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AFFIDAVIT OF AUTHORIZATION
I, LEONORA A. MENDIOLA, Filipino, of legal age, widow and a resident of
Apras Anak Pawis Floodway, Barangay San Juan, Municipality of Cainta, Province of
Rizal, under oath, do hereby depose and state, that:
It so happened, however, when she obtained a copy of the same, it was found out
that the information about her BIRTH PLACE was registered as NO ENTRY;
I am causing the request for the partial changes in the Parish Record of Leonila,
and I hereby authorized my daughter, AURORA MENDIOLA NESUS, to transact and
negotiate with Catholic Parish Church of San Fernando de Dilao, Arch Diocese of
Manila, in my behalf;
IN WITNESS WHEREOF, I have hereunto set my hand this 7th day of May
2019 at Cainta, Rizal.
LEONORA A. MENDIOLA
Health Identification Card No. 2013-
0499890
Issued at Makati Health Plus
Affiant
Witness to thumbmark: