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ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


PROVINCE OF MASBATE )
MUNICIPALITY OF SAN JACINTO) S.S

BEFORE ME, this 20th day of June, 2022 in the Municipality of San Jacinto,
personally appeared:

Name Competent Evidence of Identity Place/Date Issued

known to me to be the same persons who executed the foregoing instrument, and acknowledged that
the same are their free act and deed.

This instrument, consisting of two (2) pages including the page on which this acknowledgement
is written, has been signed on the left margin of each and every page thereof by ____________ and
______________ and their witnesses, and sealed with my notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand on the date and place above written.

ATTY. _________________
NOTARY PUBLIC
_________________
azzilyram_16@yahoo.com/
attorneymldbartolata@gmail.com
Attorney’s Roll No.
PTR No. _____; ______ City
Admitted to the Bar on 05/25/2022
MCLE to follow, pursuant to
MCLE Governing Board Order No.1, s. 2008

Doc. No. ____;


Page No. ____;
Book No. ___ ;
Series of 2022.

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