGOO )

BEFORE ME, a Notary Public in and for the Province of La Union, Municipality
of Agoo on this day personally appeared:

Name Com. Tax Cert. No. Date & Place of Issue

PEPE X. RIZAL 1234567 01/07/2007 ; Agoo, La Union

BONIFACIO X. ANDRES 7654321 01/07/2007 ; Sto Tomas, La Union

______________________ ________________ _____________________________

______________________ ________________ _____________________________

______________________ ________________ _____________________________

known to me and to me known to be the same person who executed the foregoing
instrument and who acknowledged to me that the same is their own free and voluntary act
and deed and that of the corporation they represent.

WITNESS MY HAND AND SEAL this 7th day of July, 2007 at Agoo La Union.

ATTY _________________________________
Doc. No. 123 COMMISSION NO. __________________
Page No. 69 NOTARY PUBLIC for AGOO, LA UNION
Book No. VII UNTIL DECEMBER 31, 2007
Series of 2007 OFFICE: _______________________________________
ROLL NO. 00001 ADMMITTED AT BAR: Dec. 20, 1958
IBP NO. 1234567 ; 01/07/07 ; LA UNION
PTR NO 1234567 ; 01/07/07 ; LA UNION
MCLE COMPLIANCE No. __________; July 7, 2007

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