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SPECIAL POWER OF ATTORNEY

THAT I, RACQUEL TABORA DE GUZMAN, Filipino citizen, of legal age, single and


resident of No. 11, Sitio Pao, Sobredillo, Caba, La Union do hereby appoint, name and
constitute, MARISSA TAVORA DE GUZMAN, Filipino citizen, of legal age, married
and resident of No. 11, Sitio Pao, Sobredillo, Caba, La Union, to be my true and lawful
attorney to act in, manage and conduct all my affairs and for that purpose in my  name
and on my behalf to do and execute any or all of the following acts, deeds, and things,
to wit:

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: 

(√  ) Hazard pay              (  √ ) salary


( √ ) SRA           ( √  ) other : Cash from DOH

To sign on my behalf quit claim forms or similar documents whatsoever with


Department of Health and Community District Hospital-Caba, La Union; and

To endorse the same if they are in the form of checks, for encashment or deposit
in a bank under my account.

HEREBY GIVING AND GRANTING unto my said attorney full power and


authority whatsoever requisite or proper to be done in or about the premises, as fully
to all intents and purposes as I might or could lawfully do if personally present, and
hereby certifying and confirming all that my said attorney shall do or cause to be done
under and by virtue of these presents.

This special power of attorney shall be in effect –

(  ) for ___________ month(s) / year(s)


( √ ) until the completion of the object or purpose above-stated
(  ) until revoked

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

Signed in the presence of:

 ___________________________                    ____________________________

ACKNOWLEDGMENT

Republic of the Philippines )


Caba, La Union ) S.S.

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.

WITNESS MY HAND AND NOTARIAL SEAL

Doc. No.295 MHELANIE CARREON WILLIAM


Page No.59 Notary Public until December 31, 2022
Book No. LII Notarial Commission 2021-02-BG
Series of 2021. Roll of Attorney 64072:04-27-15
PTR No. 6101200; 01-08-2021

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