Page No.

1
JUDICIAL FORM 143, AS AMENDED
PORMULARYONG PANGHUKUMAN BLG. 143

NOTARIAL REGISTER OF ATTY. JEANNE AURICE C. GAMAYON of Cebu City , Philippines, for the year 2022
REHISTRO NOTARYAL NI ng Lungsod ng , Pilipinas, para sa taong

Under appointment made on the June 20, 2021 and expiring December 31, 2022
Sa Nombramiento na ginawa noong ika- ng , na magtatapos sa Disyembre 31,

ENTRY TITLE/DESCRIPTION OF NAMES & ADDRESSES OF PARTIES NAMES & ADDRESSES OF COMPETENT DATE & TIME OF TYPE OF NOTARIAL ACT* FEES & O.R NO. OTHER PLACE OF
NUMBER INSTRUMENT WITNESSES EVIDENCE OF NOTARIZATION NOTARIZATION OTHER THAN
IDENTITY OFFICE OF NOTARY PUBLIC
AND/OR REMARKS

Maria Desa Panoy Passport No.

Judicial Affidavit Juan Dela Cruz Jimboy Bacarisas 123456789 February 1 , 2022 Jurat 0 Copy retained
1

Ariel Gamayon
2 Deed of Release and Pablo Dela Cruz Jason Dela Pena CTC No. 15521 February 2, 2022 0 Copy retained
Quitclaim Juana Dela Cruz CTC No. 45632 Jurat

Beth Bascar
3 Affidavit of Undertaking Jessel Tomarong Rogelio Andio CTC No. 71568 February 3, 2022 Acknowledgment 0 Copy retained

Peter Clarin
4 Contract of Lease Sharyl Panoy Therese Bacayo UMID No. 37458 February 4, 2022 Acknowledgment 0 Copy retained
Dexter Mantos CTC 25789

Jon Ampatuan
5 Deed of Absolute Sale Leo Jay D. Bacarisas Lashe Lopez CTC No. 558899 Februay 5, 2022 Acknowledgment Copy retained
500 O.R. 8958
Maristela A. Regidor CTC No. 011857
Pearl E. Manlunas CTC No. 045687
Precious Catubig CTC No. 456789

I HEREBY CERTIFY that during the past week Januay 31 - Februay 7 instruments were executed before me
ginawa sa harapan ko
pinatutunayan ko na noong nakaraang lingo ang mga kasulatang sworn to
pinanumpaan

acknowledged
tinanggap
DATE: February 11, 2022 ATTY. JEANNE AURICE C. GAMAYON
NOTARY PUBLIC
Petsa Notaryo Publiko

* whether acknowledgment, oath, jurat, signature witnessing or copy certification