- , No. ii,
Date
Pace ONE =
DONATION _MORTIS _CAusA
i fi NOW PU HEN By TwEce PRESENTE:
x Thee ee eer ienenn
Ika, Phitiasines, by eG
ty TN Dn ee oe
____] wh residence ord pastel oddest of No Sopan Greet, Green
, Borongos Nongka Marikina Cay, hereinaller called
__te DONOR,
= in fowr of -
PEDROS SANTOS, a Neoph og. see, Filsino cite ord
with residene ord pedal address of No 227, TDP Rizgh
Greet, Villa Rosa Godvcon, Barangay Concepcion, Metro Moni,
hereinafke called the DONEE. Ss oe
cave
WITNESCETH:
Tho, te CONOR is te <
Kien,
raisin fue HOR ae ese Coea
ae
No,
FRCE yp Date_
Lo 3, Pd 160903, Lob 1, Red FO. LAC Ree. Nez N-Zanet
SHHGR, $2032, N- 11782, NIBH. ond _ 21071 Sthated ot No @&
P._Barifcio Sheet, Rorhvile Ghdivcin in the Borargy of Sin
Prtorio, Gly Sf Monto, |s. of Luan. Bonds on NE, grid 4
fo 1 by Rood Ug 92, on. the prick begining:
Confoining on cea C=) eye nen a
mith Ue dk ym he ORY hee
of Mania, Phiippires.No,
ae - Date
— JUBN UR CRUZ ANTOS
: Ss Doree.
af
[SIGNED IN THE PRESENCE OF TRE INSRUVENTAL WIMMER
eS
3 2 = a
ioe 7 Wikes Wikess
ATTESTATION CLAUSE
at Ue, fhe, uredusigned —oleding —Wiheare, hse, resinete Ore
shkd opps, our regechie, names do bereby cert that the
dono, JUAN CELA CRW2, tos mode kemun ub ts he Soegng
DONATION MORTS CAUSE Considing of FRR (4) page ncn
the alketotin ond _ocknoukdamen! page, numbered Conebiely
in_RHes on te upper pot of ach pay, & tis dormb
mors caso ord foe sod the some ond wey pre tered)
8] tn te cin, in oor pid) presen Orde. mn a
co fp— ot hs —teaest tine —tshesed ond sixxed ey some and
a Thereof, on the Iefh_mrgin, in the presence. of the
7! dor ord inthe premnce of each ond all of
Normecunaa D ddrese
A faye Morila, Phitppines
E B (Gifs Nolo, Philppinee
oe Mania, Phiopine ae
—_No. ™
Date.
TOR Jes
ACKNOWLEDGMENT
| wee
jet REPUBLIC OF Te PhlUppNes )
| Cm OF MANUA _) Ss.
: BEFORE ve, ths 1 dy cf My, 2081 in the, Gly
& ; of Manila, Philippi , persinally —oppeored:
dl
a il NAME: CI _No_ Dake ard Phe Issixd
TURN PELA CR 84s ara, Horna Cy
PEDRO SANTOS 123 78% Ofza!a1; Morita Cay
a A 123101 oVfol 21; Movity Cay
Ee Z 8 123128 CHOY: Morb, Cay
D ic la3iiis yf, Morita Cy
A Fn mtb Bsr steal es Gp