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November 16, 2021

Honorable Albert D. Chua


Mayor of Batac City
Ilocos Norte

Sir,

I am Mrs. Evangeline A. Pascual, 68 years old residing at Brgy. 16 Quiling Norte, Batac City. I am a
Breast Cancer patient presently having my medication, Sir.

In this regard, I am requesting your good office a financial assistance to buy my prescribed medicine,
Sir.

Attached herewith are the supporting documents for your perusal:

1. A case study from the Department of Social Welfare and Development


2. Certificate of Indigency
3. Medical Prescriptions
4. Treatment Protocol
5. Medical Certificate
6. Medical Abstract
7. Photocopy of Valid I.D

Sir, thank you for your kindness and consideration. We look forward to your continuous support for the
less fortunate patients like me. May God Bless you always and your family.

Very Truly Yours,

Evangeline A. Pascual
Client

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