05 January 2023

Subject : Claim No. :100221000002639

File No. /1 / ODP

Authorization Letter
Gentlemen :

This is to authorize the bearer, Mr./Ms._____________________________, whose specimen signature appears

below to pick up the repaired vehicle described hereunder and sign all the necessary release documents on my behalf in
connection with the subject motor vehicle claim.

Make/Model : 2012 HYUNDAI ACCENT 1.4 GL CVVT GAS A/T SEDAN

Serial No : KMHCT41CBCU138903

Engine No : G4FABU689130

Plate No : TVO330

Thank you for your usual prompt attention on this matter.

Very truly yours,

ELIZALDE, MARIA NOEMI ALFONSO

Name of Insured

Authorized Representative
(Signature Over Printed Name)