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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ROSITA C. CRUIZ, of legal age, Filipino Citizen with and address at #13 Culiat St.
San Antonio Village Tandang Sora, Quezon City, have named by these presents do hereby name,
appoint and constitute BERLINDA C. CRUIZ, Filipino Citizen, and with address at Torepe
Drive Bosco District Mangagoy, Bislig City, to be my true and lawful attorney-in-fact, for me
and in name, place and stead, to do and perform the following acts and things, name:

1. To act as my representative claim regarding the SSS Benefits for my late husband ;

2. To make, sign execute any documents and other writings of whatever nature or kind with
any and all third persons, concerns or entities that would fulfill her authority granted;

GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and
perform every act and thing whatsoever requisite or necessary in and about the premises, as fully
to all intents and purposes as I might or could do if personally present and acting in person,
hereby, ratifying and confirming all what my said attorney-in-fact shall do or cause to be done
under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day of June 2015 at
Quezon City, Philippines.

ROSITA C. CRUIZ BERLINDA C. CRUIZ


Principal Attorney-in-fact
CTC/ ID No._____________ CTC/ ID No._____________
Issued on_____________ Issued on_____________
Issued at_____________ Issued at_____________

SIGNED IN THE PRESENCE OF:

__________________________ ________________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


QUEZON CITY ) S.S

BEFORE ME, a Notary Public for and in Quezon City on this 9th day of June 2015.

WITNESS MY HAND AND SEAL on the date and place first above written.

NOTARY PUBLIC
Doc. No.: ______
Page No.: ______
Book No.: ______
Series of 2015

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