Professional Documents
Culture Documents
To receive and collect from Department of Health and CABA District Hospital-Caba,
La Union any and all sums of money which now or hereafter become due me as:
To endorse the same if they are in the form of checks, for encashment or deposit
in a bank under my account.
IN WITNESS WHEREOF, I have hereunto set my hand this 15 th day of June, 2021
at Caba, La Union.
With my conformity:
Racquel T. De Guzman
Principal Marissa T. De Guzman
Passport No. P4708142B Attorney-in-fact
DFA-La Union Senior Cit. ID No. 8674
Valid until February 5, 2030 OSCA-Caba, La Union/ Issued on
Jan. 31, 2020
___________________________ ____________________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the Municipality of Caba, Province of La
Union, this 15th day of June, 2021 personally came and appeared with Passport No.
P470814213 issued on 06 February, 2020 in La Union known to me to be the same
person who executed the foregoing Special Power of Attorney and acknowledged to
me the same is his/her free and voluntary act and deed.